Than Soe (NPI# 1134326275, PAC ID# 5395839856) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1134326275 |
PAC ID by PECOS | 5395839856 |
Professional Enrollment ID | I20070914000640 |
Full Name | Than Soe |
Organization Legal Name | LODI MEMORIAL HOSPITAL ASSOCIATION INC |
Address |
2415 W Vine St Suite 105 Lodi CA 95242-3731 |
Phone Number | 2093343411 |
Gender | M |
Graduation Year | 1985 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 7618880717 |
Number of Group Practice Members | 62 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050336 | ADVENTIST HEALTH LODI MEMORIAL |
Address | Phone | Organization |
---|---|---|
2415 W Vine St, Suite 105, Lodi, CA 95242-3731 | 2093343411 | LODI MEMORIAL HOSPITAL ASSOCIATION INC |
Organization Legal Name | LODI MEMORIAL HOSPITAL ASSOCIATION INC |
Physicians | 59 |
Name | Specialty | Organization | Address |
---|---|---|---|
Armeghan Bagherpour | Physician Assistant | Lodi Memorial Hospital Association Inc | 305 Preston Ave, Ione, CA 95640-9158 |
Abdul W Raif Jawid | Internal Medicine | Lodi Memorial Hospital Association Inc | 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 |
Craig W Hall | Family Medicine | Lodi Memorial Hospital Association Inc | 845 S Fairmont Ave, Suite 8, Lodi, CA 95240-5113 |
Ranganathan G Madhavan | Internal Medicine | Lodi Memorial Hospital Association Inc | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
Sandra Robles-bonham | Physician Assistant | Lodi Memorial Hospital Association Inc | 10200 Trinity Pkwy, Suite 102, Stockton, CA 95219-7287 |
Juliene C Gentry | Internal Medicine | Lodi Memorial Hospital Association Inc | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
Steven D Laviola | Cardiovascular Disease (cardiology) | Lodi Memorial Hospital Association Inc | 10200 Trinity Pkwy, Suite 102, Stockton, CA 95219-7287 |
James M Myers | Physician Assistant | Lodi Memorial Hospital Association Inc | 2415 W Vine St, Suite 105, Lodi, CA 95242-3731 |
Alex T Kelemework | Internal Medicine | Lodi Memorial Hospital Association Inc | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
Jaynesh A Patel | Internal Medicine | Lodi Memorial Hospital Association Inc | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
Street Address |
2415 W VINE ST SUITE 105 |
City | LODI |
State | CA |
Zip | 95242-3731 |
Name | Specialty | Organization | Address |
---|---|---|---|
James M Myers | Physician Assistant | Lodi Memorial Hospital Association Inc | 2415 W Vine St, Suite 105, Lodi, CA 95242-3731 |
Ryan C Fong | Physician Assistant | Lodi Memorial Hospital Association Inc | 2415 W Vine St, Suite 105, Lodi, CA 95242-3731 |
Harvey J Hashimoto | Family Medicine | Lodi Memorial Hospital Association Inc | 2415 W Vine St, Suite 105, Lodi, CA 95242-3731 |
Jacie C Touart | Physician Assistant | Lodi Memorial Hospital Association Inc | 2415 W Vine St, Suite 105, Lodi, CA 95242-3731 |
Narinder S Dhaliwal | Internal Medicine | Lodi Memorial Hospital Association Inc | 2415 W Vine St, Suite 105, Lodi, CA 95242-3731 |
Edmund A Freund | Family Medicine | Lodi Memorial Hospital Association Inc | 2415 W Vine St, Suite 105, Lodi, CA 95242-3731 |
Katherine Redmond-larimer | Nurse Practitioner | Lodi Memorial Hospital Association Inc | 2415 W Vine St, Suite 105, Lodi, CA 95242-3731 |
Danielle K Bassett | Nurse Practitioner | Lodi Memorial Hospital Association Inc | 2415 W Vine St, Suite 105, Lodi, CA 95242-3731 |
Janel Ojeda | Physician Assistant | Lodi Memorial Hospital Association Inc | 2415 W Vine St, Suite 105, Lodi, CA 95242-3731 |
Juliana Schrettner | Physician Assistant | Lodi Memorial Hospital Association Inc | 2415 W Vine St, Suite 105, Lodi, CA 95242-3731 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Germaine N Burke | Optometry | Burke Optometry, Inc.. | 441 S Ham Lane, Suite B, Lodi, CA 95242 |
James R Wilson | Chiropractic | 2000 W Kettleman Lane, Suite 104, Lodi, CA 95242 | |
Harmanjeet C Dhaliwal | Pain Management | 777 S Ham Lane, Suite F, Lodi, CA 95242 | |
Richard S Forman | Anesthesiology | 521 E Ham Lane F, Lodi, CA 95242 | |
Jerome A Burke | Optometry | Burke Optometry, Inc.. | 441 S Ham Lane, Suite B, Lodi, CA 95242 |
Camille A Clarke | Family Medicine | Community Medical Centers Inc | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2191 |
Maribel A Arroyo | Clinical Social Worker | Community Medical Centers Inc | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2191 |
Farzana N Ali | Family Medicine | Community Medical Centers Inc | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2191 |
Jussein Rigor Mangondato | Pediatric Medicine | Community Medical Centers, Inc | 2401 W Turner Rd, Lodi, CA 95242-2191 |
Eliza R Downs | Physical Therapy | San Luis Physical Therapy and Orthopedic Rehabilitation Inc | 2401 W Turner Rd, 250 Central Valley Phy Ther, Lodi, CA 95242-2192 |
Find all physicians in zip 95242 |
City | LODI |
Zip Code | 95242 |
Specialty | FAMILY MEDICINE |
City + Specialty | LODI + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Than Soe.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.