Patrick J Lally (NPI# 1427480185, PAC ID# 5597993931) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1427480185 |
| PAC ID by PECOS | 5597993931 |
| Professional Enrollment ID | I20140110001208 |
| Full Name | Patrick J Lally |
| Organization Legal Name | PETALUMA EMERGENCY PHYSICIANS MEDICAL CORPORATION |
| Address |
400 N Mcdowell Blvd Petaluma CA 94954-2339 |
| Phone Number | 7077781111 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | HOSPITALIST |
| Group Practice PAC ID | 2365478914 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050136 | PETALUMA VALLEY HOSPITAL |
| 050009 | QUEEN OF THE VALLEY MEDICAL CENTER |
| 051318 | REDWOOD MEMORIAL HOSPITAL |
| 050174 | SANTA ROSA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 141 Lynch Creek Way, Suite C, Petaluma, CA 94954-2390 | 7077630802 | ST JOSEPH HERITAGE HEALTHCARE |
| 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 | 7077781111 | PETALUMA EMERGENCY PHYSICIANS MEDICAL CORPORATION |
| Organization Legal Name | PETALUMA EMERGENCY PHYSICIANS MEDICAL CORPORATION |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Azalea Saemi | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Charles E Evans | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Charles L Kaplove | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Sean C Andrews | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Jay W Goldberg | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Richard R Tavernetti Jr. | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Henry L Fong | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Leslie H Crebassa | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Joanna K Ramseyer | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Vicki S Martinez | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Street Address |
400 N MCDOWELL BLVD |
| City | PETALUMA |
| State | CA |
| Zip | 94954-2339 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Azalea Saemi | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Charles E Evans | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Charles L Kaplove | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Sean C Andrews | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Jay W Goldberg | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Richard R Tavernetti Jr. | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Henry L Fong | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| James M Hurd | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Emily Petromilli | Nurse Practitioner | St Joseph Heritage Healthcare | 400 N Mcdowell Blvd, Petaluma, CA 95954-2339 |
| Scott D Tweten | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald L Harris | Optometry | 1225 N Mcdowell Blvd, Petaluma, CA 94954-1112 | |
| Peter R Pretkel | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Julie L Restad | Chiropractic | 1301 Redwood Way, Suite 150, Petaluma, CA 94954-1136 | |
| Robert D Mosby | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Grace A Wakim | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Dan Lightfoot | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Kalane J Wong | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Robert L Anderson | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Robert A Harf | Orthopedic Surgery | 108 Lynch Creek Way, Suite 7, Petaluma, CA 94954-2310 | |
| Stephen M Gugenheim | Otolaryngology | St Joseph Heritage Healthcare | 108 Lynch Creek Way, Suite 7, Petaluma, CA 94954-2310 |
| Find all physicians in zip 94954 | |||
| City | PETALUMA |
| Zip Code | 94954 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PETALUMA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Patrick J Lally.
| 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.