Theodore J Jerdee (NPI# 1104806397, PAC ID# 5698087302) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1104806397 |
| PAC ID by PECOS | 5698087302 |
| Professional Enrollment ID | I20180108001311 |
| Full Name | Theodore J Jerdee |
| Organization Legal Name | NEUROSCAN |
| Address |
2125 Oak Grove Rd Suite 200 Walnut Creek CA 94598-2520 |
| Phone Number | 9259939440 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2001 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0941100531 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050180 | JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS |
| 050496 | JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 | 9259475320 | BAY IMAGING CONSULTANTS MEDICAL GROUP INC |
| 2125 Oak Grove Rd, Suite 200, Walnut Creek, CA 94598-2520 | 9259939440 | NEUROSCAN |
| Organization Legal Name | NEUROSCAN |
| Physicians | 1 |
| Street Address |
2125 OAK GROVE RD SUITE 200 |
| City | WALNUT CREEK |
| State | CA |
| Zip | 94598-2520 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barry Louis Rotman | Internal Medicine | 1535 Treat Blvd, Walnut Creek, CA 94598-1043 | |
| George Baloyra | Chiropractic | 1511 Treat Boulevard, Suite 100, Walnut Creek, CA 94598-1099 | |
| Maryam Noorivaziri | Chiropractic | 1511 Treat Blvd, Suite 100, Walnut Creek, CA 94598-1099 | |
| Tolulope D Ojeyemi | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 738 Bancroft Rd, Walnut Creek, CA 94598-1531 |
| Jason A Meierhenry | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 738 Bancroft Rd, Walnut Creek, CA 94598-1531 |
| Bianca Gonzalez | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 738 Bancroft Rd, Walnut Creek, CA 94598-1531 |
| Onome A Ogaga | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 738 Bancroft Rd, Walnut Creek, CA 94598-1531 |
| Martha J Eppenberger | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 738 Bancroft Rd, Walnut Creek, CA 94598-1531 |
| Joseph A Baratta | Chiropractic | 2815 Mitchell Dr, Suite 101, Walnut Creek, CA 94598-1622 | |
| Gertrudes A Hernandez | Psychologist, Clinical | 2815 Mitchell Dr, Suite 128, Walnut Creek, CA 94598-1622 | |
| Find all physicians in zip 94598 | |||
| City | WALNUT CREEK |
| Zip Code | 94598 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WALNUT CREEK + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Theodore J Jerdee.
| 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.