Terren C Wortham (NPI# 1043795370, PAC ID# 5799022018) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1043795370 |
| PAC ID by PECOS | 5799022018 |
| Professional Enrollment ID | I20190124002520 |
| Full Name | Terren C Wortham |
| Organization Legal Name | ANESTHESIA SERVICES OF SAN JOAQUIN PC |
| Address |
1800 N California St Stockton CA 95204-6019 |
| Phone Number | 2099432000 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4082754056 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050084 | ST JOSEPHS MEDICAL CENTER OF STOCKTON |
| Address | Phone | Organization |
|---|---|---|
| 500 W Hospital Rd, French Camp, CA 95231-9693 | 2094687011 | ANESTHESIA SERVICES OF SAN JOAQUIN PC |
| 1800 N California St, Stockton, CA 95204-6019 | 2099432000 | ANESTHESIA SERVICES OF SAN JOAQUIN PC |
| 1800 N California St, Suite 1, Stockton, CA 95204-6019 | 2094676316 | ANESTHESIA SERVICES OF SAN JOAQUIN PC |
| Organization Legal Name | ANESTHESIA SERVICES OF SAN JOAQUIN PC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph J Dominguez | Anesthesiology | Anesthesia Services of San Joaquin PC | 1800 N California St, Suite 1, Stockton, CA 95204-6019 |
| Christina E Ramirez | Certified Registered Nurse Anesthetist (crna) | Anesthesia Services of San Joaquin PC | 1800 N California St, Stockton, CA 95204-6019 |
| Grant David Kephart | Certified Registered Nurse Anesthetist (crna) | Anesthesia Services of San Joaquin PC | 1800 N California St, Suite 1, Stockton, CA 95204-6019 |
| Shawn P Regan | Certified Registered Nurse Anesthetist (crna) | Anesthesia Services of San Joaquin PC | 500 W Hospital Rd, French Camp, CA 95231-9693 |
| Khang Do | Certified Registered Nurse Anesthetist (crna) | Anesthesia Services of San Joaquin PC | 1800 N California St, Suite 1, Stockton, CA 95204-6019 |
| Martin Ekene Ibeawuchi | Certified Registered Nurse Anesthetist (crna) | Anesthesia Services of San Joaquin PC | 1800 N California St, Stockton, CA 95204-6019 |
| Alan M Dean | Anesthesiology | Anesthesia Services of San Joaquin PC | 500 W Hospital Rd, French Camp, CA 95231-9693 |
| Jhenelle T Forbes | Certified Registered Nurse Anesthetist (crna) | Anesthesia Services of San Joaquin PC | 1800 N California St, Stockton, CA 95204-6019 |
| Natalie Jo Lee | Anesthesiology | Anesthesia Services of San Joaquin PC | 1800 N California St, Suite 1, Stockton, CA 95204-6019 |
| Neil C Cummings | Certified Registered Nurse Anesthetist (crna) | Anesthesia Services of San Joaquin PC | 1800 N California St, Stockton, CA 95204-6019 |
| Street Address |
1800 N CALIFORNIA ST |
| City | STOCKTON |
| State | CA |
| Zip | 95204-6019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph J Dominguez | Anesthesiology | Anesthesia Services of San Joaquin PC | 1800 N California St, Suite 1, Stockton, CA 95204-6019 |
| Christina E Ramirez | Certified Registered Nurse Anesthetist (crna) | Anesthesia Services of San Joaquin PC | 1800 N California St, Stockton, CA 95204-6019 |
| Grant David Kephart | Certified Registered Nurse Anesthetist (crna) | Anesthesia Services of San Joaquin PC | 1800 N California St, Suite 1, Stockton, CA 95204-6019 |
| Douglas B Malcolm | Emergency Medicine | San Francisco Physicians International Medical Group Inc | 1800 N California St, Stockton, CA 95204-6019 |
| Sahil Rao | Hospitalist | Inpatient Specialists of California PC | 1800 N California St, Stockton, CA 95204-6019 |
| Maxine L Delpaine | Diagnostic Radiology | Radadvantage A Professional Corporation | 1800 N California St, Stockton, CA 95204-6019 |
| Khang Do | Certified Registered Nurse Anesthetist (crna) | Anesthesia Services of San Joaquin PC | 1800 N California St, Suite 1, Stockton, CA 95204-6019 |
| Khaleeq Hussain Siddiqui | Internal Medicine | Inpatient Specialists of California PC | 1800 N California St, Stockton, CA 95204-6019 |
| Hanadi Abou Dargham | Family Medicine | Inpatient Specialists of California PC | 1800 N California St, Stockton, CA 95204-6019 |
| Martin Ekene Ibeawuchi | Certified Registered Nurse Anesthetist (crna) | Anesthesia Services of San Joaquin PC | 1800 N California St, Stockton, CA 95204-6019 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison M Hom | Physical Therapy | 3215 N California, Suite 4, Stockton, CA 95204-3433 | |
| May Mardini | Physical Therapy | 3215 N California St, Suite 4, Stockton, CA 95204-3433 | |
| Antonia Aurora Fields | Physical Therapy | 3215 N California, Suite 4, Stockton, CA 95204-3433 | |
| Thomas Oliver | Chiropractic | 3020 Pacific Ave, Stockton, CA 95204-3639 | |
| Amrik Singh Sidhu | Family Medicine | 2800 N California St, Suite 10, Stockton, CA 95204-3758 | |
| Taymour E Malak | Family Medicine | 2800 N California St, Suite 11, Stockton, CA 95204-3758 | |
| Albina G Benabaye | Internal Medicine | 2800 N California St, Suite 16, Stockton, CA 95204-3758 | |
| Iftikhar A Malik | Gastroenterology | 2800 N California St, Suite 7, Stockton, CA 95204-3758 | |
| Fram Buhari | Cardiovascular Disease (cardiology) | San Joaquin Cardiology Medical Group Inc | 2800 N California St, 1 Dr Alvin Cacho, Stockton, CA 95204-3758 |
| Timothy Bechtel | General Surgery | 2800 N California St, Suite 6, Stockton, CA 95204-3758 | |
| Find all physicians in zip 95204 | |||
| City | STOCKTON |
| Zip Code | 95204 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | STOCKTON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Terren C Wortham.
| 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.