Samuel Thibodeaux (NPI# 1578544516, PAC ID# 5890722748) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1578544516 |
| PAC ID by PECOS | 5890722748 |
| Professional Enrollment ID | I20101117000482 |
| Full Name | Samuel Thibodeaux |
| Address |
275 Hospital Dr Ukiah CA 95482-4531 |
| Phone Number | 7074637360 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2005 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 051310 | ADVENTIST HEALTH HOWARD MEMORIAL |
| Address | Phone | Organization |
|---|---|---|
| 275 Hospital Dr, Ukiah, CA 95482-4531 | 7074637360 | |
| 1 Marcela Dr, Willits, CA 95490-5769 | 7074596801 | WILLITS HOSPITAL INC |
| 3 Marcela Dr, Suite D, Willits, CA 95490-5769 | 7074594220 | WILLITS HOSPITAL INC |
| Street Address |
275 HOSPITAL DR |
| City | UKIAH |
| State | CA |
| Zip | 95482-4531 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Georgina L Calderon | Emergency Medicine | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Lori C Schafer | Optometry | Ukiah Adventist Hospital | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Suzanne Hiramatsu | Emergency Medicine | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Bonnie D Macevoy | Anesthesiology | Northcoast Anesthesia Providers Medical Group | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| David P Debooy | Anesthesiology | 275 Hospital Dr, Ukiah, CA 95482-4531 | |
| Jennifer L Graff | Nurse Practitioner | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Xiaojie Wu | Nurse Practitioner | Ukiah Adventist Hospital | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Erin L Bainbridge | Nurse Practitioner | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Anand J Mehta | Internal Medicine | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Mary K Newkirk | Internal Medicine | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard Andrew Coren | Family Medicine | Adventist Health Physicians Network | 1050 N State St, Ukiah, CA 95482-3414 |
| Janis Woesner | Nurse Practitioner | Adventist Health Physicians Network | 1050 N State St, Ukiah, CA 95482-3414 |
| Vincent P Valente | Obstetrics/gynecology | Ukiah Valley Primary Care Medical Group, Inc | 1050 N State St, Ukiah, CA 95482-3414 |
| Christine J Miller | Chiropractic | 101 W Church St, Suite 3, Ukiah, CA 95482-3615 | |
| Brenda Flynn Clark | Clinical Social Worker | 601 N State St, Brenda Flynn Clark Psychotherapy, Ukiah, CA 95482-4026 | |
| Laura M Mares | Clinical Social Worker | 359 N Oak St, Ukiah, CA 95482-4302 | |
| Marilyn K Gilbreath | Optometry | Gilbreath and Park Optometry Inc. | 102 Scott St, Ukiah, CA 95482-4316 |
| Sara C Stark | Clinical Psychologist | 406 W Standley St, Ukiah, CA 95482-4348 | |
| Lee Howard Vagt | Chiropractic | 461 N State St, Ukiah, CA 95482-4421 | |
| Robert B Calson | Allergy/immunology | Ukiah Adventist Hospital | 245 Hospital Dr, Ukiah, CA 95482-4531 |
| Find all physicians in zip 95482 | |||
| City | UKIAH |
| Zip Code | 95482 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | UKIAH + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Samuel Thibodeaux.
| 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.