Collene W Camill (NPI# 1689045064, PAC ID# 6204146665) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1689045064 |
| PAC ID by PECOS | 6204146665 |
| Professional Enrollment ID | I20151116000129 |
| Full Name | Collene W Camill |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Address |
1450 Medical Ctr Dr Rohnert Park CA 94928-2924 |
| Phone Number | 7075840672 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8921993205 |
| Number of Group Practice Members | 1049 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050174 | SANTA ROSA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1450 Medical Ctr Dr, Rohnert Park, CA 94928-2924 | 7075840672 | ST JOSEPH HERITAGE HEALTHCARE |
| 1450 Medical Ctr Dr, 3a, Rohnert Park, CA 94928-2924 | 7073873925 | ST JOSEPH HERITAGE HEALTHCARE |
| 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 7075463210 | ST JOSEPH HERITAGE HEALTHCARE |
| 925 Corporate Cntr Pkwy, Suite A, Santa Rosa, CA 95407-5453 | 7075432000 | ST JOSEPH HERITAGE HEALTHCARE |
| 6580 Hembree Ln, Suite 270, Windsor, CA 95492-6885 | 7078382044 | ST JOSEPH HERITAGE HEALTHCARE |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Physicians | 1022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tarah N Nelson | Nurse Practitioner | St Joseph Heritage Healthcare | 2460 Buhne St, Eureka, CA 95501-3207 |
| Kristen Shay Rasnick | Nurse Practitioner | St Joseph Heritage Healthcare | 6580 Hembree Ln, Suite 270, Windsor, CA 95492-6885 |
| Basit Rahim | Neurology | St Joseph Heritage Healthcare | 26800 Crown Valley Pkwy, Suite 385, Mission Viejo, CA 92691-7320 |
| Elizabeth Wachtel O'brien | Certified Nurse Midwife (cnm) | St Joseph Heritage Healthcare | 3307 Renner Dr, Fortuna, CA 95540-3119 |
| Michael James Glamore | Urology | St Joseph Heritage Healthcare | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3661 |
| Teresa E Shields-szabo | Family Medicine | St Joseph Heritage Healthcare | 26795 Portola Pkwy, Foothill Ranch, CA 92610-1713 |
| Austin James Perkins | Physician Assistant | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Sherin Ann Chakkalakel | Nurse Practitioner | St Joseph Heritage Healthcare | 905 E Washington St, St Joseph Heritage Healthcare, Petaluma, CA 94952-3389 |
| Jamie Lea Meyer | Nurse Practitioner | St Joseph Heritage Healthcare | 2332 23rd St, Eureka, CA 95501-3231 |
| Laura Elizabeth Hall | Nurse Practitioner | St Joseph Heritage Healthcare | 2280 Harrison Ave, Suite K, Eureka, CA 95501-3200 |
| Street Address |
1450 MEDICAL CTR DR |
| City | ROHNERT PARK |
| State | CA |
| Zip | 94928-2924 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John J Hunter | Cardiovascular Disease (cardiology) | Santa Rosa Memorial Hospital | 1450 Medical Ctr Dr, Rohnert Park, CA 94928-2924 |
| Stephen Sheerin | Internal Medicine | Santa Rosa Memorial Hospital | 1450 Medical Ctr Dr, Rohnert Park, CA 94928-2924 |
| Jonathan M Morse | Internal Medicine | St Joseph Heritage Healthcare | 1450 Medical Ctr Dr, Rohnert Park, CA 94928-2924 |
| Tysen Norton | Physician Assistant | St Joseph Heritage Healthcare | 1450 Medical Ctr Dr, Rohnert Park, CA 94928-2924 |
| Bryan Eberle | Physician Assistant | St Joseph Heritage Healthcare | 1450 Medical Ctr Dr, Rohnert Park, CA 94928-2924 |
| Angela M Wetmore | Physician Assistant | St Joseph Heritage Healthcare | 1450 Medical Ctr Dr, Rohnert Park, CA 94928-2924 |
| Katharina Abernethy | Physician Assistant | St Joseph Heritage Healthcare | 1450 Medical Ctr Dr, Rohnert Park, CA 94928-2924 |
| Patty Lynn Tucker | Physician Assistant | St Joseph Heritage Healthcare | 1450 Medical Ctr Dr, Rohnert Park, CA 94928-2924 |
| Janet M Hewitt | Nurse Practitioner | St Joseph Heritage Healthcare | 1450 Medical Ctr Dr, Rohnert Park, CA 94928-2924 |
| Leslie A Cady | Physician Assistant | St Joseph Heritage Healthcare | 1450 Medical Ctr Dr, Rohnert Park, CA 94928-2924 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Venus A Maher | Chiropractic | 101 Golf Course Dr, C5, Rohnert Park, CA 94928-1772 | |
| Paula Shadid | Optometry | 987 Gold Course Dr, Rohnert Park, CA 94928-1892 | |
| Steven B Campbell | Chiropractic | 995 Golf Course Dr, Rohnert Park, CA 94928-1892 | |
| Linda R Park | Clinical Social Worker | 2 Padre Pkwy, Suite 100, Rohnert Park, CA 94928-2114 | |
| James E Bruns | Optometry | 6180 State Farm Dr, Rohnert Park, CA 94928-2135 | |
| Krzysztof H Ziola | Internal Medicine | American Current Care of California, A Medical Corporation | 6174 State Farm Dr, Rohnert Park, CA 94928-2135 |
| Tiffanie Tian Yu | Optometry | James E Bruns Od A Professional | 6180 State Farm Dr, Rohnert Park, CA 94928-2135 |
| Rebecca K Finnemore | Family Medicine | Petaluma Health Center Inc | 5900 State Farm Dr, Suite 200, Rohnert Park, CA 94928-2149 |
| Zunairah S Syed | Family Medicine | Permanente Medical Group Inc | 5900 State Farm Dr, Rohnert Park, CA 94928-2149 |
| Amrita Sandhu | Family Medicine | Petaluma Health Center Inc | 5900 State Farm Dr, Suite 200, Rohnert Park, CA 94928-2149 |
| Find all physicians in zip 94928 | |||
| City | ROHNERT PARK |
| Zip Code | 94928 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ROHNERT PARK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Collene W Camill.
| 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.