Mary E Keohane (NPI# 1003922329, PAC ID# 6800810623) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1003922329 |
| PAC ID by PECOS | 6800810623 |
| Professional Enrollment ID | I20060119000775 |
| Full Name | Mary E Keohane |
| Organization Legal Name | DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC |
| Address |
3301 C St 200e Sacramento CA 95816-3363 |
| Phone Number | 9164460424 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1983 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 2860489218 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050498 | SUTTER AUBURN FAITH HOSPITAL |
| 050108 | SUTTER MEDICAL CENTER, SACRAMENTO |
| 050309 | SUTTER ROSEVILLE MEDICAL CENTER |
| 050336 | ADVENTIST HEALTH LODI MEMORIAL |
| 050537 | SUTTER DAVIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3301 C St, 200e, Sacramento, CA 95816-3363 | 9164460424 | DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC |
| Organization Legal Name | DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John S Abele | Pathology | Diagnostic Pathology Medical Group Inc | 6490 S Mccarran Blvd, Bldg E Suite 106, Reno, NV 89509-0001 |
| Robert W Ghiselli | Pathology | Diagnostic Pathology Medical Group Inc | 2000 Sutter Pl, Davis, CA 95616-6201 |
| David Rafael Guillen | Pathology | Diagnostic Pathology Medical Group Inc | 3301 C St, 200e, Sacramento, CA 95816-3363 |
| Anna K Wong | Pathology | Diagnostic Pathology Medical Group Inc | 300 Hospital Dr, Vallejo, CA 94589-2574 |
| Kristen M Vandewalker | Pathology | Diagnostic Pathology Medical Group Inc | 300 Hospital Dr, Vallejo, CA 94589-2574 |
| Han S Lee | Pathology | Diagnostic Pathology Medical Group Inc | 300 Hospital Dr, Vallejo, CA 94589-2574 |
| Kim L Wang | Pathology | Diagnostic Pathology Medical Group Inc | 3301 C St, 200e, Sacramento, CA 95816-3363 |
| Norman K Mcmurry | Pathology | Diagnostic Pathology Medical Group Inc | 3301 C St, 200e, Sacramento, CA 95816-3363 |
| Jamie L Cassity | Pathology | Diagnostic Pathology Medical Group Inc | 300 Hospital Dr, Vallejo, CA 94589-2574 |
| Marian L Butcher | Pathology | Diagnostic Pathology Medical Group Inc | 300 Hospital Dr, Vallejo, CA 94589-2574 |
| Street Address |
3301 C ST 200E |
| City | SACRAMENTO |
| State | CA |
| Zip | 95816-3363 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Le | Dermatology | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Delphine W Ong | Medical Oncology | Dignity Health Medical Foundation | 3301 C St, Suite 550, Sacramento, CA 95816-3386 |
| David Rafael Guillen | Pathology | Diagnostic Pathology Medical Group Inc | 3301 C St, 200e, Sacramento, CA 95816-3363 |
| Chung-yin S Chan | Dermatology | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Danielle M Tartar | Dermatology | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Victor Huang | Dermatology | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Stacey A Rotta | Undefined Physician Type (specify) | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Marc Silverstein | Dermatology | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Oma N Agbai | Dermatology | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Maxwell Fung | Dermatology | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas H King | Dermatology | Regents of The Univ of Ca | 2221 Stockton Blvd, Sacramento, CA 95816 |
| Cassy Friedrich | Family Medicine | Planned Parenthood Mar Monte, Inc | 201 29th St, Sacramento, CA 95816-3271 |
| Fu Tong Liu | Dermatology | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Alura L Barsun | Nurse Practitioner | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Allen Markovic | Physician Assistant | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Tina L Palmieri | Undefined Physician Type (specify) | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Soman Sen | General Surgery | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Dattesh R Dave | Hand Surgery | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Michael S Wong | Plastic and Reconstructive Surgery | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Susan L Boone | Dermatology | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Find all physicians in zip 95816 | |||
| City | SACRAMENTO |
| Zip Code | 95816 |
| Specialty | PATHOLOGY |
| City + Specialty | SACRAMENTO + PATHOLOGY |
Please comment or provide details below to improve the information on Mary E Keohane.
| 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.