Trevor T Phan (NPI# 1104943356, PAC ID# 7113092131) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1104943356 |
| PAC ID by PECOS | 7113092131 |
| Professional Enrollment ID | I20080826000337 |
| Full Name | Trevor T Phan |
| Address |
801 E Williams Ave Fallon NV 89406-3052 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 291306 | CARSON VALLEY MEDICAL CENTER |
| 051317 | ADVENTIST HEALTH CLEARLAKE |
| 291313 | BANNER CHURCHILL COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 801 E Williams Ave, Fallon, NV 89406-3052 | ||
| 1375 University St, Healdsburg, CA 95448-3382 |
| Street Address |
801 E WILLIAMS AVE |
| City | FALLON |
| State | NV |
| Zip | 89406-3052 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jake H Ichino | Interventional Cardiology | Community Care Services LLC | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Karen Rodeffer-evans | Obstetrics/gynecology | Banner Churchill Community Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Mark E Mueller | Emergency Medicine | Team Physicians of Nevada-mandavia PC | 801 E Williams Ave, Fallon, NV 89406-2797 |
| Lillian M Morton | Nurse Practitioner | Community Care Services LLC | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Roland N Chen | Urology | Carson Urologists Ltd | 801 E Williams Ave, Suite 3310, Fallon, NV 89406-3052 |
| Poonam P Jani | Internal Medicine | Banner Churchill Community Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Thomas-duythuc Ngoc To | Cardiovascular Disease (cardiology) | Community Care Services LLC | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Timothy M Costa | Internal Medicine | Banner Churchill Community Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Christa A Robinson | Physician Assistant | Banner Churchill Community Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Mary Jane Bovo | Obstetrics/gynecology | Banner Churchill Community Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin L Heath | Family Medicine | 50 Commercial Way, Fallon, NV 89406-2600 | |
| Rodney D Stewart | Physical Therapy | 2180 Reno Hwy, Fallon, NV 89406-2629 | |
| Steven Edward Louie | Physical Therapy | 1680 W Williams Ave, Fallon, NV 89406-2644 | |
| Gary C Ridenour | Internal Medicine | 2152 Reno Hwy, Suite I, Fallon, NV 89406-2692 | |
| Derek Christopher Braddix | Nurse Practitioner | Gary C Ridenour Md A Prof Corp | 2152 Reno Hwy, Suite I, Fallon, NV 89406-2692 |
| David B Chaffin | Ophthalmology | David B Chaffin Md PC | 65 N Taylor St, Fallon, NV 89406-2750 |
| Gregory Koenig | Optometry | Robertson and Koenig Ltd | 65 N Taylor St, Fallon, NV 89406-2750 |
| Carl D Robertson | Optometry | Robertson and Koenig Ltd | 65 N Taylor St, Fallon, NV 89406-2750 |
| Steve H Chang | Ophthalmology | David B Chaffin Md PC | 65 N Taylor St, Fallon, NV 89406-2750 |
| Ja-lynn Kuo | Emergency Medicine | Team Physicians of Nevada-mandavia PC | 801 E Williams Ave, Fallon, NV 89406-2797 |
| Find all physicians in zip 89406 | |||
| City | FALLON |
| Zip Code | 89406 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FALLON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Trevor T Phan.
| 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.