John L Rodakowski (NPI# 1003046426, PAC ID# 7113177643) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1003046426 |
| PAC ID by PECOS | 7113177643 |
| Professional Enrollment ID | I20121018000532 |
| Full Name | John L Rodakowski |
| Organization Legal Name | GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 |
| Address |
105 W Simpson Ave Mccleary WA 98557-9657 |
| Phone Number | 3604953244 |
| Gender | M |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9032017256 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501304 | SUMMIT PACIFIC MEDICAL CENTER-SWING BED UNIT |
| 500139 | CAPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 105 W Simpson Ave, Mccleary, WA 98557-9657 | 3604953244 | GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 |
| Organization Legal Name | GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Martyn Lear | Family Medicine | Grays Harbor County Public Hospital District No. 1 | 610 E Main St, Elma, WA 98541-9353 |
| Tammy H Moore | Nurse Practitioner | Grays Harbor County Public Hospital District No. 1 | 105 W Simpson Ave, Mccleary, WA 98557-9657 |
| Joseph Hans Kohn | Nurse Practitioner | Grays Harbor County Public Hospital District No. 1 | 600 E Main St, Summit Pacific Clini, Elma, WA 98541-9560 |
| Marcus William Heisler | Family Medicine | Grays Harbor County Public Hospital District No. 1 | 105 W Simpson Ave, Mccleary, WA 98557-9657 |
| Laurie A. Belknap | Family Medicine | Grays Harbor County Public Hospital District No. 1 | 600 E Main St, Summit Pacific Clini, Elma, WA 98541-9560 |
| Kenneth Dietrich | Pediatric Medicine | Grays Harbor County Public Hospital District No. 1 | 600 E Main St, Summit Pacific Clini, Elma, WA 98541-9560 |
| Amy B Graham | Nurse Practitioner | Grays Harbor County Public Hospital District No. 1 | 610 E Main St, Elma, WA 98541-9353 |
| Brianne M Hoffman | Physician Assistant | Grays Harbor County Public Hospital District No. 1 | 600 E Main St, Summit Pacific Clini, Elma, WA 98541-9560 |
| Kaylyn Wayman | Nurse Practitioner | Grays Harbor County Public Hospital District No. 1 | 610 E Main St, Elma, WA 98541-9353 |
| Mary Ellen Biggerstaff | Nurse Practitioner | Grays Harbor County Public Hospital District No. 1 | 610 E Main St, Elma, WA 98541-9353 |
| Street Address |
105 W SIMPSON AVE |
| City | MCCLEARY |
| State | WA |
| Zip | 98557-9657 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy H Moore | Nurse Practitioner | Grays Harbor County Public Hospital District No. 1 | 105 W Simpson Ave, Mccleary, WA 98557-9657 |
| Marcus William Heisler | Family Medicine | Grays Harbor County Public Hospital District No. 1 | 105 W Simpson Ave, Mccleary, WA 98557-9657 |
| City | MCCLEARY |
| Zip Code | 98557 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MCCLEARY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on John L Rodakowski.
| 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.