Mark T Roback (NPI# 1801969829, PAC ID# 7214034552) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1801969829 |
| PAC ID by PECOS | 7214034552 |
| Professional Enrollment ID | I20080731000716 |
| Full Name | Mark T Roback |
| Organization Legal Name | SHASTA REGIONAL MEDICAL GROUP INC |
| Address |
1355 E St Suite 200 Redding CA 96001-0801 |
| Phone Number | 5306054260 |
| Gender | M |
| Credential | DO |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5991861353 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050764 | SHASTA REGIONAL MEDICAL CENTER |
| 050280 | MERCY MEDICAL CENTER REDDING |
| 050042 | ST ELIZABETH COMMUNITY HOSPITAL |
| 051305 | MAYERS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1355 E St, Suite 200, Redding, CA 96001-0801 | 5306054260 | SHASTA REGIONAL MEDICAL GROUP INC |
| Organization Legal Name | SHASTA REGIONAL MEDICAL GROUP INC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Riaz A Malik | General Surgery | Shasta Regional Medical Group Inc | 1555 E St, Suite 120, Redding, CA 96001-1153 |
| Arvind K Behl | Internal Medicine | Shasta Regional Medical Group Inc | 1355 E St, Suite 200, Redding, CA 96001-0801 |
| Will B Nesbitt | Physician Assistant | Shasta Regional Medical Group Inc | 1355 E St, Suite 200, Redding, CA 96001-0801 |
| Richard A Zarriello | Psychiatry | Shasta Regional Medical Group Inc | 1355 E St, Suite 200, Redding, CA 96001-0801 |
| Dana Lynn Harbuck | Nurse Practitioner | Shasta Regional Medical Group Inc | 1355 E St, Suite 200, Redding, CA 96001-0801 |
| Richard Anthony Martinez | Family Medicine | Shasta Regional Medical Group Inc | 1355 E St, Suite 200, Redding, CA 96001-0801 |
| Cynthia R Dillon | Family Medicine | Shasta Regional Medical Group Inc | 1355 E St, Suite 200, Redding, CA 96001-0801 |
| Amit Bawa | Family Medicine | Shasta Regional Medical Group Inc | 1355 E St, Suite 200, Redding, CA 96001-0801 |
| Sharol Mackie | Nurse Practitioner | Shasta Regional Medical Group Inc | 1355 E St, Suite 200, Redding, CA 96001-0801 |
| Ashwani Kumar | Family Medicine | Shasta Regional Medical Group Inc | 1355 E St, Suite 200, Redding, CA 96001-0801 |
| Street Address |
1355 E ST SUITE 200 |
| City | REDDING |
| State | CA |
| Zip | 96001-0801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arvind K Behl | Internal Medicine | Shasta Regional Medical Group Inc | 1355 E St, Suite 200, Redding, CA 96001-0801 |
| Will B Nesbitt | Physician Assistant | Shasta Regional Medical Group Inc | 1355 E St, Suite 200, Redding, CA 96001-0801 |
| Richard A Zarriello | Psychiatry | Shasta Regional Medical Group Inc | 1355 E St, Suite 200, Redding, CA 96001-0801 |
| Dana Lynn Harbuck | Nurse Practitioner | Shasta Regional Medical Group Inc | 1355 E St, Suite 200, Redding, CA 96001-0801 |
| Orna Gil | Obstetrics/gynecology | 1355 E St, Suite 200, Redding, CA 96001-0801 | |
| Richard Anthony Martinez | Family Medicine | Shasta Regional Medical Group Inc | 1355 E St, Suite 200, Redding, CA 96001-0801 |
| Cynthia R Dillon | Family Medicine | Shasta Regional Medical Group Inc | 1355 E St, Suite 200, Redding, CA 96001-0801 |
| Amit Bawa | Family Medicine | Shasta Regional Medical Group Inc | 1355 E St, Suite 200, Redding, CA 96001-0801 |
| Sharol Mackie | Nurse Practitioner | Shasta Regional Medical Group Inc | 1355 E St, Suite 200, Redding, CA 96001-0801 |
| Ashwani Kumar | Family Medicine | Shasta Regional Medical Group Inc | 1355 E St, Suite 200, Redding, CA 96001-0801 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ian P Grady | General Surgery | 1335 Buenaventura Blvd, Suite 204, Redding, CA 96001-0160 | |
| David E Mcgee-williams | Psychologist, Clinical | 1335 Buenaventura Blvd, Suite 206, Redding, CA 96001-0160 | |
| Stephen John Drew | Psychologist, Clinical | 1335 Buenaventura Blvd, Suite 206, Redding, CA 96001-0160 | |
| Deborah D Boyd | Nurse Practitioner | Therapeutic Pain Management Medical Clinic | 1335 Buenaventura Blvd, Suite 100, Redding, CA 96001-0160 |
| Robert Hansen | Anesthesiology | Therapeutic Pain Management Medical Clinic | 1335 Buenaventura Blvd, Suite 100, Redding, CA 96001-0160 |
| Shishir A Dhruva | Interventional Pain Management | Therapeutic Pain Management Medical Clinic | 1335 Buenaventura Blvd, Suite 100, Redding, CA 96001-0160 |
| Gail Winslow | Psychologist, Clinical | 1335 Buenaventura Blvd, Suite 206, Redding, CA 96001-0160 | |
| Jamshid Saleh | Neurosurgery | 3652 Eureka Way, Redding, CA 96001-0172 | |
| James D Tate | Neurosurgery | 2888 Eureka Way, Suite 200, Redding, CA 96001-0210 | |
| Jack W Finch | Family Medicine | 2888 Eureka Way, Suite 201, Redding, CA 96001-0210 | |
| Find all physicians in zip 96001 | |||
| City | REDDING |
| Zip Code | 96001 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | REDDING + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark T Roback.
| 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.