Casey James Rucker (NPI# 1770614992, PAC ID# 7214822949) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1770614992 |
| PAC ID by PECOS | 7214822949 |
| Professional Enrollment ID | I20040220000133 |
| Full Name | Casey James Rucker |
| Organization Legal Name | CEP AMERICA LLC |
| Address |
1775 Thompson Rd Coos Bay OR 97420-2125 |
| Phone Number | 5412698111 |
| Gender | M |
| Credential | MD |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 6608056171 |
| Number of Group Practice Members | 201 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380090 | BAY AREA HOSPITAL |
| 380091 | KAISER SUNNYSIDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 5412698111 | CEP AMERICA LLC |
| Organization Legal Name | CEP AMERICA LLC |
| Physicians | 150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Lassiter | Emergency Medicine | Cep America LLC | 2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 |
| Jonathan Conrad D Souza | Emergency Medicine | Cep America LLC | 2041 Georgia Ave Nw, Washington, DC 20060-0001 |
| Jennifer Berman | Emergency Medicine | Cep America LLC | 2801 Dekalb Pkwy, Lithonia, GA 30058 |
| Autumn Hays | Nurse Practitioner | Cep America LLC | 1606 N 7th St, Terre Haute, IN 47804-2706 |
| Dianna Lee Binnion | Emergency Medicine | Cep America LLC | 1055 N Curtis Rd, Boise, ID 83706-1309 |
| Bryce Curtis Inman | Emergency Medicine | Cep America LLC | 1775 Thompson Rd, Coos Bay, OR 97420-2125 |
| Charles M Reynolds | Emergency Medicine | Cep America LLC | 1055 N Curtis Rd, Boise, ID 83706-1309 |
| Shane Kenneth Marshall | Emergency Medicine | Cep America LLC | 1055 N Curtis Rd, Boise, ID 83706-1309 |
| Adrian Zielinski | Emergency Medicine | Cep America LLC | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Elizabeth Kersten Wolpaw | Emergency Medicine | Cep America LLC | 21601 76th Ave W, Edmonds, WA 98026-7507 |
| Street Address |
1775 THOMPSON RD |
| City | COOS BAY |
| State | OR |
| Zip | 97420-2125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John J Frank | Cardiovascular Disease (cardiology) | Bay Area Hospital District | 1775 Thompson Rd, Coos Bay, OR 97420-2198 |
| Lorinda C Wahto | Anesthesiology | Bay Area Hospital District | 1775 Thompson Rd, Coos Bay, OR 97420-2198 |
| Bryce Curtis Inman | Emergency Medicine | Cep America LLC | 1775 Thompson Rd, Coos Bay, OR 97420-2125 |
| John N Simmons | Diagnostic Radiology | Medford Radiological Group PC | 1775 Thompson Rd, Coos Bay, OR 97420-2125 |
| Brent K Childers | Anesthesiology | Bay Area Hospital District | 1775 Thompson Rd, Coos Bay, OR 97420-2198 |
| Matthew S Morris | Certified Registered Nurse Anesthetist (crna) | Bay Area Hospital District | 1775 Thompson Rd, Coos Bay, OR 97420-2198 |
| Chad Micheal Ringger | Diagnostic Radiology | Medford Radiological Group PC | 1775 Thompson Rd, Coos Bay, OR 97420-2125 |
| Bhargavbhai K Patel | Internal Medicine | Bay Area Hospital District | 1775 Thompson Rd, Coos Bay, OR 97420-2198 |
| Rachel A Davisson | Emergency Medicine | Cep America LLC | 1775 Thompson Rd, Coos Bay, OR 97420-2125 |
| Alexander S Whidden | Certified Registered Nurse Anesthetist (crna) | Bay Area Hospital District | 1775 Thompson Rd, Coos Bay, OR 97420-2198 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shu-wen Cheng | Nurse Practitioner | Waterfall Clinic Incorporated | 826 S 11th St, Coos Bay, OR 97420-1328 |
| Denise J Gontiz | Nurse Practitioner | Waterfall Clinic Incorporated | 826 S 11th St, Coos Bay, OR 97420-1328 |
| Debra Sue Guzman | Nurse Practitioner | Waterfall Clinic Incorporated | 826 S 11th St, Coos Bay, OR 97420-1328 |
| Brendan Gordon Tennefoss | Nurse Practitioner | Waterfall Clinic Incorporated | 826 S 11th St, Coos Bay, OR 97420-1328 |
| Emily E Scotland | Nurse Practitioner | Waterfall Clinic Incorporated | 826 S 11th St, Coos Bay, OR 97420-1328 |
| Abby L Stauss | Chiropractic | Dianna Loudenbeck Dc PC | 576 Donnelly Ave, Coos Bay, OR 97420-1555 |
| Dianna L Loudenbeck | Chiropractic | Dianna Loudenbeck Dc PC | 576 Donnelly Ave, Coos Bay, OR 97420-1555 |
| Edward L Lanway | Chiropractic | 632 Anderson Ave, Coos Bay, OR 97420-1632 | |
| Patricia B Gates | Optometry | 986 Central Ave, Coos Bay, OR 97420-1736 | |
| Mirian W Groenendaal | Physical Therapy | Starting Line Physical Therapy | 1957 Thompson Rd, Suite A, Coos Bay, OR 97420-2040 |
| Find all physicians in zip 97420 | |||
| City | COOS BAY |
| Zip Code | 97420 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | COOS BAY + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Casey James Rucker.
| 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.