Justin Keadle (NPI# 1801210026, PAC ID# 7315163078) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1801210026 |
| PAC ID by PECOS | 7315163078 |
| Professional Enrollment ID | I20170616002240 |
| Full Name | Justin Keadle |
| Organization Legal Name | CENTRAL COAST NEUROLOGICAL SURGERY PC |
| Address |
1531 Higuera St San Luis Obispo CA 93401-2917 |
| Phone Number | 8057040889 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4587882030 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050232 | FRENCH HOSPITAL MEDICAL CENTER |
| 050107 | MARIAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1531 Higuera St, San Luis Obispo, CA 93401-2917 | 8057040889 | CENTRAL COAST NEUROLOGICAL SURGERY PC |
| Organization Legal Name | CENTRAL COAST NEUROLOGICAL SURGERY PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Yeh | Neurosurgery | Central Coast Neurological Surgery PC | 1531 Higuera St, San Luis Obispo, CA 93401-2917 |
| Street Address |
1531 HIGUERA ST |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip | 93401-2917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Yeh | Neurosurgery | Central Coast Neurological Surgery PC | 1531 Higuera St, San Luis Obispo, CA 93401-2917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick J Spalding | Obstetrics/gynecology | 1551 Bishop Medical Plz, C310, San Luis Obispo, CA 93401 | |
| Nell Bennett | Clinical Social Worker | 956 Walnut St, Suite 200, San Luis Obispo, CA 93401-1707 | |
| Jeffrey Friedman | Psychologist, Clinical | 956 Walnut St, Suite 200, San Luis Obispo, CA 93401-1707 | |
| Kourosh Bagheri | Internal Medicine | 1177 Marsh St, Suite 100, San Luis Obispo, CA 93401-2316 | |
| Donald A Ramberg | Neurosurgery | 699 California Blvd, Suite B, San Luis Obispo, CA 93401-2507 | |
| Phillip Kissel | Neurosurgery | 699 California Blvd, Suite A, San Luis Obispo, CA 93401-2507 | |
| Steven C Johnson | Ophthalmology | 628 California Blvd, Suite C, San Luis Obispo, CA 93401-2547 | |
| Laura A Lubarsky | Pulmonary Disease | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, Suite 203, San Luis Obispo, CA 93401-2551 |
| David C Anderson | Physician Assistant | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, San Luis Obispo, CA 93401-2551 |
| Michael James Ryan | Pulmonary Disease | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, Suite 203, San Luis Obispo, CA 93401-2551 |
| Find all physicians in zip 93401 | |||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SAN LUIS OBISPO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Justin Keadle.
| 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.