Kathleen Seretan-hateley Macintyre (NPI# 1104211606, PAC ID# 7618232224) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1104211606 |
| PAC ID by PECOS | 7618232224 |
| Professional Enrollment ID | I20190520000994 |
| Full Name | Kathleen Seretan-hateley Macintyre |
| Organization Legal Name | SAINT JOHNS EMERGENCY MEDICINE SPECIALISTS INC A MEDICAL GROUP |
| Address |
2121 Santa Monica Blvd Santa Monica CA 90404-2303 |
| Phone Number | 3105827089 |
| Gender | F |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9335046291 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050290 | PROVIDENCE SAINT JOHN'S HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 3105827089 | SAINT JOHNS EMERGENCY MEDICINE SPECIALISTS INC A MEDICAL GROUP |
| Organization Legal Name | SAINT JOHNS EMERGENCY MEDICINE SPECIALISTS INC A MEDICAL GROUP |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marissa L Zobrist | Emergency Medicine | Saint Johns Emergency Medicine Specialists Inc A Medical Group | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 |
| Sherry Yafai | Emergency Medicine | Saint Johns Emergency Medicine Specialists Inc A Medical Group | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 |
| Daniel Grossman | Emergency Medicine | Saint Johns Emergency Medicine Specialists Inc A Medical Group | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 |
| Victor A Candioty | Emergency Medicine | Saint Johns Emergency Medicine Specialists Inc A Medical Group | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 |
| Sherryl A Beh | Physician Assistant | Saint Johns Emergency Medicine Specialists Inc A Medical Group | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 |
| Czarina J Roxas | Emergency Medicine | Saint Johns Emergency Medicine Specialists Inc A Medical Group | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 |
| Sanjeev K Seth | Emergency Medicine | Saint Johns Emergency Medicine Specialists Inc A Medical Group | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 |
| Paula Drivas | Physician Assistant | Saint Johns Emergency Medicine Specialists Inc A Medical Group | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 |
| Sabrina G Diaz | Emergency Medicine | Saint Johns Emergency Medicine Specialists Inc A Medical Group | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 |
| Jennifer L Cooke | Emergency Medicine | Saint Johns Emergency Medicine Specialists Inc A Medical Group | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 |
| Street Address |
2121 SANTA MONICA BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip | 90404-2303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mina Kang | Internal Medicine | Providence Saint Johns Medical Foundation | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 |
| Sean Dooley | Internal Medicine | Inpatient Specialists of California PC | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 |
| Yuki Takasumi | Pathology | Pathology Medical Group of Saint John's | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 |
| Marissa L Zobrist | Emergency Medicine | Saint Johns Emergency Medicine Specialists Inc A Medical Group | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 |
| Judy D Truong | Physician Assistant | Providence Saint Johns Medical Foundation | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 |
| Janie Gia-lin Weng Grumley | General Surgery | Providence Saint Johns Medical Foundation | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 |
| Peter A Elliott | Urology | Providence Saint Johns Medical Foundation | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 |
| Frederick R Singer | Internal Medicine | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | |
| Lucia Nicole Dobrawa | Physician Assistant | Providence Saint Johns Medical Foundation | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 |
| Yalda B Naeini | Pathology | Pathology Medical Group of Saint John's | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vivanti N Jain | Plastic and Reconstructive Surgery | 2021 Santa Monica Blvd, Santa Monica, CA 90404-0001 | |
| Margaret Ann Regan Rainey | Nurse Practitioner | Regents of The University of California | 1225 15th St, Suite 2100, Santa Monica, CA 90404-1101 |
| Ralph A Massey | Dermatology | 1260 15th St, Suite 1401, Santa Monica, CA 90404-1106 | |
| Peter Galier | Internal Medicine | Premier Health Partners of Santa Monica | 1260 15th St, Suite 1415, Santa Monica, CA 90404-1135 |
| John Patrick Whelan | Rheumatology | The Regents of The University of California | 1260 15th St, Suite 1502, Santa Monica, CA 90404-1135 |
| Melissa D Alexander | Qualified Audiologist | 1260 15th St, P2, Santa Monica, CA 90404-1135 | |
| Malena Shu-chuan Law | General Practice | Premier Health Partners of Santa Monica | 1260 15th St, Suite 1415, Santa Monica, CA 90404-1135 |
| Mohammed Fahad Ali | Internal Medicine | The Regents of The University of California | 1260 15th St, Suite 1502, Santa Monica, CA 90404-1135 |
| Manoochehr Yashari | Obstetrics/gynecology | 1260 15th St, Suite 616, Santa Monica, CA 90404-1141 | |
| Quynhtrang Le Sebastian | Dermatology | 1260 15th St, Suite 709, Santa Monica, CA 90404-1142 | |
| Find all physicians in zip 90404 | |||
| City | SANTA MONICA |
| Zip Code | 90404 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SANTA MONICA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Kathleen Seretan-hateley Macintyre.
| 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.