Gennady Kolodenker (NPI# 1659516151, PAC ID# 7719166826) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1659516151 |
| PAC ID by PECOS | 7719166826 |
| Professional Enrollment ID | I20110331000216 |
| Full Name | Gennady Kolodenker |
| Organization Legal Name | FOOT AND ANKLE SPECIALIST |
| Address |
4950 Barranca Pkwy Suite 308 Irvine CA 92604-4631 |
| Phone Number | 9496511202 |
| Gender | M |
| Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4587847389 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050224 | HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
| Address | Phone | Organization |
|---|---|---|
| 4950 Barranca Pkwy, Suite 308, Irvine, CA 92604-4631 | 9496511202 | FOOT AND ANKLE SPECIALIST |
| Organization Legal Name | FOOT AND ANKLE SPECIALIST |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eboni E Vincent | Podiatry | Foot and Ankle Specialist | 16405 Sand Canyon Ave, Suite 270, Irvine, CA 92618-3792 |
| Michael A Coyer | Podiatry | Foot and Ankle Specialist | 4950 Barranca Pkwy, Suite 308, Irvine, CA 92604-4631 |
| Street Address |
4950 BARRANCA PKWY SUITE 308 |
| City | IRVINE |
| State | CA |
| Zip | 92604-4631 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jenna L Sturgeon | Nurse Practitioner | Coastal Family Medicine Inc | 4950 Barranca Pkwy, Suite 104, Irvine, CA 92604-8644 |
| Nancy J Mcginn | Nurse Practitioner | Coastal Family Medicine Inc | 4950 Barranca Pkwy, Suite 104, Irvine, CA 92604-8644 |
| Ann L Mai | Internal Medicine | 4950 Barranca Pkwy, Suite 207, Irvine, CA 92604-8648 | |
| Peter H Monfore | General Practice | Coastal Family Medicine Inc | 4950 Barranca Pkwy, Suite 104, Irvine, CA 92604-8644 |
| Said F Hakim | General Practice | 4950 Barranca Pkwy, Suite 201, Irvine, CA 92604-4687 | |
| Dennis Kuo | Pain Management | Pain Management Associates Inc | 4950 Barranca Pkwy, Suite 107, Irvine, CA 92604-8650 |
| Christine J Leehealey | Rheumatology | 4950 Barranca Pkwy, Suite 205b, Irvine, CA 92604-8646 | |
| Nika Omid | Ophthalmology | 4950 Barranca Pkwy, Suite 111, Irvine, CA 92604-4630 | |
| Thuy-anh P Nguyen | Oral Surgery | 4950 Barranca Pkwy, Suite 309, Irvine, CA 92604-4631 | |
| Sara Shokouhi | Family Medicine | Farrokh Alemzadeh Md Inc | 4950 Barranca Pkwy, Suite 107, Irvine, CA 92604-8650 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon Lee | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of Orange County Inc | 14330 Culver Dr, Irvine, CA 92604-0303 |
| Steve S Kim | Chiropractic | 14210 Culver Dr, Suite E, Irvine, CA 92604-0310 | |
| Virgil D Holland Jr. | Optometry | 14210 Culver Dr, F, Irvine, CA 92604-0313 | |
| Laszlo Kaveggia | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 14150 Culver Dr, Irvine, CA 92604-0315 |
| Duke Nguyen | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 14150 Culver Dr, Irvine, CA 92604-0315 |
| Afshin Karimi | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 14150 Culver Dr, Irvine, CA 92604-0315 |
| Mark S Vanhouten | Neurology | 14150 Culver Dr, Irvine, CA 92604-0315 | |
| Maryam Rahnemun | Family Medicine | 14150 Culver Dr, Suite 105, Irvine, CA 92604-0322 | |
| Melissa Walls | Physical Therapy | Envision Sport Physical Therapy and Pilates | 14150 Culver Dr, Suite 103, Irvine, CA 92604-0322 |
| Antoine Mourra | Family Medicine | Irvine Family Practice Medical | 14150 Culver Dr, Suite 100, Irvine, CA 92604-0322 |
| Find all physicians in zip 92604 | |||
| City | IRVINE |
| Zip Code | 92604 |
| Specialty | PODIATRY |
| City + Specialty | IRVINE + PODIATRY |
Please comment or provide details below to improve the information on Gennady Kolodenker.
| 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.