Thomas D Fogel (NPI# 1619969524, PAC ID# 8921017914) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1619969524 |
| PAC ID by PECOS | 8921017914 |
| Professional Enrollment ID | I20060502000762 |
| Full Name | Thomas D Fogel |
| Organization Legal Name | COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC. |
| Address |
274 Heather Ct Templeton CA 93465-9738 |
| Phone Number | 8054341859 |
| Gender | M |
| Credential | MD |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1979 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 7214946201 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050394 | COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA |
| 050159 | VENTURA COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1069 Los Palos Dr, Salinas, CA 93901-3916 | 8317582724 | COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC. |
| 274 Heather Ct, Templeton, CA 93465-9738 | 8054341859 | COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC. |
| Organization Legal Name | COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC. |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Lau | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 1240 Westlake Blvd, 103 Westlake Radiation Oncology Medical, Westlake Village, CA 91361-1929 |
| Patrick A Williams | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 1213 E Ocean Ave, Suite 100, Lompoc, CA 93436-7047 |
| Paul J Miller | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 2985 N Sycamore Dr, Simi Valley Radiation Oncology Medi, Simi Valley, CA 93065-1201 |
| Case H Ketting | Diagnostic Radiology | Coastal Radiation Oncology Medical Group, Inc. | 100 Casa St C, San Luis Obispo, CA 93405-8804 |
| Jeffrey K Wu | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 100 Casa St C, San Luis Obispo, CA 93405-8804 |
| Robert R Johnson | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 100 Casa St C, San Luis Obispo, CA 93405-8804 |
| Jacob Andrade | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 1240 Westlake Blvd, 103 Westlake Radiation Oncology Medical, Westlake Village, CA 91361-1929 |
| Jonathan A Abelson | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 100 Casa St C, San Luis Obispo, CA 93405-8804 |
| Jonathan R Stella | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 100 Casa St C, San Luis Obispo, CA 93405-8804 |
| Kenneth J Biehl | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 2230 Lynn Rd, Suite 103, Thousand Oaks, CA 91360-1963 |
| Street Address |
274 HEATHER CT |
| City | TEMPLETON |
| State | CA |
| Zip | 93465-9738 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James F Longo | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 274 Heather Ct, Templeton, CA 93465-9738 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Newton B Smith | Orthopedic Surgery | 350 Posada Lane, Suite 201, Templeton, CA 93465 | |
| James M Mcghee | Pediatric Medicine | Community Health Centers of The Central Coast, Inc. | 325 Posada Ln, Templeton, CA 93465-4003 |
| William F Sima | Orthopedic Surgery | William F Sima Md Inc | 322 Posada Ln A, Templeton, CA 93465-4003 |
| Carlo Anthony Orlando | Orthopedic Surgery | 322 Posada Ln, Suite A, Templeton, CA 93465-4003 | |
| Jennifer Lynn Woodward | Physician Assistant | William F Sima Md Inc | 322 Posada Ln A, Templeton, CA 93465-4003 |
| Klyda J White | Family Practice | 292 Posada Ln B, Templeton, CA 93465-4054 | |
| Hendrik F Breytenbach | Family Medicine | 292 Posada Ln, Suite D, Templeton, CA 93465-4054 | |
| Richard Charles Prier | Infectious Disease | 292 Posada Ln, Suite D, Templeton, CA 93465-4054 | |
| Roman P Bukachevsky | Otolaryngology | 295 Posada Ln B, Templeton, CA 93465-4055 | |
| Shannon M Berry | Internal Medicine | 295 Posada Ln, D, Templeton, CA 93465-4055 | |
| Find all physicians in zip 93465 | |||
| City | TEMPLETON |
| Zip Code | 93465 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | TEMPLETON + RADIATION ONCOLOGY |
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| 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.