Robert Edward Bushman (NPI# 1578561692, PAC ID# 9133172554) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1578561692 |
| PAC ID by PECOS | 9133172554 |
| Professional Enrollment ID | I20110209000288 |
| Full Name | Robert Edward Bushman |
| Organization Legal Name | GROSSMONT DERMATOLOGY MEDICAL CLINIC |
| Address |
8860 Ctr Dr La Mesa CA 91942-7001 |
| Phone Number | 6194621670 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 4981672342 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8860 Ctr Dr, La Mesa, CA 91942-7001 | 6194621670 | GROSSMONT DERMATOLOGY MEDICAL CLINIC |
| 8860 Ctr Dr, Suite 300, La Mesa, CA 91942-7001 | 6194621670 | GROSSMONT DERMATOLOGY MEDICAL CLINIC |
| Organization Legal Name | GROSSMONT DERMATOLOGY MEDICAL CLINIC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shinko K Lin | Dermatology | Grossmont Dermatology Medical Clinic | 8860 Ctr Dr, Suite 300, La Mesa, CA 91942-7001 |
| Christopher V Crosby | Dermatology | Grossmont Dermatology Medical Clinic | 8860 Ctr Dr, Suite 300, La Mesa, CA 91942-7001 |
| Helene S Jolly | Physician Assistant | Grossmont Dermatology Medical Clinic | 8860 Ctr Dr, Suite 300, La Mesa, CA 91942-7001 |
| Paul B Dean | Dermatology | Grossmont Dermatology Medical Clinic | 8860 Ctr Dr, Suite 300, La Mesa, CA 91942-7001 |
| Wiggin Wu Lee | Dermatology | Grossmont Dermatology Medical Clinic | 8860 Ctr Dr, Suite 300, La Mesa, CA 91942-7001 |
| Maki C Goskowicz | Dermatology | Grossmont Dermatology Medical Clinic | 8860 Ctr Dr, Suite 300, La Mesa, CA 91942-7001 |
| Street Address |
8860 CTR DR |
| City | LA MESA |
| State | CA |
| Zip | 91942-7001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Purushotham Kotha | Internal Medicine | 8860 Ctr Dr, Suite 400, La Mesa, CA 91942-7003 | |
| Kaveh Bagheri | Pulmonary Disease | 8860 Ctr Dr, Suite 240, La Mesa, CA 91942-7000 | |
| Scott Musicant | Vascular Surgery | Vascular Associates of San Diego | 8860 Ctr Dr, Suite 450, La Mesa, CA 91942-7001 |
| Shinko K Lin | Dermatology | Grossmont Dermatology Medical Clinic | 8860 Ctr Dr, Suite 300, La Mesa, CA 91942-7001 |
| Harold Gulbransen | Oral Surgery | 8860 Ctr Dr, Suite 460, La Mesa, CA 91942-7001 | |
| Victor E Seikaly | Internal Medicine | 8860 Ctr Dr, Suite 310, La Mesa, CA 91942-7001 | |
| Ali Banaie | Gastroenterology | 8860 Ctr Dr, Suite 420, La Mesa, CA 91942 | |
| Scott Recksiedler | Oral Surgery | 8860 Ctr Dr, Suite 460, La Mesa, CA 91942-7001 | |
| Roshan Kotha | Rheumatology | Purushotham and Akther J Kotha Md Inc | 8860 Ctr Dr, Suite 400, La Mesa, CA 91942-7003 |
| Thomas T Terramani | Interventional Radiology | Vascular Associates of San Diego | 8860 Ctr Dr, Suite 450, La Mesa, CA 91942-7001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yu Cheng | Neurology | Er-kai Gao Md Inc. | 8851 Ctr Dr, Suite 603, La Mesa, CA 91942 |
| Alison P Anthony | Nurse Practitioner | Banaie Medical Corporation | 8860 Ctr Dr, Suite 420, La Mesa, CA 91942 |
| Carter C Gardner | Psychologist, Clinical | 4700 Spring St, La Mesa, CA 91942-0263 | |
| Martina Ann Clarke | Psychologist, Clinical | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Shirley J Lanyi | Psychologist, Clinical | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Cynthia A Thayer | Clinical Social Worker | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Loralisa Marie Rocca | Clinical Social Worker | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Judi Logan Winegar | Clinical Social Worker | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Lisa M. Wyneken | Clinical Social Worker | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Patricia Ann Franzblau | Clinical Social Worker | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Find all physicians in zip 91942 | |||
| City | LA MESA |
| Zip Code | 91942 |
| Specialty | DERMATOLOGY |
| City + Specialty | LA MESA + DERMATOLOGY |
Please comment or provide details below to improve the information on Robert Edward Bushman.
| 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.