Michael Datlow (NPI# 1750311312, PAC ID# 9234218173) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1750311312 |
| PAC ID by PECOS | 9234218173 |
| Professional Enrollment ID | I20080505000303 |
| Full Name | Michael Datlow |
| Address |
2715 E Main St Ventura CA 93003-2803 |
| Phone Number | 8056485268 |
| Gender | M |
| Medical School | JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050394 | COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA |
| Address | Phone | Organization |
|---|---|---|
| 2715 E Main St, Ventura, CA 93003-2803 | 8056485268 |
| Street Address |
2715 E MAIN ST |
| City | VENTURA |
| State | CA |
| Zip | 93003-2803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Elizabeth Slater | Internal Medicine | 2715 E Main St, Ventura, CA 93003-2803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristopher Robert Skromme | Optometry | 801 S Victoria Ave, Suite 206 Two Trees Optometry, Ventura, CA 93003-0401 | |
| Susan M Roney | Nurse Practitioner | 1290 Sunnycrest Ave, Ventura, CA 93003-1213 | |
| Judy S Scott I | Clinical Social Worker | 899 Via Arroyo, Ventura, CA 93003-1318 | |
| Margaret A Peterson | Family Medicine | 2895 Loma Vista Rd E, Ventura, CA 93003-1522 | |
| John Floryan | Optometry | 2895 Loma Vista Rd, A, Ventura, CA 93003-1522 | |
| Lindsay Oliver | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Maria Margarida Guerra Larson | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Michael C Bishop | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Sara E Rodriguez | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Vika Preddy | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Find all physicians in zip 93003 | |||
| City | VENTURA |
| Zip Code | 93003 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | VENTURA + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Michael Datlow.
| 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.