PENSCOTT MEDICAL CORPORATION (NPI# 1316038920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316038920 |
| Entity Type | Organization |
| Organization Name | PENSCOTT MEDICAL CORPORATION |
| Practice Address |
4165 Blackhawk Plaza Cir #250 Danville CA 94506-4904 |
| Practice Telephone | 9257368510 |
| Practice Fax Number | 9257362491 |
| Mailing Telephone | 9257368510 |
| Mailing Fax Number | 9257362491 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN WILLIAM ROBERTS (PRESIDENT) |
| Authorized Official Telephone | 9257368510 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G53582 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4165 BLACKHAWK PLAZA CIR #250 |
| City | DANVILLE |
| State | CA |
| Zip Code | 94506-4904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245222058 | Courtney F Sepic | Nurse Practitioner | 4165 Blackhawk Plaza Cir, Suite 100, Danville, CA 94506-4904 | 2005-08-17 |
| 1336543792 | Melody Benzel | Physical Therapist | 4165 Blackhawk Plaza Cir, #275, Danville, CA 94506-4904 | 2014-10-14 |
| 1295094415 | John Muir Physician Network | Family Medicine | 4165 Blackhawk Plaza Cir, #265, Danville, CA 94506-4904 | 2012-05-08 |
| 1265709737 | Denise O'riordan | Pediatrics | 4165 Blackhawk Plaza Cir, Suite #100, Danville, CA 94506-4904 | 2011-11-28 |
| 1760718019 | Complete Chiropractic Healthcare | Chiropractor | 4165 Blackhawk Plaza Cir, Suite 250, Danville, CA 94506-4904 | 2009-10-21 |
| 1144483975 | Michael J Schierman Md A Professional Corporation | Family Medicine | 4165 Blackhawk Plaza Cir, Suite 265, Danville, CA 94506-4904 | 2008-07-02 |
| 1346445152 | Richard John Koeltl Jr. | Dentist | 4165 Blackhawk Plaza Cir, Suite 200, Danville, CA 94506-4904 | 2007-06-20 |
| 1861600082 | Julia Denniston | Registered Nurse | 4165 Blackhawk Plaza Cir, Danville, CA 94506-4904 | 2007-05-20 |
| 1497892640 | Chester Kim Cheng | Surgery | 4165 Blackhawk Plaza Cir, Suite 150, Danville, CA 94506-4904 | 2007-01-30 |
| 1427195676 | Brett Eric Stompro | Surgery | 4165 Blackhawk Plaza Cir, Suite 150, Danville, CA 94506-4904 | 2007-01-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680659 | Diane Lindsey Baggett | Registered Nurse | # 155 9000 Crow Canyon, Danville, CA 94506 | 2020-05-12 |
| 1205334364 | Sarika Shah | Dietitian, Registered | 3860 Blackhawk Road, Suite 140, Danville, CA 94506 | 2018-01-24 |
| 1679843783 | John W. Raniseski | Psychologist | 204 Stetson Drive, Danville, CA 94506 | 2012-01-05 |
| 1871728279 | Dana Libby Kapp | Dentist | 4135 Blackhawk Plaza Cir Ste 260, Danville, CA 94506 | 2009-05-28 |
| 1316123383 | Abnet Amsalework Alemu | Surgery | 2350 Country Hills Drive, Antioch, CA 94506 | 2008-01-21 |
| 1922105469 | Selin Khayatan | Optometrist | 2255 Genoa Street, Danville, CA 94506 | 2006-09-19 |
| 1497784169 | Donald I Galen | Obstetrics & Gynecology | 13 Homestead Court, Danville, CA 94506 | 2006-07-03 |
| 1144259870 | Blackhawk Surgery Center, A Medical Corp. | Clinic/Center | 3601 Blackhawk Plaza Circle, Danville, CA 94506 | 2006-07-03 |
| 1629038351 | William Kemerer | Anesthesiology | 3600 Blackhawk Plaza Circle, Danville, CA 94506 | 2006-03-25 |
| 1730730789 | Karen Marcum | Prosthetic/Orthotic Supplier | 4165 Blackhawk Plaza Circle, Private Suite 250, Danville, CA 94506 | 2019-09-21 |
| Find all providers in zip 94506 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801431648 | Selena Michelle Richert | Family Medicine | 24359 Orange Hill Rd, Danville, OH 43014-9647 | 2019-11-15 |
| 1114309267 | Yi Ding | Family Medicine | 800 Memorial Dr Ste D, Danville, VA 24541-1680 | 2015-06-25 |
| 1285026062 | Kavita Tripathi | Family Medicine | 125 Executive Dr Ste H, Danville, VA 24541-4155 | 2015-03-03 |
| 1194139519 | Randy Michael Chan | Family Medicine | 109 Bridge St Ste 201, Danville, VA 24541-1222 | 2014-06-13 |
| 1225476120 | Natalie Alexander | Family Medicine | 201 South Main St., Suite 3200, Danville, VA 24541-2922 | 2013-06-13 |
| 1033472683 | Bayview Family Clinic - Danville | Family Medicine | 3595 N Vermilion St, Danville, IL 61832-1337 | 2012-06-19 |
| 1326322736 | Family Practice Medical Center | Family Medicine | 511 W. Fairchild Street, Danville, IL 61832 | 2011-10-04 |
| 1750566162 | Bashirahmed M Ameji | Family Medicine | 3820 East Main Street, Danville Correctional Center Medical Department, Danville, IL 61834-5796 | 2008-01-03 |
| 1134314602 | Provena Service Corporation | Family Medicine | 405 Sheridan St, Danville, IL 61832-4451 | 2007-09-07 |
| 1376743278 | Michael R Rousse | Family Medicine | 1301 Stannard Mtn Rd, Danville, VT 05828-4417 | 2007-07-19 |
| Find all providers in DANVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.