William D Trusnovic (NPI# 1407105695, PAC ID# 0042203382) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
Nation Provider ID (NPI) | 1407105695 |
PAC ID by PECOS | 0042203382 |
Professional Enrollment ID | I20141120001984 |
Full Name | William D Trusnovic |
Organization Legal Name | SURPRISE VALLEY HEALTH CARE DISTRICT |
Address |
741 N Main St Cedarville CA 96104-1038 |
Phone Number | 5302796111 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
Graduation Year | 1989 |
Primary Specialty | GENERAL PRACTICE |
Group Practice PAC ID | 1658368519 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
051308 | SURPRISE VALLEY COMMUNITY HOSPITAL |
511313 | BOONE MEMORIAL HOSPITAL |
511301 | WEBSTER COUNTY MEMORIAL HOSPITAL |
381309 | LAKE DISTRICT HOSPITAL |
Address | Phone | Organization |
---|---|---|
741 N Main St, Cedarville, CA 96104-1038 | 5302796111 | SURPRISE VALLEY HEALTH CARE DISTRICT |
Organization Legal Name | SURPRISE VALLEY HEALTH CARE DISTRICT |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
George Kibler | Emergency Medicine | Surprise Valley Health Care District | 741 N Main St, Cedarville, CA 96104-1038 |
Street Address |
741 N MAIN ST |
City | CEDARVILLE |
State | CA |
Zip | 96104-1038 |
Name | Specialty | Organization | Address |
---|---|---|---|
George Kibler | Emergency Medicine | Surprise Valley Health Care District | 741 N Main St, Cedarville, CA 96104-1038 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bennett W Pafford | Family Medicine | 155 E Townsend St, Cedarville, CA 96104-1043 |
City | CEDARVILLE |
Zip Code | 96104 |
Specialty | GENERAL PRACTICE |
City + Specialty | CEDARVILLE + GENERAL PRACTICE |
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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.