Charles I Hooper (NPI# 1174638068, PAC ID# 0042300683) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1174638068 |
| PAC ID by PECOS | 0042300683 |
| Professional Enrollment ID | I20141020000741 |
| Full Name | Charles I Hooper |
| Organization Legal Name | TUOLUMNE ME-WUK INDIAN HEALTH CENTER, INC. |
| Address |
19969 Greenley Rd Sonora CA 95370-5908 |
| Phone Number | 2095320034 |
| Gender | M |
| Medical School | WESTERN UNIV OF HEALTH SCIENCES COL OF DENTAL MED, POMONA CA |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 6507816386 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050335 | ADVENTIST HEALTH SONORA |
| 050192 | ADVENTIST HEALTH REEDLEY |
| Address | Phone | Organization |
|---|---|---|
| 19969 Greenley Rd, Sonora, CA 95370-5908 | 2095320034 | TUOLUMNE ME-WUK INDIAN HEALTH CENTER, INC. |
| Organization Legal Name | TUOLUMNE ME-WUK INDIAN HEALTH CENTER, INC. |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah L Goreham | Nurse Practitioner | Tuolumne Me-wuk Indian Health Center, Inc. | 22044 Cedar Rd, Sonora, CA 95370 |
| Shayna Murdock | Family Medicine | Tuolumne Me-wuk Indian Health Center, Inc. | 18880 Cherry Valley Blvd, Tuolumne, CA 95379-9506 |
| Nathaniel Methot | Nurse Practitioner | Tuolumne Me-wuk Indian Health Center, Inc. | 22044 Cedar Rd, Sonora, CA 95370 |
| Cassandra B Blackwell | Physician Assistant | Tuolumne Me-wuk Indian Health Center, Inc. | 18880 Cherry Valley Blvd, Tuolumne, CA 95379-9506 |
| Jerald Martin Westendorf | Nurse Practitioner | Tuolumne Me-wuk Indian Health Center, Inc. | 18880 Cherry Valley Blvd, Tuolumne, CA 95379-9506 |
| Robert B Hoffman | Nurse Practitioner | Tuolumne Me-wuk Indian Health Center, Inc. | 18880 Cherry Valley Blvd, Tuolumne, CA 95379-9506 |
| Rebecca A Vierra-brick | Nurse Practitioner | Tuolumne Me-wuk Indian Health Center, Inc. | 18880 Cherry Valley Blvd, Tuolumne, CA 95379-9506 |
| Maureen M Regan | Internal Medicine | Tuolumne Me-wuk Indian Health Center, Inc. | 18880 Cherry Valley Blvd, Tuolumne, CA 95379-9506 |
| Carol Ann Wiley | Nurse Practitioner | Tuolumne Me-wuk Indian Health Center, Inc. | 22044 Cedar Rd, Sonora, CA 95370 |
| Eleanor F Lo | Internal Medicine | Tuolumne Me-wuk Indian Health Center, Inc. | 22044 Cedar Rd, Sonora, CA 95370 |
| Street Address |
19969 GREENLEY RD |
| City | SONORA |
| State | CA |
| Zip | 95370-5908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah L Goreham | Nurse Practitioner | Tuolumne Me-wuk Indian Health Center, Inc. | 22044 Cedar Rd, Sonora, CA 95370 |
| Nagui N Sorour | General Surgery | Adventist Health Physicians Network | 729 Pauline Court, Sonora, CA 95370 |
| Nathaniel Methot | Nurse Practitioner | Tuolumne Me-wuk Indian Health Center, Inc. | 22044 Cedar Rd, Sonora, CA 95370 |
| Carol Ann Wiley | Nurse Practitioner | Tuolumne Me-wuk Indian Health Center, Inc. | 22044 Cedar Rd, Sonora, CA 95370 |
| Eleanor F Lo | Internal Medicine | Tuolumne Me-wuk Indian Health Center, Inc. | 22044 Cedar Rd, Sonora, CA 95370 |
| Megan Mary Greenberg | Nurse Practitioner | Tuolumne Me-wuk Indian Health Center, Inc. | 22044 Cedar Rd, Sonora, CA 95370 |
| Ariana M Demers | Orthopedic Surgery | 13949 Mono Way, Sonora, CA 95370-2807 | |
| Peter A Shumway | Optometry | 13923 Mono Way, Sonora, CA 95370-2807 | |
| Daljit Kaur Bagha | Family Medicine | Mact Health Board Inc. | 13975 Mono Way, Suite G, Sonora, CA 95370-2824 |
| Alejandro Abarca | Clinical Social Worker | Mact Health Board Inc. | 13975 Mono Way, Suite G, Sonora, CA 95370-2824 |
| Find all physicians in zip 95370 | |||
| City | SONORA |
| Zip Code | 95370 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | SONORA + FAMILY 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.