Tedd E Dawson (NPI# 1457330680, PAC ID# 0143388744) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1457330680 |
PAC ID by PECOS | 0143388744 |
Professional Enrollment ID | I20081027000413 |
Full Name | Tedd E Dawson |
Address |
1196 S Main St Willits CA 95490-4304 |
Gender | M |
Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
Graduation Year | 1971 |
Primary Specialty | GENERAL SURGERY |
Secondary Specialties | GENERAL PRACTICE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
051310 | ADVENTIST HEALTH HOWARD MEMORIAL |
Address | Phone | Organization |
---|---|---|
1196 S Main St, Willits, CA 95490-4304 | ||
45 Hazel St, Willits, CA 95490-4222 | 7074569600 | MENDOCINO COMMUNITY HEALTH CLINIC, INC. |
Street Address |
1196 S MAIN ST |
City | WILLITS |
State | CA |
Zip | 95490-4304 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeremiah Rh Dawson | Orthopedic Surgery | 1196 S Main St, Willits, CA 95490-4304 |
Name | Specialty | Organization | Address |
---|---|---|---|
Earl T Myers | Optometry | 98 W Commercial St, Willits, CA 95490-3007 | |
Mary G Delaney | Clinical Social Worker | 152 S Main St, Suite E, Willits, CA 95490-3563 | |
Robin E Goldner | Clinical Social Worker | 245 S Humboldt St, Suite B, Willits, CA 95490-3576 | |
Shawna S Handschug | Chiropractic | Shawna Handschug Incorporated | 750 A Central Ave, Willits, CA 95490-3938 |
Israel Jon Perry | Chiropractic | Shawna Handschug Incorporated | 750 A Central Ave, Willits, CA 95490-3938 |
Richard P Dipman | Clinical Social Worker | 716 S Main St, Willits, CA 95490-3979 | |
Adwoa A Christy | Obstetrics/gynecology | Mendocino Community Health Clinic, Inc. | 45 Hazel St, Willits, CA 95490-4222 |
Suzanna K Sherer | Nurse Practitioner | Mendocino Community Health Clinic, Inc. | 45 Hazel St, Willits, CA 95490-4222 |
William W Bowen | Orthopedic Surgery | 84 Madrone St, Willits, CA 95490-4249 | |
Ace A Barash | Internal Medicine | 84 Madrone St, Willits, CA 95490-4249 | |
Find all physicians in zip 95490 |
City | WILLITS |
Zip Code | 95490 |
Specialty | GENERAL SURGERY |
City + Specialty | WILLITS + GENERAL SURGERY |
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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.