Michael D Stouder (NPI# 1669575866, PAC ID# 0244237279) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1669575866 |
| PAC ID by PECOS | 0244237279 |
| Professional Enrollment ID | I20061103000257 |
| Full Name | Michael D Stouder |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Address |
26795 Portola Pkwy Foothill Ranch CA 92610-1713 |
| Phone Number | 9498299403 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 8921993205 |
| Number of Group Practice Members | 1049 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050567 | MISSION HOSPITAL REGIONAL MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 26795 Portola Pkwy, Foothill Ranch, CA 92610-1713 | 9498299403 | ST JOSEPH HERITAGE HEALTHCARE |
| 26732 Crown Valley Pkwy, Mission Viejo, CA 92691-6337 | ST JOSEPH HERITAGE HEALTHCARE | |
| 26800 Crown Valley Pkwy, Suite 150, Mission Viejo, CA 92691-8018 | 9492762111 | ST JOSEPH HERITAGE HEALTHCARE |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Physicians | 1022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tarah N Nelson | Nurse Practitioner | St Joseph Heritage Healthcare | 2460 Buhne St, Eureka, CA 95501-3207 |
| Kristen Shay Rasnick | Nurse Practitioner | St Joseph Heritage Healthcare | 6580 Hembree Ln, Suite 270, Windsor, CA 95492-6885 |
| Basit Rahim | Neurology | St Joseph Heritage Healthcare | 26800 Crown Valley Pkwy, Suite 385, Mission Viejo, CA 92691-7320 |
| Elizabeth Wachtel O'brien | Certified Nurse Midwife (cnm) | St Joseph Heritage Healthcare | 3307 Renner Dr, Fortuna, CA 95540-3119 |
| Michael James Glamore | Urology | St Joseph Heritage Healthcare | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3661 |
| Teresa E Shields-szabo | Family Medicine | St Joseph Heritage Healthcare | 26795 Portola Pkwy, Foothill Ranch, CA 92610-1713 |
| Austin James Perkins | Physician Assistant | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Sherin Ann Chakkalakel | Nurse Practitioner | St Joseph Heritage Healthcare | 905 E Washington St, St Joseph Heritage Healthcare, Petaluma, CA 94952-3389 |
| Jamie Lea Meyer | Nurse Practitioner | St Joseph Heritage Healthcare | 2332 23rd St, Eureka, CA 95501-3231 |
| Laura Elizabeth Hall | Nurse Practitioner | St Joseph Heritage Healthcare | 2280 Harrison Ave, Suite K, Eureka, CA 95501-3200 |
| Street Address |
26795 PORTOLA PKWY |
| City | FOOTHILL RANCH |
| State | CA |
| Zip | 92610-1713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa E Shields-szabo | Family Medicine | St Joseph Heritage Healthcare | 26795 Portola Pkwy, Foothill Ranch, CA 92610-1713 |
| James P Decock | Family Medicine | St Joseph Heritage Healthcare | 26795 Portola Pkwy, Foothill Ranch, CA 92610-1713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nahla H Salem | Internal Medicine | 26781 Portola Pkwy, Suite 4e, Foothill Ranch, CA 92610-1758 | |
| Hootan M Daneshmand | Plastic and Reconstructive Surgery | 27462 Portola Pkwy, Suite 100, Foothill Ranch, CA 92610-2838 | |
| Carleton S Fong | Optometry | 26750 Towne Centre Dr, Suite E, Foothill Ranch, CA 92610-2841 | |
| Douglas Chang | Neurology | 26730 Towne Centre Dr, Suite 202, Foothill Ranch, CA 92610-2842 | |
| Kevin H Ashby | Gastroenterology | 26700 Towne Centre Dr, Suite 100, Foothill Ranch, CA 92610-2843 | |
| Martin Andrew Vertson | Physical Therapy | Intecore, Inc | 26700 Towne Centre Dr, Suite 120, Foothill Ranch, CA 92610-2843 |
| Samuel E Sunshine | Family Practice | 26700 Towne Centre Dr, Suite 100, Foothill Ranch, CA 92610-2843 | |
| Sharoun S Porat | Orthopedic Surgery | Oc Sports and Orthopaedics | 26700 Towne Centre Dr, Suite 115, Foothill Ranch, CA 92610-2844 |
| Daniel P Duggan | Orthopedic Surgery | Oc Sports and Orthopaedics | 26700 Towne Centre Dr, Suite 115, Foothill Ranch, CA 92610-2844 |
| Kevin W Kapka | Physical Therapy | Premier Physical Therapy Inc | 26700 Towne Centre Dr, Suite 110, Foothill Ranch, CA 92610-2852 |
| Find all physicians in zip 92610 | |||
| City | FOOTHILL RANCH |
| Zip Code | 92610 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | FOOTHILL RANCH + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Michael D Stouder.
| 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.