Timothy A Fife (NPI# 1073747663, PAC ID# 0244457505) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1073747663 |
| PAC ID by PECOS | 0244457505 |
| Professional Enrollment ID | I20140808002178 |
| Full Name | Timothy A Fife |
| Organization Legal Name | SACRAMENTO EAR NOSE AND THROAT SURGICAL AND MEDICAL GROUP INC |
| Address |
2 Medical Plaza Dr Suite 225 Roseville CA 95661-3044 |
| Phone Number | 9167821291 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 6204905342 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050309 | SUTTER ROSEVILLE MEDICAL CENTER |
| 050498 | SUTTER AUBURN FAITH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2 Medical Plaza Dr, Suite 225, Roseville, CA 95661-3044 | 9167821291 | SACRAMENTO EAR NOSE AND THROAT SURGICAL AND MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | SACRAMENTO EAR NOSE AND THROAT SURGICAL AND MEDICAL GROUP INC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Tersilla Ledda | Qualified Audiologist | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 10200 Trinity Pkwy, Suite 201, Stockton, CA 95219-7288 |
| Parita Shah | Physician Assistant | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 6600 Mercy Ct, Suite 180, Fair Oaks, CA 95628-3198 |
| Michael J Kearns | Otolaryngology | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 6600 Mercy Ct, Suite 180, Fair Oaks, CA 95628-3198 |
| David S Goldfarb | Physician Assistant | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 6600 Mercy Ct, Suite 180, Fair Oaks, CA 95628-3198 |
| Ronald George Dong | Otolaryngology | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 10200 Trinity Pkwy, Suite 201, Stockton, CA 95219-7288 |
| Eli Robert Groppo | Otolaryngology | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 1561 Creekside Dr, Suite 180, Folsom, CA 95630-3495 |
| Philip Bernstein | Otolaryngology | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 1111 Exposition Blvd, Suite 700, Sacramento, CA 95815-4314 |
| James H Griffitts | Qualified Audiologist | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 1111 Exposition Blvd, Suite 700, Sacramento, CA 95815-4314 |
| Evelyn Keaton | Nurse Practitioner | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 1528 Eureka Rd, Suite 102, Roseville, CA 95661-3047 |
| Randall Ow | Otolaryngology | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 2 Medical Plaza Dr, Suite 225, Roseville, CA 95661-3044 |
| Street Address |
2 MEDICAL PLAZA DR SUITE 225 |
| City | ROSEVILLE |
| State | CA |
| Zip | 95661-3044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zia A Dehqanzada | General Surgery | 2 Medical Plaza Dr, Suite 275, Roseville, CA 95661-3051 | |
| Frances F Canet | Cardiovascular Disease (cardiology) | Roseville Cardiology Medical Associates, Inc. | 2 Medical Plaza Dr, Suite 175, Roseville, CA 95661-3049 |
| Michael Gene Chez | Neurology | Sutter Valley Medical Foundation | 2 Medical Plaza Dr, Roseville, CA 95661-3044 |
| Martin G Neft | Family Medicine | Sutter Valley Medical Foundation | 2 Medical Plaza Dr, Suite 130, Roseville, CA 95661-3038 |
| Karanbir S Gill | Pediatric Medicine | Sutter Valley Medical Foundation | 2 Medical Plaza Dr, Suite 130, Roseville, CA 95661-3038 |
| Kanwardeep Grewal | Neurology | Sutter Valley Medical Foundation | 2 Medical Plaza Dr, Roseville, CA 95661-3044 |
| Derrick Wai-jing Chan | Family Medicine | Sutter Valley Medical Foundation | 2 Medical Plaza Dr, Suite 130, Roseville, CA 95661-3038 |
| Joseph J Jammal | Cardiovascular Disease (cardiology) | 2 Medical Plaza Dr, Suite 250, Roseville, CA 95661-3050 | |
| George Fehrenbacher | Cardiovascular Disease (cardiology) | Roseville Cardiology Medical Associates, Inc. | 2 Medical Plaza Dr, Suite 175, Roseville, CA 95661-3049 |
| Erin E Kight | Clinical Social Worker | Sutter Valley Medical Foundation | 2 Medical Plaza Dr, Suite 205, Roseville, CA 95661-3044 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reinhardt G Hilzinger | Family Medicine | 4 Medical Plaza Dr, Roseville, CA 95661-2815 | |
| Jasbir S Rangi | Gastroenterology | Capitol Gastroenterology Consultants Medical Group Inc | 4 Medical Plaza Dr, Suite 205, Roseville, CA 95661-2815 |
| Lorerky M Ramirez-moya | Psychiatry | Mark David Levine Md Psychiatrists Professional Corporation | 1420 Rocky Ridge Dr, Roseville, CA 95661-2835 |
| Parul W Singh | Family Medicine | 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843 | |
| Khushwinder S Garcha | Internal Medicine | 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843 | |
| Ila Suplizio | Physical Therapy | Brett Pinkney Mpt and Associates Inc. | 588 N Sunrise Ave, Suite 100, Roseville, CA 95661-2843 |
| Earnest G Manjooran | Internal Medicine | 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843 | |
| Jakkidi S Reddy | Internal Medicine | 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843 | |
| Granger B Wong | Plastic and Reconstructive Surgery | 576 N Sunrise Ave, 120 Centre for Plastic Surgery, Roseville, CA 95661-2846 | |
| Christine Nguyen | Optometry | 576 N Sunrise Ave, Suite 110, Roseville, CA 95661-2846 | |
| Find all physicians in zip 95661 | |||
| City | ROSEVILLE |
| Zip Code | 95661 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | ROSEVILLE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Timothy A Fife.
| 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.