Colin Spake (NPI# 1730522475, PAC ID# 0446470496) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1730522475 |
| PAC ID by PECOS | 0446470496 |
| Professional Enrollment ID | I20140925002019 |
| Full Name | Colin Spake |
| Organization Legal Name | MARIN CITY HEALTH AND WELLNESS CENTER |
| Address |
630 Drake Ave Sausalito CA 94965-1107 |
| Phone Number | 4153398813 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1052451259 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050360 | MARIN GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 630 Drake Ave, Sausalito, CA 94965-1107 | 4153398813 | MARIN CITY HEALTH AND WELLNESS CENTER |
| Organization Legal Name | MARIN CITY HEALTH AND WELLNESS CENTER |
| Physicians | 1 |
| Street Address |
630 DRAKE AVE |
| City | SAUSALITO |
| State | CA |
| Zip | 94965-1107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carianne Blomquist | Family Medicine | 630 Drake Ave, Sausalito, CA 94965-1107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin J Borge | Chiropractic | 221 'b' St, Pt. Reyes Station, CA 94965-0965 | |
| Lawrence Posner | Internal Medicine | Prima Medical Foundation | 3 Harbor Dr, Suite 111, Sausalito, CA 94965-1491 |
| Domingo Guevara Aviado | Family Practice | Prima Medical Foundation | 3 Harbor Dr, Sausalito, CA 94965-1491 |
| Maureen L Mccoy | Optometry | 33 Caledonia St, Sausalito, CA 94965-2116 | |
| Lori S Rodgers | Chiropractic | 1000 Bridgeway, Suite C, Sausalito, CA 94965-2173 | |
| Naureen A Shaikh | Internal Medicine | 111 2nd St, Sausalito, CA 94965-2526 | |
| Ashley A Smith | Dermatology | Southern Marin Dermatology Inc | 2330 Marinship Way, Suite 370, Sausalito, CA 94965-2853 |
| Holly L Christman | Dermatology | Southern Marin Dermatology Inc | 2330 Marinship Way, Suite 370, Sausalito, CA 94965-2853 |
| Shala Fardin | Dermatology | Southern Marin Dermatology Inc | 2330 Marinship Way, Suite 370, Sausalito, CA 94965-2853 |
| Suzanne L Westphal | Dermatology | Southern Marin Dermatology Inc | 2330 Marinship Way, Suite 370, Sausalito, CA 94965-2853 |
| Find all physicians in zip 94965 | |||
| City | SAUSALITO |
| Zip Code | 94965 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAUSALITO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Colin Spake.
| 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.