Mark R Macknet (NPI# 1154342434, PAC ID# 0648204073) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1154342434 |
| PAC ID by PECOS | 0648204073 |
| Professional Enrollment ID | I20050923001017 |
| Full Name | Mark R Macknet |
| Organization Legal Name | ANDREW W HESSELTINE MD INC |
| Address |
1850 E Washington St Colton CA 92324-4621 |
| Phone Number | 9098872991 |
| Gender | M |
| Credential | MD |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 8224088091 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1850 E Washington St, Colton, CA 92324-4621 | 9098872991 | ANDREW W HESSELTINE MD INC |
| Organization Legal Name | ANDREW W HESSELTINE MD INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlie Nahm | Pain Management | Andrew W Hesseltine Md Inc | 1850 E Washington St, Colton, CA 92324-4621 |
| Andrew W Hesseltine | Anesthesiology | Andrew W Hesseltine Md Inc | 851 E 6th St, Suite A1, Beaumont, CA 92223-2371 |
| Trishaben Patel | Interventional Pain Management | Andrew W Hesseltine Md Inc | 1850 E Washington St, Colton, CA 92324-4621 |
| Jared A Newman | Physician Assistant | Andrew W Hesseltine Md Inc | 1850 E Washington St, Colton, CA 92324-4621 |
| Mareena Miller | Nurse Practitioner | Andrew W Hesseltine Md Inc | 1850 E Washington St, Colton, CA 92324-4621 |
| Street Address |
1850 E WASHINGTON ST |
| City | COLTON |
| State | CA |
| Zip | 92324-4621 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlie Nahm | Pain Management | Andrew W Hesseltine Md Inc | 1850 E Washington St, Colton, CA 92324-4621 |
| Waylan W Kruse | Certified Registered Nurse Anesthetist (crna) | 1850 E Washington St, Colton, CA 92324-4621 | |
| Trishaben Patel | Interventional Pain Management | Andrew W Hesseltine Md Inc | 1850 E Washington St, Colton, CA 92324-4621 |
| Jared A Newman | Physician Assistant | Andrew W Hesseltine Md Inc | 1850 E Washington St, Colton, CA 92324-4621 |
| Mareena Miller | Nurse Practitioner | Andrew W Hesseltine Md Inc | 1850 E Washington St, Colton, CA 92324-4621 |
| John S Cho | Pain Management | Andrew W Hesseltine, M.d., Inc | 1850 E Washington St, Colton, CA 92324-4621 |
| Erin R Jaeger | Physician Assistant | Andrew W Hesseltine, M.d., Inc | 1850 E Washington St, Colton, CA 92324-4621 |
| Suja Alexander | Nurse Practitioner | Andrew W Hesseltine, M.d., Inc | 1850 E Washington St, Colton, CA 92324-4621 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne Cao | Obstetrics/gynecology | Valley Obstetrics and Gynecology Medical Group Inc | 400 N Pepper Ave 2nd Fl, Attn Dale Conrad, Colton, CA 92324-1801 |
| Milton K Mudge | Orthopedic Surgery | San Bernardino Medical Orthopedic Group Inc | 400 N Pepper Ave, Arrowhead, Colton, CA 92324-1801 |
| Richard W Reis | Certified Registered Nurse Anesthetist (crna) | Inland Empire Anesthesia Medical Group, Inc | 400 N Pepper Ave, Colton, CA 92324-1801 |
| Farideh Ghasemi | Nurse Practitioner | Quantum Healthcare Medical Associates Inc | 400 N Pepper Ave, Colton, CA 92324-1801 |
| Jonathan L Allen | Orthopedic Surgery | San Bernardino Medical Orthopedic Group Inc | 400 N Pepper Ave, Arrowhead, Colton, CA 92324-1801 |
| Febbis Balinos | Family Medicine | Arrowhead Family Medical Group Inc | 400 N Pepper Ave, Colton, CA 92324-1801 |
| Haaris R Naji | Internal Medicine | Quantum Healthcare Medical Associates Inc | 400 N Pepper Ave, Colton, CA 92324-1801 |
| Elias A Giraldo | Neurology | California University of Science and Medicine | 400 N Pepper Ave, Colton, CA 92324-1801 |
| Tawfikul Alam | Family Medicine | Quantum Healthcare Medical Associates Inc | 400 N Pepper Ave, Colton, CA 92324-1801 |
| Heather H Bohn | Family Medicine | County of San Bernardino | 400 N Pepper Ave, Colton, CA 92324-1801 |
| Find all physicians in zip 92324 | |||
| City | COLTON |
| Zip Code | 92324 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | COLTON + ANESTHESIOLOGY |
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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.