Tatyana Shereshevsky (NPI# 1609043835, PAC ID# 0941376651) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1609043835 |
| PAC ID by PECOS | 0941376651 |
| Professional Enrollment ID | I20150727001781 |
| Full Name | Tatyana Shereshevsky |
| Organization Legal Name | REDWOOD WOMEN'S CENTER |
| Address |
3309 Renner Dr Fortuna CA 95540-3119 |
| Phone Number | 7077256108 |
| Gender | F |
| Graduation Year | 1993 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 0547306433 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 051318 | REDWOOD MEMORIAL HOSPITAL |
| 050006 | ST JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3200 Walford Ave A, Eureka, CA 95503-4828 | 7074434869 | ST JOSEPH HERITAGE HEALTHCARE |
| 3309 Renner Dr, Fortuna, CA 95540-3119 | 7077256108 | REDWOOD WOMEN'S CENTER |
| Organization Legal Name | REDWOOD WOMEN'S CENTER |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachael N Adair | Certified Nurse Midwife (cnm) | Redwood Women's Center | 3309 Renner Dr, Fortuna, CA 95540-3119 |
| James Mccall Anderson | Obstetrics/gynecology | Redwood Women's Center | 3309 Renner Dr, Fortuna, CA 95540-3119 |
| Dana Parry | Certified Nurse Midwife | Redwood Women's Center | 3309 Renner Dr, Fortuna, CA 95540-3119 |
| Street Address |
3309 RENNER DR |
| City | FORTUNA |
| State | CA |
| Zip | 95540-3119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachael N Adair | Certified Nurse Midwife (cnm) | Redwood Women's Center | 3309 Renner Dr, Fortuna, CA 95540-3119 |
| James Mccall Anderson | Obstetrics/gynecology | Redwood Women's Center | 3309 Renner Dr, Fortuna, CA 95540-3119 |
| Dana Parry | Certified Nurse Midwife | Redwood Women's Center | 3309 Renner Dr, Fortuna, CA 95540-3119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan D Brinckhaus | Family Medicine | Fortuna Family Medical Group Inc | 874 Main St, Fortuna, CA 95540-1926 |
| Ruben E Brinckhaus | Family Medicine | Fortuna Family Medical Group Inc | 874 Main St, Fortuna, CA 95540-1926 |
| Brian Calvert | Optometry | 777 9th St, Fortuna, CA 95540-2001 | |
| Joy B Frasier | Clinical Social Worker | 940 Main St, Fortuna, CA 95540-2007 | |
| Noreen L Edwards | Clinical Social Worker | 1100 Main St, Suite B, Fortuna, CA 95540-2148 | |
| Alan E French | Optometry | 630 9th St, Fortuna, CA 95540-2324 | |
| Neil Robert Kelley | Podiatry | 1730 Main St, Suite B, Fortuna, CA 95540-2451 | |
| Lauretta R Allen | Physical Therapy | Eureka Physical Therapy | 2600 Newburg Rd, A Phys Therapy Corp, Fortuna, CA 95540-2536 |
| Michael H Crosbie | Chiropractic | 1828 Main St, Fortuna, CA 95540-2717 | |
| Benjamin R Cowell | Chiropractic | 431 N Fortuna Blvd, Fortuna, CA 95540-2724 | |
| Find all physicians in zip 95540 | |||
| City | FORTUNA |
| Zip Code | 95540 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | FORTUNA + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Tatyana Shereshevsky.
| 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.