Maria M Petrick (NPI# 1396743605, PAC ID# 1052385044) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1396743605 |
| PAC ID by PECOS | 1052385044 |
| Professional Enrollment ID | I20141213000020 |
| Full Name | Maria M Petrick |
| Organization Legal Name | ALLERGY AND ASTHMA ADULT AND PEDIATRIC MEDICAL GROUP OF THE REDWOODS I |
| Address |
715 Southpoint Blvd Suite C Petaluma CA 94954-6836 |
| Phone Number | 7075250211 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Group Practice PAC ID | 8921084773 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 715 Southpoint Blvd, Suite C, Petaluma, CA 94954-6836 | 7075250211 | ALLERGY AND ASTHMA ADULT AND PEDIATRIC MEDICAL GROUP OF THE REDWOODS I |
| 130 Stony Point Rd, Suite E, Santa Rosa, CA 95401-4120 | 7075250211 | ALLERGY AND ASTHMA ADULT AND PEDIATRIC MEDICAL GROUP OF THE REDWOODS I |
| Organization Legal Name | ALLERGY AND ASTHMA ADULT AND PEDIATRIC MEDICAL GROUP OF THE REDWOODS I |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juline N Caraballo Fonseca | Allergy/immunology | Allergy and Asthma Adult and Pediatric Medical Group of The Redwoods I | 130 Stony Point Rd, Suite E, Santa Rosa, CA 95401-4120 |
| Street Address |
715 SOUTHPOINT BLVD SUITE C |
| City | PETALUMA |
| State | CA |
| Zip | 94954-6836 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Park | Nephrology | Institute for Health Management Inc | 715 Southpoint Blvd, Suite C, Petaluma, CA 94954-6836 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald L Harris | Optometry | 1225 N Mcdowell Blvd, Petaluma, CA 94954-1112 | |
| Peter R Pretkel | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Julie L Restad | Chiropractic | 1301 Redwood Way, Suite 150, Petaluma, CA 94954-1136 | |
| Robert D Mosby | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Grace A Wakim | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Dan Lightfoot | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Kalane J Wong | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Robert L Anderson | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Robert A Harf | Orthopedic Surgery | 108 Lynch Creek Way, Suite 7, Petaluma, CA 94954-2310 | |
| Stephen M Gugenheim | Otolaryngology | St Joseph Heritage Healthcare | 108 Lynch Creek Way, Suite 7, Petaluma, CA 94954-2310 |
| Find all physicians in zip 94954 | |||
| City | PETALUMA |
| Zip Code | 94954 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | PETALUMA + ALLERGY/IMMUNOLOGY |
Please comment or provide details below to improve the information on Maria M Petrick.
| 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.