Jack Chandler Rose (NPI# 1003837675, PAC ID# 1456325208) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1003837675 |
| PAC ID by PECOS | 1456325208 |
| Professional Enrollment ID | I20040825001622 |
| Full Name | Jack Chandler Rose |
| Organization Legal Name | WASHINGTON TOWNSHIP MEDICAL FOUNDATION |
| Address |
2500 Mowry Ave Suite 222 Fremont CA 94538-1605 |
| Phone Number | 5108181160 |
| Gender | M |
| Credential | MD |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2000 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 2860687050 |
| Number of Group Practice Members | 89 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050195 | WASHINGTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2500 Mowry Ave, Suite 222, Fremont, CA 94538-1605 | 5108181160 | WASHINGTON TOWNSHIP MEDICAL FOUNDATION |
| Organization Legal Name | WASHINGTON TOWNSHIP MEDICAL FOUNDATION |
| Physicians | 89 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harpreet Singh | Family Medicine | Washington Township Medical Foundation | 46690 Mohave Dr, Fremont, CA 94539-7001 |
| Hanh T Tran | Obstetrics/gynecology | Washington Township Medical Foundation | 2299 Mowry Ave, Suite 200, Fremont, CA 94538-1621 |
| Kathleen M Vigano | Physician Assistant | Washington Township Medical Foundation | 39500 Fremont Blvd, Suite 100, Fremont, CA 94538-2101 |
| Seema Sehgal | Psychiatry | Washington Township Medical Foundation | 2299 Mowry, 3c, Fremont, CA 94538-1621 |
| Tam T Nguyen | Family Medicine | Washington Township Medical Foundation | 33077 Alvarado Niles Rd, Union City, CA 94587-3109 |
| Sherrie Kneebone | Nurse Practitioner | Washington Township Medical Foundation | 6236 Thornton Ave, Newark, CA 94560-3732 |
| Jill L Harrell | Orthopedic Surgery | Washington Township Medical Foundation | 38690 Stivers St A, Fremont, CA 94536-5276 |
| William Robert Stearns | Orthopedic Surgery | Washington Township Medical Foundation | 39500 Fremont Blvd, Suite 100, Fremont, CA 94538-2101 |
| Harpreet S Dhillon | Internal Medicine | Washington Township Medical Foundation | 33077 Alvarado Niles Rd, Union City, CA 94587-3109 |
| Kranthi K Achanta | General Surgery | Washington Township Medical Foundation | 2000 Mowry Ave, Fremont, CA 94538-1716 |
| Street Address |
2500 MOWRY AVE SUITE 222 |
| City | FREMONT |
| State | CA |
| Zip | 94538-1605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristi L Larock | Physician Assistant | Washington Township Medical Foundation | 2500 Mowry Ave, Suite 222, Fremont, CA 94538-1605 |
| Desmond Erasmus | Neurosurgery | Washington Township Medical Foundation | 2500 Mowry Ave, Suite 222, Fremont, CA 94538-1605 |
| David Larson | Radiation Oncology | Washington Township Medical Foundation | 2500 Mowry Ave, Fremont, CA 94538-1605 |
| Sandeep M Kunwar | Neurosurgery | Washington Township Medical Foundation | 2500 Mowry Ave, Suite 222, Fremont, CA 94538-1605 |
| Sarkis Banipalsin | Family Medicine | Washington Township Hospital Development Corporation | 2500 Mowry Ave, Suite 212, Fremont, CA 94538-1605 |
| Sherene C Nagarajah | Internal Medicine | Washington Township Hospital Development Corporation | 2500 Mowry Ave, Suite 212, Fremont, CA 94538-1605 |
| Eldan B Eichbaum | Neurosurgery | Washington Township Medical Foundation | 2500 Mowry Ave, Suite 222, Fremont, CA 94538-1605 |
| Lorena F Hillman | Family Practice | Washington Township Hospital Development Corporation | 2500 Mowry Ave, Suite 212, Fremont, CA 94538-1605 |
| Dan R Azar | Preventative Medicine | Washington Township Hospital Development Corporation | 2500 Mowry Ave, Suite 212, Fremont, CA 94538-1605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Basil R Besh | Orthopedic Surgery | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Joshua Ramos | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Fremont, CA 94538-1015 |
| Kevin Ngai Ming Yeung | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Geeta Nasika | Physical Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Marci C Kneeter | Physical Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 231, Fremont, CA 94538-1015 |
| Kelly Trautman | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Emily Hartnett | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Joshua M Matthews | Orthopedic Surgery | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 231, Fremont, CA 94538-1015 |
| Troy Clark Shelton | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Joan P Ferrari | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Find all physicians in zip 94538 | |||
| City | FREMONT |
| Zip Code | 94538 |
| Specialty | NEUROLOGY |
| City + Specialty | FREMONT + NEUROLOGY |
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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.