Danae M Wilke (NPI# 1033544341, PAC ID# 1456587757) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1033544341 |
| PAC ID by PECOS | 1456587757 |
| Professional Enrollment ID | I20131114001529 |
| Full Name | Danae M Wilke |
| Organization Legal Name | COASTAL CARDIOLOGY A MEDICAL CORP |
| Address |
1941 Johnson Ave Suite 101 San Luis Obispo CA 93401-4154 |
| Phone Number | 8057828844 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7416922760 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050232 | FRENCH HOSPITAL MEDICAL CENTER |
| 050107 | MARIAN REGIONAL MEDICAL CENTER |
| 050506 | SIERRA VISTA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 310 S Halcyon Rd, Suite 105, Arroyo Grande, CA 93420-3863 | 8057828844 | COASTAL CARDIOLOGY A MEDICAL CORP |
| 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4154 | 8057828844 | COASTAL CARDIOLOGY A MEDICAL CORP |
| Organization Legal Name | COASTAL CARDIOLOGY A MEDICAL CORP |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Dennish | Cardiovascular Disease (cardiology) | Coastal Cardiology A Medical Corp | 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4154 |
| Lawrence Vondollen | Cardiovascular Disease (cardiology) | Coastal Cardiology A Medical Corp | 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4154 |
| Michael L Wiechmann | Cardiovascular Disease (cardiology) | Coastal Cardiology A Medical Corp | 295 Posada Ln, Suite A, Templeton, CA 93465-4055 |
| Andrea H Tackett | Cardiovascular Disease (cardiology) | Coastal Cardiology A Medical Corp | 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4154 |
| Michael Doyle | Physician Assistant | Coastal Cardiology A Medical Corp | 1911 Johnson Ave, San Luis Obispo, CA 93401-4131 |
| Timothy Mcshurley | Interventional Cardiology | Coastal Cardiology A Medical Corp | 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4154 |
| Robert J Doria | Interventional Cardiology | Coastal Cardiology A Medical Corp | 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4154 |
| Jennifer Anne Springer | Cardiovascular Disease (cardiology) | Coastal Cardiology A Medical Corp | 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4154 |
| Lorianna Fletcher | Cardiovascular Disease (cardiology) | Coastal Cardiology A Medical Corp | 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4154 |
| Mark Sada | Interventional Cardiology | Coastal Cardiology A Medical Corp | 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4154 |
| Street Address |
1941 JOHNSON AVE SUITE 101 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip | 93401-4154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Dennish | Cardiovascular Disease (cardiology) | Coastal Cardiology A Medical Corp | 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4154 |
| Lawrence Vondollen | Cardiovascular Disease (cardiology) | Coastal Cardiology A Medical Corp | 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4154 |
| Aaron D Kromhout | Obstetrics/gynecology | 1941 Johnson Ave, Suite 202, San Luis Obispo, CA 93401-4154 | |
| Vivian R Storrer | Obstetrics/gynecology | Pacific Central Coast Health Centers | 1941 Johnson Ave, Suite 301, San Luis Obispo, CA 93401-4175 |
| Andrea H Tackett | Cardiovascular Disease (cardiology) | Coastal Cardiology A Medical Corp | 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4154 |
| Lela R Lewis | Obstetrics/gynecology | Pacific Central Coast Health Centers | 1941 Johnson Ave, Suite 301, San Luis Obispo, CA 93401-4175 |
| Timothy Mcshurley | Interventional Cardiology | Coastal Cardiology A Medical Corp | 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4154 |
| Robert J Doria | Interventional Cardiology | Coastal Cardiology A Medical Corp | 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4154 |
| Jennifer Anne Springer | Cardiovascular Disease (cardiology) | Coastal Cardiology A Medical Corp | 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4154 |
| Lorianna Fletcher | Cardiovascular Disease (cardiology) | Coastal Cardiology A Medical Corp | 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4154 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick J Spalding | Obstetrics/gynecology | 1551 Bishop Medical Plz, C310, San Luis Obispo, CA 93401 | |
| Nell Bennett | Clinical Social Worker | 956 Walnut St, Suite 200, San Luis Obispo, CA 93401-1707 | |
| Jeffrey Friedman | Psychologist, Clinical | 956 Walnut St, Suite 200, San Luis Obispo, CA 93401-1707 | |
| Kourosh Bagheri | Internal Medicine | 1177 Marsh St, Suite 100, San Luis Obispo, CA 93401-2316 | |
| Donald A Ramberg | Neurosurgery | 699 California Blvd, Suite B, San Luis Obispo, CA 93401-2507 | |
| Phillip Kissel | Neurosurgery | 699 California Blvd, Suite A, San Luis Obispo, CA 93401-2507 | |
| Steven C Johnson | Ophthalmology | 628 California Blvd, Suite C, San Luis Obispo, CA 93401-2547 | |
| Laura A Lubarsky | Pulmonary Disease | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, Suite 203, San Luis Obispo, CA 93401-2551 |
| David C Anderson | Physician Assistant | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, San Luis Obispo, CA 93401-2551 |
| Michael James Ryan | Pulmonary Disease | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, Suite 203, San Luis Obispo, CA 93401-2551 |
| Find all physicians in zip 93401 | |||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SAN LUIS OBISPO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Danae M Wilke.
| 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.