Luke A Hiatt (NPI# 1710243423, PAC ID# 1759531833) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
Nation Provider ID (NPI) | 1710243423 |
PAC ID by PECOS | 1759531833 |
Professional Enrollment ID | I20170623001291 |
Full Name | Luke A Hiatt |
Organization Legal Name | TYLER G SMITH MD A PROFESSIONAL CORPORATION |
Address |
5 Medical Plaza Dr Suite 120 Roseville CA 95661-2866 |
Phone Number | 9163520016 |
Gender | M |
Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
Graduation Year | 2012 |
Primary Specialty | ORTHOPEDIC SURGERY |
Group Practice PAC ID | 4688935109 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050309 | SUTTER ROSEVILLE MEDICAL CENTER |
050766 | SUTTER SURGICAL HOSPITAL - NORTH VALLEY |
050498 | SUTTER AUBURN FAITH HOSPITAL |
Address | Phone | Organization |
---|---|---|
5 Medical Plaza Dr, Suite 120, Roseville, CA 95661-2866 | 9163520016 | TYLER G SMITH MD A PROFESSIONAL CORPORATION |
470 Plumas Blvd, Suite 201, Yuba City, CA 95991-5077 | 5307413358 | SUTTER VALLEY MEDICAL FOUNDATION |
Organization Legal Name | TYLER G SMITH MD A PROFESSIONAL CORPORATION |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tyler G Smith | Orthopedic Surgery | Tyler G Smith Md A Professional Corporation | 5 Medical Plaza Dr, Suite 120, Roseville, CA 95661-2866 |
Brian E Zerlaut | Physician Assistant | Tyler G Smith Md A Professional Corporation | 5 Medical Plaza Dr, Suite 120, Roseville, CA 95661-2866 |
Street Address |
5 MEDICAL PLAZA DR SUITE 120 |
City | ROSEVILLE |
State | CA |
Zip | 95661-2866 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard D Defelice | Pulmonary Disease | Pulmonary Medicine Associates Medical Group Inc. | 5 Medical Plaza Dr, Suite 190, Roseville, CA 95661-2867 |
William M Gilbert | Obstetrics/gynecology | Obstetrix Medical Group of Sacramento PC | 5 Medical Plaza Dr, Suite 160, Roseville, CA 95661-2867 |
Brent E Vanhoozen | Pulmonary Disease | Pulmonary Medicine Associates Medical Group Inc. | 5 Medical Plaza Dr, Suite 190, Roseville, CA 95661-2867 |
David J Pompa | Gastroenterology | Sutter Valley Medical Foundation | 5 Medical Plaza Dr, Suite 140, Roseville, CA 95661-2866 |
Imran Mohammed | Critical Care (intensivists) | Pulmonary Medicine Associates Medical Group Inc. | 5 Medical Plaza Dr, Suite 190, Roseville, CA 95661-2867 |
Zachary S Bowman | Obstetrics/gynecology | Obstetrix Medical Group of Sacramento PC | 5 Medical Plaza Dr, Suite 160, Roseville, CA 95661-2867 |
Lawrence D Bistrong | Critical Care (intensivists) | Pulmonary Medicine Associates Medical Group Inc. | 5 Medical Plaza Dr, Suite 190, Roseville, CA 95661-2867 |
Yona Barash | General Surgery | 5 Medical Plaza Dr, Suite 130, Roseville, CA 95661-2866 | |
Tyler G Smith | Orthopedic Surgery | Tyler G Smith Md A Professional Corporation | 5 Medical Plaza Dr, Suite 120, Roseville, CA 95661-2866 |
Bindhu Roy | Nurse Practitioner | Pulmonary Medicine Associates Medical Group Inc. | 5 Medical Plaza Dr, Suite 190, Roseville, CA 95661-2867 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Reinhardt G Hilzinger | Family Medicine | 4 Medical Plaza Dr, Roseville, CA 95661-2815 | |
Jasbir S Rangi | Gastroenterology | Capitol Gastroenterology Consultants Medical Group Inc | 4 Medical Plaza Dr, Suite 205, Roseville, CA 95661-2815 |
Lorerky M Ramirez-moya | Psychiatry | Mark David Levine Md Psychiatrists Professional Corporation | 1420 Rocky Ridge Dr, Roseville, CA 95661-2835 |
Parul W Singh | Family Medicine | 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843 | |
Khushwinder S Garcha | Internal Medicine | 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843 | |
Ila Suplizio | Physical Therapy | Brett Pinkney Mpt and Associates Inc. | 588 N Sunrise Ave, Suite 100, Roseville, CA 95661-2843 |
Earnest G Manjooran | Internal Medicine | 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843 | |
Jakkidi S Reddy | Internal Medicine | 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843 | |
Granger B Wong | Plastic and Reconstructive Surgery | 576 N Sunrise Ave, 120 Centre for Plastic Surgery, Roseville, CA 95661-2846 | |
Christine Nguyen | Optometry | 576 N Sunrise Ave, Suite 110, Roseville, CA 95661-2846 | |
Find all physicians in zip 95661 |
City | ROSEVILLE |
Zip Code | 95661 |
Specialty | ORTHOPEDIC SURGERY |
City + Specialty | ROSEVILLE + ORTHOPEDIC SURGERY |
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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.