Robert Glenn Laverne (NPI# 1154365666, PAC ID# 1850445263) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
Nation Provider ID (NPI) | 1154365666 |
PAC ID by PECOS | 1850445263 |
Professional Enrollment ID | I20090819000932 |
Full Name | Robert Glenn Laverne |
Organization Legal Name | MEDICAL ANESTHESIA CONSULTANTS MEDICAL GROUP INC |
Address |
133 La Casa Via Walnut Creek CA 94598-3005 |
Phone Number | 9259378100 |
Gender | M |
Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
Graduation Year | 1976 |
Primary Specialty | ANESTHESIOLOGY |
Group Practice PAC ID | 9436056785 |
Number of Group Practice Members | 150 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050180 | JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS |
Address | Phone | Organization |
---|---|---|
133 La Casa Via, Walnut Creek, CA 94598-3005 | 9259378100 | MEDICAL ANESTHESIA CONSULTANTS MEDICAL GROUP INC |
Organization Legal Name | MEDICAL ANESTHESIA CONSULTANTS MEDICAL GROUP INC |
Physicians | 141 |
Name | Specialty | Organization | Address |
---|---|---|---|
Wilson T Lee | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 2336 Sylvan Ave, Suite B, Modesto, CA 95355-9211 |
Qing Wang | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 400 Forest Ave, Palo Alto, CA 94301-2608 |
David A Shapiro | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 2021 Ygnacio Valley Rd, Suite H102, Walnut Creek, CA 94598-3352 |
Jonathan Hsiao | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 3370 Geary Blvd, San Francisco, CA 94118-3324 |
Sam S Shay | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 1720 El Camino Real, Suite 100, Burlingame, CA 94010-3225 |
Oscar A Fernandez | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 1238 W St, Redding, CA 96001-0415 |
Kevin G Kaiser | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 |
Kurt D Dittmar | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 |
Haywon Lieh | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 |
Gary T Guglielmino | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 |
Street Address |
133 LA CASA VIA |
City | WALNUT CREEK |
State | CA |
Zip | 94598-3005 |
Name | Specialty | Organization | Address |
---|---|---|---|
Barry Louis Rotman | Internal Medicine | 1535 Treat Blvd, Walnut Creek, CA 94598-1043 | |
George Baloyra | Chiropractic | 1511 Treat Boulevard, Suite 100, Walnut Creek, CA 94598-1099 | |
Maryam Noorivaziri | Chiropractic | 1511 Treat Blvd, Suite 100, Walnut Creek, CA 94598-1099 | |
Tolulope D Ojeyemi | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 738 Bancroft Rd, Walnut Creek, CA 94598-1531 |
Jason A Meierhenry | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 738 Bancroft Rd, Walnut Creek, CA 94598-1531 |
Bianca Gonzalez | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 738 Bancroft Rd, Walnut Creek, CA 94598-1531 |
Onome A Ogaga | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 738 Bancroft Rd, Walnut Creek, CA 94598-1531 |
Martha J Eppenberger | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 738 Bancroft Rd, Walnut Creek, CA 94598-1531 |
Joseph A Baratta | Chiropractic | 2815 Mitchell Dr, Suite 101, Walnut Creek, CA 94598-1622 | |
Gertrudes A Hernandez | Psychologist, Clinical | 2815 Mitchell Dr, Suite 128, Walnut Creek, CA 94598-1622 | |
Find all physicians in zip 94598 |
City | WALNUT CREEK |
Zip Code | 94598 |
Specialty | ANESTHESIOLOGY |
City + Specialty | WALNUT CREEK + ANESTHESIOLOGY |
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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.