Timothy Dalsaso (NPI# 1497737639, PAC ID# 2567408826) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1497737639 |
| PAC ID by PECOS | 2567408826 |
| Professional Enrollment ID | I20080613000565 |
| Full Name | Timothy Dalsaso |
| Organization Legal Name | HUMBOLDT RADIOLOGY MEDICAL GROUP INC |
| Address |
3300 Renner Dr Fortuna CA 95540-3120 |
| Phone Number | 7074455431 |
| Gender | M |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4082500046 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050006 | ST JOSEPH HOSPITAL |
| 050028 | MAD RIVER COMMUNITY HOSPITAL |
| 051309 | JEROLD PHELPS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3300 Renner Dr, Fortuna, CA 95540-3120 | 7074455431 | HUMBOLDT RADIOLOGY MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 77% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 99% | |
| MIPS_EC_405_overall | Appropriate Follow-up Imaging for Incidental Abdominal Lesions (100%: worst, 0% best) | 8% | |
| MIPS_EC_406_overall | Appropriate Follow-up Imaging for Incidental Thyroid Nodules in Patients (100%: worst, 0% best) | 22% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | HUMBOLDT RADIOLOGY MEDICAL GROUP INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Bryan Moore Iii | Diagnostic Radiology | Humboldt Radiology Medical Group Inc | 6801 Circle View Dr, New Hope, PA 18938-5619 |
| Richard B Greaney | Diagnostic Radiology | Humboldt Radiology Medical Group Inc | 3300 Renner Dr, Fortuna, CA 95540-3120 |
| Donald Craig Wheeler | Diagnostic Radiology | Humboldt Radiology Medical Group Inc | 3300 Renner Dr, Fortuna, CA 95540-3120 |
| Dean G Holland | Diagnostic Radiology | Humboldt Radiology Medical Group Inc | 3300 Renner Dr, Fortuna, CA 95540-3120 |
| Street Address |
3300 RENNER DR |
| City | FORTUNA |
| State | CA |
| Zip | 95540-3120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie L Demara | Anesthesiology | 3300 Renner Dr, Fortuna, CA 95540-3120 | |
| Miae Lee | Certified Registered Nurse Anesthetist (crna) | Pacific Memorial Anesthesia Care Inc | 3300 Renner Dr, Fortuna, CA 95540-3120 |
| D Peter Goldberg | Anesthesiology | Pacific Memorial Anesthesia Care Inc | 3300 Renner Dr, Fortuna, CA 95540-3120 |
| Margarette J Shegog | Family Medicine | St Joseph Heritage Healthcare | 3300 Renner Dr, Fortuna, CA 95540-3120 |
| Richard B Greaney | Diagnostic Radiology | Humboldt Radiology Medical Group Inc | 3300 Renner Dr, Fortuna, CA 95540-3120 |
| Donald Craig Wheeler | Diagnostic Radiology | Humboldt Radiology Medical Group Inc | 3300 Renner Dr, Fortuna, CA 95540-3120 |
| Dean G Holland | Diagnostic Radiology | Humboldt Radiology Medical Group Inc | 3300 Renner Dr, Fortuna, CA 95540-3120 |
| Neal Evan Feuerman | Anesthesiology | 3300 Renner Dr, Fortuna, CA 95540-3120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan D Brinckhaus | Family Medicine | Fortuna Family Medical Group Inc | 874 Main St, Fortuna, CA 95540-1926 |
| Ruben E Brinckhaus | Family Medicine | Fortuna Family Medical Group Inc | 874 Main St, Fortuna, CA 95540-1926 |
| Brian Calvert | Optometry | 777 9th St, Fortuna, CA 95540-2001 | |
| Joy B Frasier | Clinical Social Worker | 940 Main St, Fortuna, CA 95540-2007 | |
| Noreen L Edwards | Clinical Social Worker | 1100 Main St, Suite B, Fortuna, CA 95540-2148 | |
| Alan E French | Optometry | 630 9th St, Fortuna, CA 95540-2324 | |
| Neil Robert Kelley | Podiatry | 1730 Main St, Suite B, Fortuna, CA 95540-2451 | |
| Lauretta R Allen | Physical Therapy | Eureka Physical Therapy | 2600 Newburg Rd, A Phys Therapy Corp, Fortuna, CA 95540-2536 |
| Michael H Crosbie | Chiropractic | 1828 Main St, Fortuna, CA 95540-2717 | |
| Benjamin R Cowell | Chiropractic | 431 N Fortuna Blvd, Fortuna, CA 95540-2724 | |
| Find all physicians in zip 95540 | |||
| City | FORTUNA |
| Zip Code | 95540 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FORTUNA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Timothy Dalsaso.
| 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.