Michael Hector Caccavale (NPI# 1518164425, PAC ID# 2668567181) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
| Nation Provider ID (NPI) | 1518164425 |
| PAC ID by PECOS | 2668567181 |
| Professional Enrollment ID | I20120717000282 |
| Full Name | Michael Hector Caccavale |
| Organization Legal Name | REDWOOD RADIOLOGY GROUP INC |
| Address |
3325 Chanate Rd Santa Rosa CA 95404-1707 |
| Phone Number | 7075764000 |
| Gender | M |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | INTERVENTIONAL RADIOLOGY |
| Secondary Specialties | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7214168095 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050174 | SANTA ROSA MEMORIAL HOSPITAL |
| 050291 | SUTTER SANTA ROSA REGIONAL HOSPITAL |
| 050136 | PETALUMA VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1165 Montgomery Dr, Santa Rosa, CA 95405-4897 | 7075463210 | REDWOOD RADIOLOGY GROUP INC |
| 121 Sotoyome St, Santa Rosa, CA 95405-4871 | 7075464062 | REDWOOD RADIOLOGY GROUP INC |
| 3325 Chanate Rd, Santa Rosa, CA 95404-1707 | 7075764000 | REDWOOD RADIOLOGY GROUP INC |
| Organization Legal Name | REDWOOD RADIOLOGY GROUP INC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary Roper | Diagnostic Radiology | Redwood Radiology Group Inc | 121 Sotoyome St, Santa Rosa, CA 95405-4871 |
| David H Schmidt | Diagnostic Radiology | Redwood Radiology Group Inc | 121 Sotoyome St, Santa Rosa, CA 95405-4871 |
| Shawn P Daly | Diagnostic Radiology | Redwood Radiology Group Inc | 121 Sotoyome St, Santa Rosa, CA 95405-4871 |
| John J Mcgovern | Diagnostic Radiology | Redwood Radiology Group Inc | 121 Sotoyome St, Santa Rosa, CA 95405-4871 |
| Alexander R Page | Interventional Radiology | Redwood Radiology Group Inc | 121 Sotoyome St, Santa Rosa, CA 95405-4871 |
| William Peter Meseroll | Diagnostic Radiology | Redwood Radiology Group Inc | 121 Sotoyome St, Santa Rosa, CA 95405-4871 |
| Lesley M Field | Physician Assistant | Redwood Radiology Group Inc | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Craig A Polson | Diagnostic Radiology | Redwood Radiology Group Inc | 121 Sotoyome St, Santa Rosa, CA 95405-4871 |
| Brittany Dashevsky | Diagnostic Radiology | Redwood Radiology Group Inc | 121 Sotoyome St, Santa Rosa, CA 95405-4871 |
| Christopher R Trebino | Diagnostic Radiology | Redwood Radiology Group Inc | 121 Sotoyome St, Santa Rosa, CA 95405-4871 |
| Street Address |
3325 CHANATE RD |
| City | SANTA ROSA |
| State | CA |
| Zip | 95404-1707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darin E Brandt | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Colin E Bauer | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Scott A Sewell | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Lesley M Field | Physician Assistant | Redwood Radiology Group Inc | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Steven L Marlowe | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Kofi E Inkabi | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Raymond F Conway Iii | Interventional Radiology | Redwood Radiology Group Inc | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| David Claude Sidney | Infectious Disease | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 | |
| Robert M Pousman | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Dirk T Schermer | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Filip Roos | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Jennifer Krug | Clinical Psychologist | 1625 Terrace Way C, Santa Rosa, CA 95404-3035 | |
| Lezlie Athena Scaliatine | Psychologist, Clinical | 1625 Terrace Way, Suite C, Santa Rosa, CA 95404-3035 | |
| Naomi K Kimball | Physical Therapy | 1643 Finlaw St, Santa Rosa, CA 95404-3112 | |
| Leonard J Klay | Obstetrics/gynecology | 1927 E Foothill Dr, Santa Rosa, CA 95404-3154 | |
| Anthony Streutker | Family Medicine | Goldhamer and Marano Chiropractic Ctr, Inc. | 1551 Pacific Ave, Santa Rosa, CA 95404-3568 |
| Antonio Soler | General Practice | Goldhamer and Marano Chiropractic Ctr, Inc. | 1551 Pacific Ave, Santa Rosa, CA 95404-3568 |
| Erwin Linzner | Chiropractic | Goldhamer and Marano Chiropractic Ctr, Inc. | 1551 Pacific Ave, Santa Rosa, CA 95404-3568 |
| Alan C Goldhamer | Chiropractic | Goldhamer and Marano Chiropractic Ctr, Inc. | 1551 Pacific Ave, Santa Rosa, CA 95404-3568 |
| Peter J Sultana | Emergency Medicine | Goldhamer and Marano Chiropractic Ctr, Inc. | 1551 Pacific Ave, Santa Rosa, CA 95404-3568 |
| Find all physicians in zip 95404 | |||
| City | SANTA ROSA |
| Zip Code | 95404 |
| Specialty | INTERVENTIONAL RADIOLOGY |
| City + Specialty | SANTA ROSA + INTERVENTIONAL RADIOLOGY |
Please comment or provide details below to improve the information on Michael Hector Caccavale.
| 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.