Jeffrey O Mcgillicuddy (NPI# 1871698993, PAC ID# 2769542620) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1871698993 |
| PAC ID by PECOS | 2769542620 |
| Professional Enrollment ID | I20081121000368 |
| Full Name | Jeffrey O Mcgillicuddy |
| Organization Legal Name | NORTH PACIFIC CARDIOLOGY MEDICAL |
| Address |
3800 Janes Rd Arcata CA 95521-4742 |
| Phone Number | 70782272203358 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 8426113341 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050028 | MAD RIVER COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3800 Janes Rd, Arcata, CA 95521-4742 | 70782272203358 | NORTH PACIFIC CARDIOLOGY MEDICAL |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | NORTH PACIFIC CARDIOLOGY MEDICAL |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheldon Nmi Meshulam | Gastroenterology | North Pacific Cardiology Medical | 3800 Janes Rd, Arcata, CA 95521-4742 |
| Nhat H Hoang | Internal Medicine | North Pacific Cardiology Medical | 3800 Janes Rd, Arcata, CA 95521-4742 |
| Gary G Garcia | Internal Medicine | North Pacific Cardiology Medical | 3800 Janes Rd, Arcata, CA 95521-4742 |
| Christopher E Lee | Internal Medicine | North Pacific Cardiology Medical | 3800 Janes Rd, Arcata, CA 95521-4742 |
| Andrew H Hooper | Family Practice | North Pacific Cardiology Medical | 3800 Janes Rd, Arcata, CA 95521-4742 |
| George Zibilich | Emergency Medicine | North Pacific Cardiology Medical | 3800 Janes Rd, Arcata, CA 95521-4742 |
| John E Biteman | Otolaryngology | North Pacific Cardiology Medical | 3800 Janes Rd, Arcata, CA 95521-4742 |
| Street Address |
3800 JANES RD |
| City | ARCATA |
| State | CA |
| Zip | 95521-4742 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas N Entsminger | Physician Assistant | Crystal Springs Emergency Physicians Medical Group, Inc. | 3800 Janes Rd, Arcata, CA 95521-4742 |
| Angela Beth Smith | Nurse Practitioner | 3800 Janes Rd, Arcata, CA 95521-4742 | |
| Natalia Zarzhevsky | Diagnostic Radiology | 3800 Janes Rd, Arcata, CA 95521-4742 | |
| Sheldon Nmi Meshulam | Gastroenterology | North Pacific Cardiology Medical | 3800 Janes Rd, Arcata, CA 95521-4742 |
| Nhat H Hoang | Internal Medicine | North Pacific Cardiology Medical | 3800 Janes Rd, Arcata, CA 95521-4742 |
| Gary G Garcia | Internal Medicine | North Pacific Cardiology Medical | 3800 Janes Rd, Arcata, CA 95521-4742 |
| Kent Okawa | Emergency Medicine | Crystal Springs Emergency Physicians Medical Group, Inc. | 3800 Janes Rd, Arcata, CA 95521-4742 |
| Tuan A Luu | Emergency Medicine | Crystal Springs Emergency Physicians Medical Group, Inc. | 3800 Janes Rd, Arcata, CA 95521-4742 |
| Philip J Granchi | Diagnostic Radiology | Motherlode Diagnostic Imaging Medical Group, Inc. | 3800 Janes Rd, Arcata, CA 95521-4742 |
| Betty D Walton | Emergency Medicine | Crystal Springs Emergency Physicians Medical Group, Inc. | 3800 Janes Rd, Arcata, CA 95521-4742 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Feldman | Clinical Psychologist | 1262 A Chester Ave, Arcata, CA 95521-3062 | |
| Kelly A. Kinsley | Dermatology | North Pacific Dermatology A Medical Corporation | 4715 Valley E Blvd, Suite 3, Arcata, CA 95521-3586 |
| Lorissa J Lorenzo-trujillo | Physician Assistant | North Pacific Dermatology A Medical Corporation | 4715 Valley E Blvd, Suite 3, Arcata, CA 95521-3586 |
| Edward H Parker | Physician Assistant | North Pacific Dermatology A Medical Corporation | 4715 Valley E Blvd, Suite 3, Arcata, CA 95521-3586 |
| Jesse Vos | Physician Assistant | North Pacific Dermatology A Medical Corporation | 4715 Valley E Blvd, Suite 3, Arcata, CA 95521-3586 |
| James Henry Moore | Physical Therapy | Humboldt Physical Therapy, Inc | 1551 Giuntoli Ln, Arcata, CA 95521-4495 |
| Nikki Davoodiaria | Physical Therapy | Humboldt Physical Therapy, Inc | 1551 Giuntoli Ln, Arcata, CA 95521-4495 |
| Dena Jane Manka | Physical Therapy | Humboldt Physical Therapy, Inc | 1551 Giuntoli Ln, Arcata, CA 95521-4495 |
| Margaret L Grossman | Family Medicine | 4677 Valley E Blvd, Suite 1, Arcata, CA 95521-4630 | |
| Heather L Kyte | Physician Assistant | United Indian Health Services, Inc. | 1600 Weeot Way, Arcata, CA 95521-4734 |
| Find all physicians in zip 95521 | |||
| City | ARCATA |
| Zip Code | 95521 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | ARCATA + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Jeffrey O Mcgillicuddy.
| 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.