Glen D Madokoro (NPI# 1639255060, PAC ID# 3072616788) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1639255060 |
| PAC ID by PECOS | 3072616788 |
| Professional Enrollment ID | I20070319000394 |
| Full Name | Glen D Madokoro |
| Address |
351 Hospital Rd Suite 210 Newport Beach CA 92663-3504 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050224 | HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
| Address | Phone | Organization |
|---|---|---|
| 351 Hospital Rd, Suite 210, Newport Beach, CA 92663-3504 |
| Street Address |
351 HOSPITAL RD SUITE 210 |
| City | NEWPORT BEACH |
| State | CA |
| Zip | 92663-3504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd A Forman | Family Medicine | 351 Hospital Rd, Suite 406, Newport Beach, CA 92663-3506 | |
| Aubrey Shawna Jacobson | Physician Assistant | Micha Rettenmaier Brown and Lacey A California Partnership | 351 Hospital Rd, Suite 507, Newport Beach, CA 92663-3500 |
| Kimberly Rae-collins Crespo | Physical Therapy | Restor Physical Therapy Inc | 351 Hospital Rd, Suite 7, Newport Beach, CA 92663-3504 |
| James R Wendt | Plastic and Reconstructive Surgery | 351 Hospital Rd, Suite 601, Newport Beach, CA 92663-3500 | |
| Patricia G Strachan | Obstetrics/gynecology | Pacific Womens Healthcare Associates Inc | 351 Hospital Rd, Suite 611, Newport Beach, CA 92663-3508 |
| Martin Hugh Bailey | Plastic and Reconstructive Surgery | 351 Hospital Rd, Suite 617, Newport Beach, CA 92663-3508 | |
| Stephanie Ricci- Fuhrman | Obstetrics/gynecology | Newport Beach Ob/gyn Medical Group Inc. | 351 Hospital Rd, Suite 316, Newport Beach, CA 92663-3505 |
| Diane S Koch | Physical Therapy | 351 Hospital Rd, Suite 606, Newport Beach, CA 92663-3508 | |
| Ehab N Mady | Internal Medicine | 351 Hospital Rd, Suite 401, Newport Beach, CA 92663-3506 | |
| Lisa Abaid | Gynecological Oncology | Micha Rettenmaier Brown and Lacey A California Partnership | 351 Hospital Rd, Suite 507, Newport Beach, CA 92663-3500 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan Freedman | Urology | 401 Old Newport Blvd, Suite 101, Newport Beach, CA 92663-0000 | |
| Sharon J Lucas | Clinical Social Worker | 34 Seabird Ct, Newport Beach, CA 92663-2109 | |
| Monica J Lucas | Physical Therapy | 1441 Superior Ave, Suite D, Newport Beach, CA 92663-2700 | |
| Bonnie Michelle Austin | Physical Therapy | Superior Wound Care and Physical Therapy Inc | 1441 Superior Ave, Suite D, Newport Beach, CA 92663-2700 |
| Jean O Galloway | Physical Therapy | Superior Rehabilitation Center, Inc | 1441 Superior Ave, Newport Beach, CA 92663-2700 |
| Michael W Summerlin | Psychologist, Clinical | 1441 Superior Ave, Suite F, Newport Beach, CA 92663-2704 | |
| Michael John Thorpe | Physical Therapy | Pegasus Physical Therapy Solutions, Inc. | 1419 Superior Ave, Suite 4, Newport Beach, CA 92663-2723 |
| Rafael A Penunuri | Family Medicine | 1419 Superior Ave, Suite 1, Newport Beach, CA 92663-2723 | |
| Jill G Byers | General Surgery | 320 Superior Ave, Suite 110, Newport Beach, CA 92663-2740 | |
| Robert I Hewlett | Pulmonary Disease | Newport Pulmonary Associates | 320 Superior Ave, Suite 200, Newport Beach, CA 92663-2741 |
| Find all physicians in zip 92663 | |||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | NEWPORT BEACH + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Glen D Madokoro.
| 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.