Daryl R Dutter (NPI# 1578568366, PAC ID# 3072648203) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1578568366 |
| PAC ID by PECOS | 3072648203 |
| Professional Enrollment ID | I20100312000888 |
| Full Name | Daryl R Dutter |
| Organization Legal Name | DARYL R DUTTER MD INC |
| Address |
150 Vera Ave Ripon CA 95366-2343 |
| Phone Number | 2095994211 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7719001601 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050118 | DOCTORS HOSPITAL OF MANTECA |
| 050726 | STANISLAUS SURGICAL HOSPITAL |
| 050557 | MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 150 Vera Ave, Ripon, CA 95366-2343 | 2095994211 | DARYL R DUTTER MD INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| QCDR_EC_PPRNET29_overall | Monitoring Serum Creatinine | 95% | |
| QCDR_EC_PPRNET31_overall | Screening for Type 2 Diabetes | 85% |
| Organization Legal Name | DARYL R DUTTER MD INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent Lamarr Powell Jr. | Nurse Practitioner | Daryl R Dutter Md Inc | 150 Vera Ave, Ripon, CA 95366-2343 |
| Street Address |
150 VERA AVE |
| City | RIPON |
| State | CA |
| Zip | 95366-2343 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent Lamarr Powell Jr. | Nurse Practitioner | Daryl R Dutter Md Inc | 150 Vera Ave, Ripon, CA 95366-2343 |
| James J Daley | Family Medicine | 150 Vera Ave, Ripon, CA 95366-2343 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Muhammad S Zia | Psychiatry | 930 W Main St, Ripon, CA 95366-2325 | |
| Allen Hoek | Optometry | 1048 W Main St, Ripon, CA 95366-2326 | |
| Duane Kirk | Optometry | 423 W Main St, Ripon, CA 95366-2425 | |
| Tyler Kirk | Optometry | 423 W Main St, Ripon, CA 95366-2425 | |
| Darwin Van Wyngarden | Chiropractic | 1444 W Main St D, Ripon, CA 95366-3030 | |
| Adam S Pike | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 1222 W Colony Rd, Suite 130, Ripon, CA 95366-9482 |
| Timothy J Fernandes | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 1222 W Colony Rd, Suite 130, Ripon, CA 95366-9482 |
| Richard William White | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 1222 W Colony Rd, Suite 130, Ripon, CA 95366-9482 |
| Heriberto Revuelta | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 1222 W Colony Rd, Suite 130, Ripon, CA 95366-9482 |
| Nicole Kriskovich | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 1222 W Colony Rd, Suite 130, Ripon, CA 95366-9482 |
| Find all physicians in zip 95366 | |||
| City | RIPON |
| Zip Code | 95366 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RIPON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Daryl R Dutter.
| 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.