Michael Lee Wynn (NPI# 1285673996, PAC ID# 3072691245) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1285673996 |
| PAC ID by PECOS | 3072691245 |
| Professional Enrollment ID | I20080429000443 |
| Full Name | Michael Lee Wynn |
| Organization Legal Name | SUTTER BAY MEDICAL FOUNDATION |
| Address |
4000 Civic Ctr Dr Suite 205 San Rafael CA 94903-5233 |
| Phone Number | 4154797244 |
| Gender | M |
| Medical School | IRVINE CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 4284538778 |
| Number of Group Practice Members | 2620 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050689 | SAN RAMON REGIONAL MEDICAL CTR |
| Address | Phone | Organization |
|---|---|---|
| 4000 Civic Ctr Dr, Suite 205, San Rafael, CA 94903-5233 | 4154797244 | SUTTER BAY MEDICAL FOUNDATION |
| Organization Legal Name | SUTTER BAY MEDICAL FOUNDATION |
| Physicians | 2773 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gabriela Ramos-pamplona | Nurse Practitioner | Sutter Bay Medical Foundation | 2095 Diamond Blvd, Suite 150, Concord, CA 94520-5832 |
| Ja Young Kim | Nurse Practitioner | Sutter Bay Medical Foundation | 15400 Los Gatos Blvd, Los Gatos, CA 95032-2502 |
| Gannon Dudlar | Emergency Medicine | Sutter Bay Medical Foundation | 701 E El Camino Real, Mountain View, CA 94040-2833 |
| Teresa Safer | Obstetrics/gynecology | Sutter Bay Medical Foundation | 1580 Valencia St, Suite 802, San Francisco, CA 94110-4415 |
| Aly M Mohamed | Gastroenterology | Sutter Bay Medical Foundation | 1662 Dominican Way, Santa Cruz, CA 95065-1522 |
| Inxs M Chandler | Nurse Practitioner | Sutter Bay Medical Foundation | 580 N Rengstorff Ave, Unit 5, Mountain View, CA 94043-2894 |
| Elsa Petronella Van Berry | Nurse Practitioner | Sutter Bay Medical Foundation | 3100 Summit St, Fl 2, Oakland, CA 94609-3412 |
| Joshua D Menefee | Internal Medicine | Sutter Bay Medical Foundation | 7225 Rainbow Dr, San Jose, CA 95129-4552 |
| Nicole Sue Gong | Physical Therapy | Sutter Bay Medical Foundation | 1085 W El Camino Real, Sunnyvale, CA 94087-1030 |
| Melanie Manaku | Internal Medicine | Sutter Bay Medical Foundation | 350 Rhode Island St, Suite 200, San Francisco, CA 94103-5188 |
| Street Address |
4000 CIVIC CTR DR SUITE 205 |
| City | SAN RAFAEL |
| State | CA |
| Zip | 94903-5233 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Katayoun Najafi Tagol | Ophthalmology | 4000 Civic Ctr Dr, 200a, San Rafael, CA 94903-5233 | |
| Stephen G Anderka | Emergency Medicine | Sutter Bay Medical Foundation | 4000 Civic Ctr Dr, San Rafael, CA 94903-5233 |
| Dennis E Oconnell | Physician Assistant | Sutter Bay Medical Foundation | 4000 Civic Ctr Dr, San Rafael, CA 94903-5233 |
| Russell U Braun | Emergency Medicine | Sutter Bay Medical Foundation | 4000 Civic Ctr Dr, San Rafael, CA 94903-5233 |
| Susan E Bradshaw | Emergency Medicine | West Bay Urgent Care Associates Inc A Medical Corporation | 4000 Civic Ctr Dr, Suite 206, San Rafael, CA 94903-5233 |
| Eberle Ewing | Emergency Medicine | West Bay Urgent Care Associates Inc A Medical Corporation | 4000 Civic Ctr Dr, Suite 206, San Rafael, CA 94903-5233 |
| Alan Gjedsted | Emergency Medicine | West Bay Urgent Care Associates Inc A Medical Corporation | 4000 Civic Ctr Dr, San Rafael, CA 94903-5233 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele E Saloner | Psychologist, Clinical | 120 El Capitan Dr, San Rafael, CA 94903-1003 | |
| Thomas Isaacs | Psychologist, Clinical | 7 Mount Lassen Dr, C252, San Rafael, CA 94903-1154 | |
| Angela M Savelli | Physical Therapy | Marin Individual Practice Association | 1401 Los Gamos Dr, Suite 140, San Rafael, CA 94903-1832 |
| Nicholas A Verville | Physical Therapy | Marin Individual Practice Association | 1401 Los Gamos Dr, Suite 140, San Rafael, CA 94903-1832 |
| Stewart Lin | Physical Therapy | Marin Individual Practice Association | 1401 Los Gamos Dr, Suite 140, San Rafael, CA 94903-1832 |
| Marci A Silverberg | Physical Therapy | Marin Individual Practice Association | 1401 Los Gamos Dr, Suite 140, San Rafael, CA 94903-1832 |
| Krishna Wittman | Physical Therapy | Marin Individual Practice Association | 1401 Los Gamos Dr, Suite 140, San Rafael, CA 94903-1832 |
| Mona Collado Ferrer-kaw | Psychiatry | Permanente Medical Group Inc | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 |
| Stacey A Clemenceau | Psychologist, Clinical | Permanente Medical Group Inc | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 |
| Brandi R Marcaletti | Psychologist, Clinical | Permanente Medical Group Inc | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 |
| Find all physicians in zip 94903 | |||
| City | SAN RAFAEL |
| Zip Code | 94903 |
| Specialty | GENERAL SURGERY |
| City + Specialty | SAN RAFAEL + GENERAL SURGERY |
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| 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.