Thor C Gjerdrum (NPI# 1407830177, PAC ID# 3274701420) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1407830177 |
| PAC ID by PECOS | 3274701420 |
| Professional Enrollment ID | I20110714000467 |
| Full Name | Thor C Gjerdrum |
| Organization Legal Name | PACIFIC CENTRAL COAST HEALTH CENTERS |
| Address |
300 S Stratford Ave Santa Maria CA 93454-5903 |
| Phone Number | 8057393863 |
| Gender | M |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1966 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 9739091364 |
| Number of Group Practice Members | 155 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050107 | MARIAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 300 S Stratford Ave, Santa Maria, CA 93454-5903 | 8057393863 | PACIFIC CENTRAL COAST HEALTH CENTERS |
| Organization Legal Name | PACIFIC CENTRAL COAST HEALTH CENTERS |
| Physicians | 183 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Isaiah James Coupland Roggow | Family Medicine | Pacific Central Coast Health Centers | 2271 S Depot St, Santa Maria, CA 93455-1216 |
| Rebecca K Jones | Obstetrics/gynecology | Pacific Central Coast Health Centers | 220 S Palisade Dr, Suite 203, Santa Maria, CA 93454-8903 |
| Scott Patrick Piazza | Family Medicine | Pacific Central Coast Health Centers | 1400 E Church St, 8 Family Medicine Center, Santa Maria, CA 93454-5906 |
| Christina Henry | Physician Assistant | Pacific Central Coast Health Centers | 340 E Betteravia Rd, Suite Acd, Santa Maria, CA 93454-7847 |
| James Thomas Link | Hematology/oncology | Pacific Central Coast Health Centers | 715 Tank Farm Rd C, San Luis Obispo, CA 93401-7068 |
| Taimur Latif Chaudhry | Obstetrics/gynecology | Pacific Central Coast Health Centers | 116 S Palisade Dr, Suite 104, Santa Maria, CA 93454-8905 |
| Hannah Scobel Pisklov | Physician Assistant | Pacific Central Coast Health Centers | 685 Morro Ave C, Morro Bay, CA 93442-2233 |
| Terry Chen | Family Medicine | Pacific Central Coast Health Centers | 2 James Way, 209 Medical Clinic At James Way, Pismo Beach, CA 93449-4976 |
| Meghan Mckiernan | Family Medicine | Pacific Central Coast Health Centers | 2238 Bayview Heights Dr, Suite G, Los Osos, CA 93402-3930 |
| Farnaz Pirayesh | Family Medicine | Pacific Central Coast Health Centers | 5075 S Bradley Rd, Suite 131, Santa Maria, CA 93455-5077 |
| Street Address |
300 S STRATFORD AVE |
| City | SANTA MARIA |
| State | CA |
| Zip | 93454-5903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas P Slimack | Neurosurgery | Pacific Central Coast Health Centers | 300 S Stratford Ave, Santa Maria, CA 93454-5903 |
| Matthew Robert Schreckinger | Neurosurgery | Pacific Central Coast Health Centers | 300 S Stratford Ave, Santa Maria, CA 93454-5903 |
| Barry R Fleischer | Neurology | Pacific Central Coast Health Centers | 300 S Stratford Ave, Santa Maria, CA 93454-5903 |
| Randolph Bryant Cook | Orthopedic Surgery | Pacific Central Coast Health Centers | 300 S Stratford Ave, Santa Maria, CA 93454-5903 |
| David Dennison Book | Orthopedic Surgery | Pacific Central Coast Health Centers | 300 S Stratford Ave, Santa Maria, CA 93454-5903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jane P O Brien | Certified Registered Nurse Anesthetist (crna) | 816 E Ehos Dr B, Santa Maria, CA 93454 | |
| Ramanand C Dandillaya | Neurology | 210 S Palisade S Dr, Suite 203, Santa Maria, CA 93454 | |
| Gayle L Ulshafer | Certified Registered Nurse Anesthetist | 837 Harper Ct, Santa Maria, CA 93454-2348 | |
| James Tahmisian | Psychologist, Clinical | 117 E Fesler St, Santa Maria, CA 93454-4404 | |
| Ron T Ng | Optometry | 610 E Chapel St, Suite C, Santa Maria, CA 93454-4522 | |
| Arlene C Gonzales | Family Medicine | 722 E Chapel St, Santa Maria, CA 93454-4524 | |
| Nathan Singer | Interventional Pain Management | 120 N Miller St A, Santa Maria, CA 93454-4557 | |
| Matthew Hadilaksono | Physical Medicine and Rehabilitation | Lags Spine and Sportscare Medical Centers Inc | 801 E Chapel St, Suite 1, Santa Maria, CA 93454-4607 |
| Kenneth Ejiogu | Nurse Practitioner | Lags Spine and Sportscare Medical Centers Inc | 801 E Chapel St, Santa Maria, CA 93454-4607 |
| Wanda J Spencer | Obstetrics/gynecology | 937 E Main St, 101 Women Care, Santa Maria, CA 93454-4607 | |
| Find all physicians in zip 93454 | |||
| City | SANTA MARIA |
| Zip Code | 93454 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | SANTA MARIA + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Thor C Gjerdrum.
| 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.