Thomas W Axelrad (NPI# 1326229204, PAC ID# 3274703160) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1326229204 |
| PAC ID by PECOS | 3274703160 |
| Professional Enrollment ID | I20191014001981 |
| Full Name | Thomas W Axelrad |
| Organization Legal Name | SANTA ROSA ORTHOPAEDIC MEDICAL GROUP, INC. |
| Address |
1405 Montgomery Dr Santa Rosa CA 95405-4557 |
| Phone Number | 7075461922 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 2005 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 4981655057 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050174 | SANTA ROSA MEMORIAL HOSPITAL |
| 050291 | SUTTER SANTA ROSA REGIONAL HOSPITAL |
| 050136 | PETALUMA VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 | 7075461922 | SANTA ROSA ORTHOPAEDIC MEDICAL GROUP, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 79% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 7% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 30% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 1% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 6% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 3% |
| Organization Legal Name | SANTA ROSA ORTHOPAEDIC MEDICAL GROUP, INC. |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christian N Athanassious | Orthopedic Surgery | Santa Rosa Orthopaedic Medical Group, Inc. | 167 Lynch Creek Way, Petaluma, CA 94954-2343 |
| Thomas Degenhardt | Orthopedic Surgery | Santa Rosa Orthopaedic Medical Group, Inc. | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 |
| Mark Schakel | Orthopedic Surgery | Santa Rosa Orthopaedic Medical Group, Inc. | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 |
| Dominic J Mintalucci | Orthopedic Surgery | Santa Rosa Orthopaedic Medical Group, Inc. | 167 Lynch Creek Way, Petaluma, CA 94954-2343 |
| Frederick S Bennett | Orthopedic Surgery | Santa Rosa Orthopaedic Medical Group, Inc. | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 |
| Rodney G Dekleuver | Physician Assistant | Santa Rosa Orthopaedic Medical Group, Inc. | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 |
| Kai Mazur | Orthopedic Surgery | Santa Rosa Orthopaedic Medical Group, Inc. | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 |
| Patricia Hall | Physical Therapy | Santa Rosa Orthopaedic Medical Group, Inc. | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 |
| Neema Pourtaheri | Orthopedic Surgery | Santa Rosa Orthopaedic Medical Group, Inc. | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 |
| Michael James Mcdermott | Orthopedic Surgery | Santa Rosa Orthopaedic Medical Group, Inc. | 167 Lynch Creek Way, Petaluma, CA 94954-2343 |
| Street Address |
1405 MONTGOMERY DR |
| City | SANTA ROSA |
| State | CA |
| Zip | 95405-4557 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Degenhardt | Orthopedic Surgery | Santa Rosa Orthopaedic Medical Group, Inc. | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 |
| Mark Schakel | Orthopedic Surgery | Santa Rosa Orthopaedic Medical Group, Inc. | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 |
| Frederick S Bennett | Orthopedic Surgery | Santa Rosa Orthopaedic Medical Group, Inc. | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 |
| Rodney G Dekleuver | Physician Assistant | Santa Rosa Orthopaedic Medical Group, Inc. | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 |
| Kai Mazur | Orthopedic Surgery | Santa Rosa Orthopaedic Medical Group, Inc. | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 |
| Patricia Hall | Physical Therapy | Santa Rosa Orthopaedic Medical Group, Inc. | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 |
| Neema Pourtaheri | Orthopedic Surgery | Santa Rosa Orthopaedic Medical Group, Inc. | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 |
| Nira L Ray | Physician Assistant | Santa Rosa Orthopaedic Medical Group, Inc. | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 |
| Jennifer L Henshaw-lefever | Physician Assistant | Santa Rosa Orthopaedic Medical Group, Inc. | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 |
| Gary A Stein | Orthopedic Surgery | Santa Rosa Orthopaedic Medical Group, Inc. | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry Marianella | Internal Medicine | 1515 Montgomery Dr, Santa Rosa, CA 95405-4500 | |
| Jean Claude Bassila | Nephrology | 435 Doyle Park Dr, Santa Rosa, CA 95405-4515 | |
| Michael G Carlston | Family Medicine | 427 Doyle Park Dr, Santa Rosa, CA 95405-4515 | |
| Stephen Lee | Nephrology | Santa Rosa Kidney Care PC | 435 Doyle Park Dr, Santa Rosa, CA 95405-4515 |
| Eric Schmidt | Orthopedic Surgery | 525 Doyle Park Dr, Suite 101, Santa Rosa, CA 95405-4516 | |
| Marc E Thorne | Physician Assistant | Eric S Schmidt, Md, Inc | 525 Doyle Park Dr, Santa Rosa, CA 95405-4516 |
| Tomas Vasiliauskas | Cardiovascular Disease (cardiology) | St Joseph Heritage Healthcare | 500 Doyle Park Dr, Santa Rosa, CA 95405-4555 |
| Priscilla T Ngo | Nurse Practitioner | St Joseph Heritage Healthcare | 500 Doyle Park Dr, Suite 303, Santa Rosa, CA 95405-4555 |
| Jaya R Mallidi | Cardiovascular Disease (cardiology) | St Joseph Heritage Healthcare | 500 Doyle Park Dr, Suite G05, Santa Rosa, CA 95405-4555 |
| Marlon C Decastro | Internal Medicine | St Joseph Heritage Healthcare | 500 Doyle Park Dr, Suite 303, Santa Rosa, CA 95405-4555 |
| Find all physicians in zip 95405 | |||
| City | SANTA ROSA |
| Zip Code | 95405 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | SANTA ROSA + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Thomas W Axelrad.
| 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.