Robert M Marcus (NPI# 1700856341, PAC ID# 3476457391) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1700856341 |
| PAC ID by PECOS | 3476457391 |
| Professional Enrollment ID | I20040216001334 |
| Full Name | Robert M Marcus |
| Organization Legal Name | LITTLE COMPANY OF MARY ANCILLARY SERVICE CORPORATION |
| Address |
3531 Fashion Way Torrance CA 90503-4807 |
| Phone Number | 3103162424 |
| Gender | M |
| Credential | MD |
| Medical School | CORNELL UNIVERSITY MEDICAL COLLEGE |
| Graduation Year | 1976 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 5991793200 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050353 | PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE |
| 050078 | PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO |
| Address | Phone | Organization |
|---|---|---|
| 1300 W 7th St, San Pedro, CA 90732-3505 | 3105145410 | ADVANCED IMAGING OF SOUTH BAY, INC. |
| 3531 Fashion Way, Torrance, CA 90503-4807 | 3103162424 | LITTLE COMPANY OF MARY ANCILLARY SERVICE CORPORATION |
| 4101 Torrance Blvd, Torrance, CA 90503-4607 | 3103035750 | ADVANCED IMAGING OF SOUTH BAY, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 92% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 92% |
| Organization Legal Name | LITTLE COMPANY OF MARY ANCILLARY SERVICE CORPORATION |
| Physicians | 1 |
| Street Address |
3531 FASHION WAY |
| City | TORRANCE |
| State | CA |
| Zip | 90503-4807 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jared G Baker | Nurse Practitioner | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Jorge T Vournas | Emergency Medicine | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Leonardo N Rodriguez | Emergency Medicine | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Stefanie W Uechi | Nurse Practitioner | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Mona Marcella Colianno | Emergency Medicine | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| John G Wallace Jr. | Emergency Medicine | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Amber L Leonard | Nurse Practitioner | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Eugene B Baldridge | Emergency Medicine | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Brianne A Shoji | Nurse Practitioner | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Evelyn G Lee | Emergency Medicine | Emergency Specialist Physicians Medical Associates, Inc | 4101 Torrance Bl, Torrance, CA 90503 |
| Find all physicians in zip 90503 | |||
| City | TORRANCE |
| Zip Code | 90503 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | TORRANCE + DIAGNOSTIC RADIOLOGY |
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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.