Lora L Grutkowski (NPI# 1134280464, PAC ID# 3476732140) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED CLINICAL NURSE SPECIALIST (CNS).
Nation Provider ID (NPI) | 1134280464 |
PAC ID by PECOS | 3476732140 |
Professional Enrollment ID | I20110126001160 |
Full Name | Lora L Grutkowski |
Organization Legal Name | WESTERN SIERRA MEDICAL CLINIC INC. |
Address |
209 Nevada St Downieville CA 95936 |
Phone Number | 5302893298 |
Gender | F |
Graduation Year | 2008 |
Primary Specialty | CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
Group Practice PAC ID | 3971571217 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050150 | SIERRA NEVADA MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
209 Nevada St, Downieville, CA 95936 | 5302893298 | WESTERN SIERRA MEDICAL CLINIC INC. |
Organization Legal Name | WESTERN SIERRA MEDICAL CLINIC INC. |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sharon E Mc Intyre | Family Medicine | Western Sierra Medical Clinic Inc. | 844 Old Tunnel Rd, Grass Valley, CA 95945-8524 |
David Susumu Narita | Family Medicine | Western Sierra Medical Clinic Inc. | 844 Old Tunnel Rd, Grass Valley, CA 95945-8524 |
Christina Lynn Lasich | Physical Medicine and Rehabilitation | Western Sierra Medical Clinic Inc. | 844 Old Tunnel Rd, Grass Valley, CA 95945-8524 |
Zarlasht Fakiri | Internal Medicine | Western Sierra Medical Clinic Inc. | 844 Old Tunnel Rd, Grass Valley, CA 95945-8524 |
Monte W Penner | General Practice | Western Sierra Medical Clinic Inc. | 844 Old Tunnel Rd, Grass Valley, CA 95945-8524 |
Michael R Darius | Physician Assistant | Western Sierra Medical Clinic Inc. | 844 Old Tunnel Rd, Grass Valley, CA 95945-8524 |
Street Address |
209 NEVADA ST |
City | DOWNIEVILLE |
State | CA |
Zip | 95936 |
City | DOWNIEVILLE |
Zip Code | 95936 |
Specialty | CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
City + Specialty | DOWNIEVILLE + CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
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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.