Donald R Dossett (NPI# 1649376211, PAC ID# 3971601576) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
Nation Provider ID (NPI) | 1649376211 |
PAC ID by PECOS | 3971601576 |
Professional Enrollment ID | I20070605000569 |
Full Name | Donald R Dossett |
Organization Legal Name | WALL MEDICAL GROUP |
Address |
455 Grand Ave South San Francisco CA 94080-3635 |
Phone Number | 6506361286 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
Graduation Year | 1971 |
Primary Specialty | GENERAL PRACTICE |
Secondary Specialties | OBSTETRICS/GYNECOLOGY |
Group Practice PAC ID | 7315041258 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
455 Grand Ave, South San Francisco, CA 94080-3635 | 6506361286 | WALL MEDICAL GROUP |
Organization Legal Name | WALL MEDICAL GROUP |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Anna Marie B Maagdenberg | Nurse Practitioner | Wall Medical Group | 455 Grand Ave, South San Francisco, CA 94080-3635 |
Luis F Montalvo | Obstetrics/gynecology | Wall Medical Group | 455 Grand Ave, South San Francisco, CA 94080-3635 |
Catherine Marie Wall | Physical Therapy | Wall Medical Group | 455 Grand Ave, South San Francisco, CA 94080-3635 |
Street Address |
455 GRAND AVE |
City | SOUTH SAN FRANCISCO |
State | CA |
Zip | 94080-3635 |
Name | Specialty | Organization | Address |
---|---|---|---|
Anna Marie B Maagdenberg | Nurse Practitioner | Wall Medical Group | 455 Grand Ave, South San Francisco, CA 94080-3635 |
Luis F Montalvo | Obstetrics/gynecology | Wall Medical Group | 455 Grand Ave, South San Francisco, CA 94080-3635 |
Catherine Marie Wall | Physical Therapy | Wall Medical Group | 455 Grand Ave, South San Francisco, CA 94080-3635 |
Name | Specialty | Organization | Address |
---|---|---|---|
Angela Leung | Oral Surgery | 1131 Mission Rd, South San Francisco, CA 94080-1302 | |
Laura Ellen Millender | Radiation Oncology | Permanente Medical Group Inc | 220 Oyster Point Blvd, South San Francisco, CA 94080-1911 |
Jennifer L Brodsky | Nurse Practitioner | County of San Mateo | 825 Southwood Dr, South San Francisco, CA 94080-3106 |
Katherine Ann Manalo | Optometry | 951 El Camino Real, South San Francisco, CA 94080-3203 | |
Avanti Ambekar | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 935 El Camino Real, Suite 101, South San Francisco, CA 94080-3203 |
Rahi Kumar | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 935 El Camino Real, Suite 101, South San Francisco, CA 94080-3203 |
Michael Y Chew | Optometry | 1121 El Camino Real, South San Francisco, CA 94080-3207 | |
Edmond L Schmulbach | Hematology/oncology | Permanente Medical Group Inc | 1200 El Camino Real, South San Francisco, CA 94080-3208 |
James E Johnson | Hand Surgery | Permanente Medical Group Inc | 1200 El Camino Real, South San Francisco, CA 94080-3208 |
Gregory B Summerville | Internal Medicine | Permanente Medical Group Inc | 1200 El Camino Real, South San Francisco, CA 94080-3208 |
Find all physicians in zip 94080 |
City | SOUTH SAN FRANCISCO |
Zip Code | 94080 |
Specialty | GENERAL PRACTICE |
City + Specialty | SOUTH SAN FRANCISCO + GENERAL PRACTICE |
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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.