Thomas R Feiertag (NPI# 1750450110, PAC ID# 4688719073) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1750450110 |
| PAC ID by PECOS | 4688719073 |
| Professional Enrollment ID | I20100310000429 |
| Full Name | Thomas R Feiertag |
| Organization Legal Name | MENDOCINO COMMUNITY HEALTH CLINIC, INC. |
| Address |
333 Laws Ave Ukiah CA 95482-6540 |
| Phone Number | 7074681010 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6305755455 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050301 | ADVENTIST HEALTH UKIAH VALLEY |
| Address | Phone | Organization |
|---|---|---|
| 333 Laws Ave, Ukiah, CA 95482-6540 | 7074681010 | MENDOCINO COMMUNITY HEALTH CLINIC, INC. |
| Organization Legal Name | MENDOCINO COMMUNITY HEALTH CLINIC, INC. |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annunziata Jp Van Voorne | Clinical Social Worker | Mendocino Community Health Clinic, Inc. | 5335 Lakeshore Blvd, Lakeport, CA 95453-6123 |
| Guy R Teran | Internal Medicine | Mendocino Community Health Clinic, Inc. | 333 Laws Ave, Ukiah, CA 95482-6540 |
| Adwoa A Christy | Obstetrics/gynecology | Mendocino Community Health Clinic, Inc. | 45 Hazel St, Willits, CA 95490-4222 |
| Liliane Robison | Nurse Practitioner | Mendocino Community Health Clinic, Inc. | 333 Laws Ave, Ukiah, CA 95482-6540 |
| Laurence W Hartley | Obstetrics/gynecology | Mendocino Community Health Clinic, Inc. | 333 Laws Ave, Ukiah, CA 95482-6540 |
| Karin F Hudson | Psychologist, Clinical | Mendocino Community Health Clinic, Inc. | 5335 Lakeshore Blvd, Lakeport, CA 95453-6123 |
| Paul M Hupp | Physician Assistant | Mendocino Community Health Clinic, Inc. | 333 Laws Ave, Ukiah, CA 95482-6540 |
| Cayo K Alba | Certified Nurse Midwife (cnm) | Mendocino Community Health Clinic, Inc. | 333 Laws Ave, Ukiah, CA 95482-6540 |
| Christopher N Ayeko | Nurse Practitioner | Mendocino Community Health Clinic, Inc. | 5335 Lakeshore Blvd, Lakeport, CA 95453-6123 |
| Erika Gary | Nurse Practitioner | Mendocino Community Health Clinic, Inc. | 333 Laws Ave, Ukiah, CA 95482-6540 |
| Street Address |
333 LAWS AVE |
| City | UKIAH |
| State | CA |
| Zip | 95482-6540 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Guy R Teran | Internal Medicine | Mendocino Community Health Clinic, Inc. | 333 Laws Ave, Ukiah, CA 95482-6540 |
| Liliane Robison | Nurse Practitioner | Mendocino Community Health Clinic, Inc. | 333 Laws Ave, Ukiah, CA 95482-6540 |
| Laurence W Hartley | Obstetrics/gynecology | Mendocino Community Health Clinic, Inc. | 333 Laws Ave, Ukiah, CA 95482-6540 |
| Paul M Hupp | Physician Assistant | Mendocino Community Health Clinic, Inc. | 333 Laws Ave, Ukiah, CA 95482-6540 |
| Cayo K Alba | Certified Nurse Midwife (cnm) | Mendocino Community Health Clinic, Inc. | 333 Laws Ave, Ukiah, CA 95482-6540 |
| Erika Gary | Nurse Practitioner | Mendocino Community Health Clinic, Inc. | 333 Laws Ave, Ukiah, CA 95482-6540 |
| Xochilt J Morales De Martinez | Nurse Practitioner | Mendocino Community Health Clinic, Inc. | 333 Laws Ave, Ukiah, CA 95482-6540 |
| Grace A Ivey | Clinical Social Worker | Mendocino Community Health Clinic, Inc. | 333 Laws Ave, Ukiah, CA 95482-6540 |
| Jerry E Douglas | Family Medicine | Mendocino Community Health Clinic, Inc. | 333 Laws Ave, Ukiah, CA 95482-6540 |
| Cheryl R Wantland | Clinical Social Worker | Mendocino Community Health Clinic, Inc. | 333 Laws Ave, Ukiah, CA 95482-6540 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard Andrew Coren | Family Medicine | Adventist Health Physicians Network | 1050 N State St, Ukiah, CA 95482-3414 |
| Janis Woesner | Nurse Practitioner | Adventist Health Physicians Network | 1050 N State St, Ukiah, CA 95482-3414 |
| Vincent P Valente | Obstetrics/gynecology | Ukiah Valley Primary Care Medical Group, Inc | 1050 N State St, Ukiah, CA 95482-3414 |
| Christine J Miller | Chiropractic | 101 W Church St, Suite 3, Ukiah, CA 95482-3615 | |
| Brenda Flynn Clark | Clinical Social Worker | 601 N State St, Brenda Flynn Clark Psychotherapy, Ukiah, CA 95482-4026 | |
| Laura M Mares | Clinical Social Worker | 359 N Oak St, Ukiah, CA 95482-4302 | |
| Marilyn K Gilbreath | Optometry | Gilbreath and Park Optometry Inc. | 102 Scott St, Ukiah, CA 95482-4316 |
| Sara C Stark | Clinical Psychologist | 406 W Standley St, Ukiah, CA 95482-4348 | |
| Lee Howard Vagt | Chiropractic | 461 N State St, Ukiah, CA 95482-4421 | |
| Georgina L Calderon | Emergency Medicine | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Find all physicians in zip 95482 | |||
| City | UKIAH |
| Zip Code | 95482 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | UKIAH + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Thomas R Feiertag.
| 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.