Jordan M Usunov (NPI# 1609939099, PAC ID# 4688761588) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1609939099 |
| PAC ID by PECOS | 4688761588 |
| Professional Enrollment ID | I20071024000358 |
| Full Name | Jordan M Usunov |
| Address |
1540 N Tracy Blvd A Tracy CA 95376-2903 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050313 | SUTTER TRACY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1540 N Tracy Blvd A, Tracy, CA 95376-2903 |
| Street Address |
1540 N TRACY BLVD A |
| City | TRACY |
| State | CA |
| Zip | 95376-2903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitchell Lee Seitz Sr. | Internal Medicine | 632 W Eleventh St, Suite 111, Tracy, CA 95376 | |
| Ralph D Andrade | Chiropractic | 2754 N Tracy Blvd, Andrade Chiropractic, Tracy, CA 95376-1797 | |
| Charles Sperbeck | Chiropractic | 1770 N Tracy Blvd, Suite B, Tracy, CA 95376-2428 | |
| Lynn R Frigard | Chiropractic | 404 W Grant Line Rd, Tracy, CA 95376-2550 | |
| Duc C Nguyen | General Surgery | 1546 N Tracy Blvd, Tracy, CA 95376-2903 | |
| Robert M Marlowe | Chiropractic | 1525 N Tracy Blvd, Tracy, CA 95376-2936 | |
| Donald Ringer | Chiropractic | 1525 N Tracy Blvd, Tracy, CA 95376-2936 | |
| Michael W Colburn | Podiatry | For Feet Sake Podiatry Group, Inc. | 1521 Bessie Ave, Tracy, CA 95376-3004 |
| Sireesha Battula | Podiatry | For Feet Sake Podiatry Group, Inc. | 1521 Bessie Ave, Tracy, CA 95376-3004 |
| Johannes F Garrido | Chiropractic | 438 W Beverly Pl, Suite 101, Tracy, CA 95376-3011 | |
| Find all physicians in zip 95376 | |||
| City | TRACY |
| Zip Code | 95376 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | TRACY + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Jordan M Usunov.
| 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.