Eric Todd Birdwell (NPI# 1235320722, PAC ID# 5193815702) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1235320722 |
| PAC ID by PECOS | 5193815702 |
| Professional Enrollment ID | I20071219000886 |
| Full Name | Eric Todd Birdwell |
| Organization Legal Name | WELLSPRING FAMILY MEDICAL GROUP |
| Address |
5850 Thille St Suite 101 Ventura CA 93003-5490 |
| Phone Number | 8056399332 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7810073178 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050394 | COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA |
| Address | Phone | Organization |
|---|---|---|
| 5850 Thille St, Suite 101, Ventura, CA 93003-5490 | 8056399332 | WELLSPRING FAMILY MEDICAL GROUP |
| Organization Legal Name | WELLSPRING FAMILY MEDICAL GROUP |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James E Hermann | Family Medicine | Wellspring Family Medical Group | 5850 Thille St, Suite 101, Ventura, CA 93003-5490 |
| Street Address |
5850 THILLE ST SUITE 101 |
| City | VENTURA |
| State | CA |
| Zip | 93003-5490 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tristin Wesenberg | Chiropractic | 5850 Thille St, Suite 100a, Ventura, CA 93003-5413 | |
| James E Hermann | Family Medicine | Wellspring Family Medical Group | 5850 Thille St, Suite 101, Ventura, CA 93003-5490 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristopher Robert Skromme | Optometry | 801 S Victoria Ave, Suite 206 Two Trees Optometry, Ventura, CA 93003-0401 | |
| Susan M Roney | Nurse Practitioner | 1290 Sunnycrest Ave, Ventura, CA 93003-1213 | |
| Judy S Scott I | Clinical Social Worker | 899 Via Arroyo, Ventura, CA 93003-1318 | |
| Margaret A Peterson | Family Medicine | 2895 Loma Vista Rd E, Ventura, CA 93003-1522 | |
| John Floryan | Optometry | 2895 Loma Vista Rd, A, Ventura, CA 93003-1522 | |
| Lindsay Oliver | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Maria Margarida Guerra Larson | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Michael C Bishop | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Sara E Rodriguez | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Vika Preddy | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Find all physicians in zip 93003 | |||
| City | VENTURA |
| Zip Code | 93003 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | VENTURA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Eric Todd Birdwell.
| 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.