Kennard D Beard (NPI# 1588960694, PAC ID# 5193951416) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1588960694 |
| PAC ID by PECOS | 5193951416 |
| Professional Enrollment ID | I20131115000048 |
| Full Name | Kennard D Beard |
| Organization Legal Name | TEAM PHYSICIANS OF CALIFORNIA MEDICAL GROUP INC |
| Address |
975 S Fairmont Ave Lodi CA 95442-3635 |
| Phone Number | 2093343411 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8224945084 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050336 | LODI MEMORIAL HOSPITAL |
| 050335 | SONORA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 975 S Fairmont Ave, Lodi, CA 95442-3635 | 2093343411 | TEAM PHYSICIANS OF CALIFORNIA MEDICAL GROUP INC |
| Organization Legal Name | TEAM PHYSICIANS OF CALIFORNIA MEDICAL GROUP INC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evan A Rusoja | Emergency Medicine | Team Physicians of California Medical Group Inc | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| John R Walter | Emergency Medicine | Team Physicians of California Medical Group Inc | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| David L Riggs Jr. | Emergency Medicine | Team Physicians of California Medical Group Inc | 1401 Garces Hwy, Delano, CA 93215-3660 |
| Karen Lynn Murrell | Emergency Medicine | Team Physicians of California Medical Group Inc | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| Jonathan Gelber | Emergency Medicine | Team Physicians of California Medical Group Inc | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| Raymond A Dewri | Emergency Medicine | Team Physicians of California Medical Group Inc | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| Chad Edward Mccarthy | Emergency Medicine | Team Physicians of California Medical Group Inc | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| Jatinder S Kajla | Emergency Medicine | Team Physicians of California Medical Group Inc | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| Hannah H Siroker | Emergency Medicine | Team Physicians of California Medical Group Inc | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| Michael A Freeto | Emergency Medicine | Team Physicians of California Medical Group Inc | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| Street Address |
975 S FAIRMONT AVE |
| City | LODI |
| State | CA |
| Zip | 95442-3635 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evan A Rusoja | Emergency Medicine | Team Physicians of California Medical Group Inc | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| Raman S Grewal | Anesthesiology | Cep America - Anesthesia PC | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| Phillip N Ruhl | Anesthesiology | Cep America - Anesthesia PC | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| Ranganathan G Madhavan | Internal Medicine | Lodi Memorial Hospital Association Inc | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| Vivian T Kim | Anesthesiology | Cep America - Anesthesia PC | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| Scott Stewart Patrick | Anesthesiology | Cep America - Anesthesia PC | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| Juliene C Gentry | Internal Medicine | Lodi Memorial Hospital Association Inc | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| Grant W Rogero | Diagnostic Radiology | Delta Radiology Inc | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| David W Krivan | Anesthesiology | Cep America - Anesthesia PC | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| Onkar Judge | Anesthesiology | Cep America - Anesthesia PC | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Barnes | Emergency Medicine | Team Physicians of California Medical Group Inc | 975 S Fairmont Ave, Lodi, CA 95442-3635 |
| Shelley E Luephang | Physician Assistant | Team Physicians of California Medical Group Inc | 975 S Fairmont Ave, Lodi, CA 95442-3635 |
| John Joseph Skratt | Emergency Medicine | Team Physicians of California Medical Group Inc | 975 S Fairmont Ave, Lodi, CA 95442-3635 |
| Kevin E Rabey | Emergency Medicine | Team Physicians of California Medical Group Inc | 975 S Fairmont Ave, Lodi, CA 95442-3635 |
| Tully Rfj Wiedman | Emergency Medicine | Team Physicians of California Medical Group Inc | 975 S Fairmont Ave, Lodi, CA 95442-3635 |
| Christine T Mcdavit | Emergency Medicine | Team Physicians of California Medical Group Inc | 975 S Fairmont Ave, Lodi, CA 95442-3635 |
| Brian M Thompson | Physician Assistant | Team Physicians of California Medical Group Inc | 975 S Fairmont Ave, Lodi, CA 95442-3635 |
| Christopher W Perry | Physician Assistant | Team Physicians of California Medical Group Inc | 975 S Fairmont Ave, Lodi, CA 95442-3635 |
| Robert W Thrailkill | Internal Medicine | Team Physicians of California Medical Group Inc | 975 S Fairmont Ave, Lodi, CA 95442-3635 |
| Kevin James Donaghy | Emergency Medicine | Team Physicians of California Medical Group Inc | 975 S Fairmont Ave, Lodi, CA 95442-3635 |
| Find all physicians in zip 95442 | |||
| City | LODI |
| Zip Code | 95442 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LODI + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kennard D Beard.
| 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.