Susan M Ultsch (NPI# 1215050505, PAC ID# 5395009625) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is QUALIFIED SPEECH LANGUAGE PATHOLOGIST.
| Nation Provider ID (NPI) | 1215050505 |
| PAC ID by PECOS | 5395009625 |
| Professional Enrollment ID | I20180514000946 |
| Full Name | Susan M Ultsch |
| Organization Legal Name | VILLAGE HEALTH SERVICES LLC |
| Address |
100 Thorndale Dr San Rafael CA 94903-4501 |
| Phone Number | 4158917929 |
| Gender | F |
| Graduation Year | 1987 |
| Primary Specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
| Group Practice PAC ID | 2567726987 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 40 Camino Alto, Mill Valley, CA 94941-2956 | 4153832741 | REHAB ALLIANCE |
| 100 Thorndale Dr, San Rafael, CA 94903-4501 | 4158917929 | VILLAGE HEALTH SERVICES LLC |
| Organization Legal Name | VILLAGE HEALTH SERVICES LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eda Louise Bankie | Physical Therapy | Village Health Services LLC | 100 Thorndale Dr, San Rafael, CA 94903-4501 |
| Lisa S Carle | Occupational Therapy | Village Health Services LLC | 100 Thorndale Dr, San Rafael, CA 94903-4501 |
| Lauren Vreeland-long | Physical Therapy | Village Health Services LLC | 100 Thorndale Dr, San Rafael, CA 94903-4501 |
| Street Address |
100 THORNDALE DR |
| City | SAN RAFAEL |
| State | CA |
| Zip | 94903-4501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley Glenn Jann | Podiatry | 100 Thorndale Dr, San Rafael, CA 94903-4501 | |
| Eda Louise Bankie | Physical Therapy | Village Health Services LLC | 100 Thorndale Dr, San Rafael, CA 94903-4501 |
| Lisa S Carle | Occupational Therapy | Village Health Services LLC | 100 Thorndale Dr, San Rafael, CA 94903-4501 |
| Lauren Vreeland-long | Physical Therapy | Village Health Services LLC | 100 Thorndale Dr, San Rafael, CA 94903-4501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele E Saloner | Psychologist, Clinical | 120 El Capitan Dr, San Rafael, CA 94903-1003 | |
| Thomas Isaacs | Psychologist, Clinical | 7 Mount Lassen Dr, C252, San Rafael, CA 94903-1154 | |
| Angela M Savelli | Physical Therapy | Marin Individual Practice Association | 1401 Los Gamos Dr, Suite 140, San Rafael, CA 94903-1832 |
| Nicholas A Verville | Physical Therapy | Marin Individual Practice Association | 1401 Los Gamos Dr, Suite 140, San Rafael, CA 94903-1832 |
| Stewart Lin | Physical Therapy | Marin Individual Practice Association | 1401 Los Gamos Dr, Suite 140, San Rafael, CA 94903-1832 |
| Marci A Silverberg | Physical Therapy | Marin Individual Practice Association | 1401 Los Gamos Dr, Suite 140, San Rafael, CA 94903-1832 |
| Krishna Wittman | Physical Therapy | Marin Individual Practice Association | 1401 Los Gamos Dr, Suite 140, San Rafael, CA 94903-1832 |
| Mona Collado Ferrer-kaw | Psychiatry | Permanente Medical Group Inc | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 |
| Stacey A Clemenceau | Psychologist, Clinical | Permanente Medical Group Inc | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 |
| Brandi R Marcaletti | Psychologist, Clinical | Permanente Medical Group Inc | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 |
| Find all physicians in zip 94903 | |||
| City | SAN RAFAEL |
| Zip Code | 94903 |
| Specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
| City + Specialty | SAN RAFAEL + QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
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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.