Carol Ann Wiley (NPI# 1508848177, PAC ID# 5395718068) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1508848177 |
| PAC ID by PECOS | 5395718068 |
| Professional Enrollment ID | I20040819000776 |
| Full Name | Carol Ann Wiley |
| Organization Legal Name | TUOLUMNE ME-WUK INDIAN HEALTH CENTER, INC. |
| Address |
22044 Cedar Rd Sonora CA 95370 |
| Phone Number | 2095320034 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1994 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6507816386 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050335 | ADVENTIST HEALTH SONORA |
| Address | Phone | Organization |
|---|---|---|
| 22044 Cedar Rd, Sonora, CA 95370 | 2095320034 | TUOLUMNE ME-WUK INDIAN HEALTH CENTER, INC. |
| 18880 Cherry Valley Blvd, Tuolumne, CA 95379-9506 | 2099285453 | TUOLUMNE ME-WUK INDIAN HEALTH CENTER, INC. |
| Organization Legal Name | TUOLUMNE ME-WUK INDIAN HEALTH CENTER, INC. |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah L Goreham | Nurse Practitioner | Tuolumne Me-wuk Indian Health Center, Inc. | 22044 Cedar Rd, Sonora, CA 95370 |
| Charles I Hooper | Family Practice | Tuolumne Me-wuk Indian Health Center, Inc. | 19969 Greenley Rd, Sonora, CA 95370-5908 |
| Shayna Murdock | Family Medicine | Tuolumne Me-wuk Indian Health Center, Inc. | 18880 Cherry Valley Blvd, Tuolumne, CA 95379-9506 |
| Nathaniel Methot | Nurse Practitioner | Tuolumne Me-wuk Indian Health Center, Inc. | 22044 Cedar Rd, Sonora, CA 95370 |
| Cassandra B Blackwell | Physician Assistant | Tuolumne Me-wuk Indian Health Center, Inc. | 18880 Cherry Valley Blvd, Tuolumne, CA 95379-9506 |
| Jerald Martin Westendorf | Nurse Practitioner | Tuolumne Me-wuk Indian Health Center, Inc. | 18880 Cherry Valley Blvd, Tuolumne, CA 95379-9506 |
| Robert B Hoffman | Nurse Practitioner | Tuolumne Me-wuk Indian Health Center, Inc. | 18880 Cherry Valley Blvd, Tuolumne, CA 95379-9506 |
| Rebecca A Vierra-brick | Nurse Practitioner | Tuolumne Me-wuk Indian Health Center, Inc. | 18880 Cherry Valley Blvd, Tuolumne, CA 95379-9506 |
| Maureen M Regan | Internal Medicine | Tuolumne Me-wuk Indian Health Center, Inc. | 18880 Cherry Valley Blvd, Tuolumne, CA 95379-9506 |
| Eleanor F Lo | Internal Medicine | Tuolumne Me-wuk Indian Health Center, Inc. | 22044 Cedar Rd, Sonora, CA 95370 |
| Street Address |
22044 CEDAR RD |
| City | SONORA |
| State | CA |
| Zip | 95370 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah L Goreham | Nurse Practitioner | Tuolumne Me-wuk Indian Health Center, Inc. | 22044 Cedar Rd, Sonora, CA 95370 |
| Nathaniel Methot | Nurse Practitioner | Tuolumne Me-wuk Indian Health Center, Inc. | 22044 Cedar Rd, Sonora, CA 95370 |
| Eleanor F Lo | Internal Medicine | Tuolumne Me-wuk Indian Health Center, Inc. | 22044 Cedar Rd, Sonora, CA 95370 |
| Megan Mary Greenberg | Nurse Practitioner | Tuolumne Me-wuk Indian Health Center, Inc. | 22044 Cedar Rd, Sonora, CA 95370 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nagui N Sorour | General Surgery | Adventist Health Physicians Network | 729 Pauline Court, Sonora, CA 95370 |
| Ariana M Demers | Orthopedic Surgery | 13949 Mono Way, Sonora, CA 95370-2807 | |
| Peter A Shumway | Optometry | 13923 Mono Way, Sonora, CA 95370-2807 | |
| Daljit Kaur Bagha | Family Medicine | Mact Health Board Inc. | 13975 Mono Way, Suite G, Sonora, CA 95370-2824 |
| Alejandro Abarca | Clinical Social Worker | Mact Health Board Inc. | 13975 Mono Way, Suite G, Sonora, CA 95370-2824 |
| Janet Louise Black | Clinical Social Worker | Mact Health Board Inc. | 13975 Mono Way, Suite G, Sonora, CA 95370-2824 |
| Mikla N Derlet | Pediatric Medicine | Mact Health Board Inc. | 13975 Mono Way, Suite G, Sonora, CA 95370-2824 |
| Timothy D Hooper | General Practice | 13951 Mono Way A, Sonora, CA 95370-2830 | |
| Michael Robert Moffat | Chiropractic | Foothill Chiropractic Corp | 13955 Mono Way, Suite A, Sonora, CA 95370-2833 |
| Erik Frederiksen | Chiropractic | Foothill Chiropractic Corp | 13955 Mono Way, Suite A, Sonora, CA 95370-2833 |
| Find all physicians in zip 95370 | |||
| City | SONORA |
| Zip Code | 95370 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SONORA + NURSE PRACTITIONER |
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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.