Ellen Barnett (NPI# 1184778094, PAC ID# 5395737852) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1184778094 |
| PAC ID by PECOS | 5395737852 |
| Professional Enrollment ID | I20041012001384 |
| Full Name | Ellen Barnett |
| Organization Legal Name | INTEGRATIVE MEDICAL CLINIC OF SANTA ROSA, A PROFESSIONAL CORPORATION |
| Address |
175 Concourse Blvd Santa Rosa CA 95403-8217 |
| Phone Number | 7072849200 |
| Gender | F |
| Credential | MD |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1153313119 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050174 | SANTA ROSA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 7072849200 | INTEGRATIVE MEDICAL CLINIC OF SANTA ROSA, A PROFESSIONAL CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | INTEGRATIVE MEDICAL CLINIC OF SANTA ROSA, A PROFESSIONAL CORPORATION |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert B Dozor | Family Medicine | Integrative Medical Clinic of Santa Rosa, A Professional Corporation | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 |
| Street Address |
175 CONCOURSE BLVD |
| City | SANTA ROSA |
| State | CA |
| Zip | 95403-8217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles R Pettit | Otolaryngology | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | |
| Frank R Wilbur | Chiropractic | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | |
| Tess M Lusher | Psychiatry | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | |
| Robert B Dozor | Family Medicine | Integrative Medical Clinic of Santa Rosa, A Professional Corporation | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maayan E Lieberman | Psychiatry | Permanente Medical Group Inc | 3554 Round Barn Blvd, Santa Rosa, CA 95403-0929 |
| Anthony K Boyce | Family Medicine | Permanente Medical Group Inc | 3554 Round Barn Blvd, Santa Rosa, CA 95403-0929 |
| Elisabeth H Brittell | Psychologist, Clinical | Permanente Medical Group Inc | 3554 Round Barn Blvd, Santa Rosa, CA 95403-0929 |
| Olga G Sokolova | Psychiatry | Permanente Medical Group Inc | 3554 Round Barn Blvd, Santa Rosa, CA 95403-0929 |
| Christine L Bilbrey | Psychiatry | Permanente Medical Group Inc | 3554 Round Barn Blvd, Santa Rosa, CA 95403-0929 |
| Fredysha S Mcdaniel | Psychiatry | Permanente Medical Group Inc | 3554 Round Barn Blvd, Santa Rosa, CA 95403-0929 |
| Emily L Porch | Psychiatry | Permanente Medical Group Inc | 3554 Round Barn Blvd, Santa Rosa, CA 95403-0929 |
| Armand Braun | Psychiatry | Permanente Medical Group Inc | 3554 Round Barn Blvd, Santa Rosa, CA 95403-0929 |
| Sonya M Kelly | Psychologist, Clinical | 3558 Round Barn Blvd, Suite 200, Santa Rosa, CA 95403-0991 | |
| Alison B Valdovinos | Clinical Psychologist | 3558 Round Barn Blvd, Santa Rosa, CA 95403-0991 | |
| Find all physicians in zip 95403 | |||
| City | SANTA ROSA |
| Zip Code | 95403 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SANTA ROSA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ellen Barnett.
| 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.