Micah Weller (NPI# 1629514153, PAC ID# 5799057048) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1629514153 |
| PAC ID by PECOS | 5799057048 |
| Professional Enrollment ID | I20170821002584 |
| Full Name | Micah Weller |
| Organization Legal Name | SOUTHERN CALIFORNIA EMERGENCY MEDICINE |
| Address |
301 W Redlands Blvd Redlands CA 92373-4633 |
| Phone Number | 9093351900 |
| Gender | M |
| Medical School | WESTERN UNIV OF HEALTH SCIENCES COL OF DENTAL MED, POMONA CA |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8628128196 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 301 W Redlands Blvd, Redlands, CA 92373-4633 | 9093351900 | SOUTHERN CALIFORNIA EMERGENCY MEDICINE |
| Organization Legal Name | SOUTHERN CALIFORNIA EMERGENCY MEDICINE |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelley Hasselman | Nurse Practitioner | Southern California Emergency Medicine | 301 W Redlands Blvd, Redlands, CA 92373-4633 |
| Travis Cruz | Physician Assistant | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| Eric Song | Physician Assistant | Southern California Emergency Medicine | 1181 S Mount Vernon Ave, Colton, CA 92324-4208 |
| John Christian Fox | Emergency Medicine | Southern California Emergency Medicine | 1295 Hamner Ave, Suite C, Norco, CA 92860-3161 |
| Kevin Morris | Physician Assistant | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| Nicholas M Walther | Physician Assistant | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| Anthony M Pinner | Physician Assistant | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| Lesley Laird | Physician Assistant | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| Christie Smirl | Nurse Practitioner | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| Willie Rivera Landeros | Physician Assistant | Southern California Emergency Medicine | 301 W Redlands Blvd, Redlands, CA 92373-4633 |
| Street Address |
301 W REDLANDS BLVD |
| City | REDLANDS |
| State | CA |
| Zip | 92373-4633 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelley Hasselman | Nurse Practitioner | Southern California Emergency Medicine | 301 W Redlands Blvd, Redlands, CA 92373-4633 |
| Willie Rivera Landeros | Physician Assistant | Southern California Emergency Medicine | 301 W Redlands Blvd, Redlands, CA 92373-4633 |
| Alina Seratt | Physician Assistant | Southern California Emergency Medicine | 301 W Redlands Blvd, Redlands, CA 92373-4633 |
| Jamie Cheree Macknet | Nurse Practitioner | Southern California Emergency Medicine | 301 W Redlands Blvd, Redlands, CA 92373-4633 |
| Alexandros J Pavlides | Physician Assistant | Southern California Emergency Medicine | 301 W Redlands Blvd, Redlands, CA 92373-4633 |
| Michael Zoerb | Physician Assistant | Southern California Emergency Medicine | 301 W Redlands Blvd, Redlands, CA 92373-4633 |
| Alvaro J Quintana | Physician Assistant | Southern California Emergency Medicine | 301 W Redlands Blvd, Redlands, CA 92373-4633 |
| Marie Mency | Nurse Practitioner | Southern California Emergency Medicine | 301 W Redlands Blvd, Redlands, CA 92373-4633 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William G Roth | Psychologist, Clinical | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Maria A Arellano Piedra | Psychologist, Clinical | Loma Linda University Behavioral Medicine Center, Inc. | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Esther R Youngman | Clinical Social Worker | Loma Linda University Behavioral Medicine Center, Inc. | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Cameron J Johnson | Psychiatry | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Roger Wenger | Psychologist, Clinical | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| William Murdoch | Psychiatry | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Melissa J Pereau | Psychiatry | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Pharez Dishon Rolle | Psychiatry | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Loren C King | Psychologist, Clinical | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Adam Lapree Arechiga | Psychologist, Clinical | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Find all physicians in zip 92373 | |||
| City | REDLANDS |
| Zip Code | 92373 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | REDLANDS + 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.