John T Mcmahan (NPI# 1518910272, PAC ID# 5991789133) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1518910272 |
| PAC ID by PECOS | 5991789133 |
| Professional Enrollment ID | I20191022001841 |
| Full Name | John T Mcmahan |
| Organization Legal Name | ENT MEDICAL AND SURGICAL CARE A PROFESSIONAL CORPORATION |
| Address |
100 Casa St Suite B San Luis Obispo CA 93405-8803 |
| Phone Number | 8054393250 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 8820338783 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140242 | CENTRAL DUPAGE HOSPITAL |
| 050506 | SIERRA VISTA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 100 Casa St, Suite B, San Luis Obispo, CA 93405-8803 | 8054393250 | ENT MEDICAL AND SURGICAL CARE A PROFESSIONAL CORPORATION |
| Organization Legal Name | ENT MEDICAL AND SURGICAL CARE A PROFESSIONAL CORPORATION |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Levin | Otolaryngology | Ent Medical and Surgical Care A Professional Corporation | 100 Casa St, Suite B, San Luis Obispo, CA 93405-8803 |
| Street Address |
100 CASA ST SUITE B |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip | 93405-8803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Levin | Otolaryngology | Ent Medical and Surgical Care A Professional Corporation | 100 Casa St, Suite B, San Luis Obispo, CA 93405-8803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William F D Ambruoso | Internal Medicine | 179 Twin Ridge Rd, San Luis Obispo, CA 93405 | |
| Amanda Michelle Parreira | Optometry | 894 Meinecke Ave A, San Luis Obispo, CA 93405-1790 | |
| Tyrone G Mcsorley | Physical Therapy | 894 Meinecke Ave, Suite B, San Luis Obispo, CA 93405-1791 | |
| Julie L Mcsorley | Physical Therapy | 894 Meinecke Ave, Suite B, San Luis Obispo, CA 93405-1791 | |
| Harold D Segal | Neurosurgery | 140 Casa St, San Luis Obispo, CA 93405-1804 | |
| Gayle S Cekada | Internal Medicine | 184 Casa St, San Luis Obispo, CA 93405-1804 | |
| Stephen A Hilty | Internal Medicine | 148 Casa St, San Luis Obispo, CA 93405-1804 | |
| Eric W Dunlop | General Practice | 148 Casa St, San Luis Obispo, CA 93405-1804 | |
| Ginger Christianne Cochran | Registered Dietitian Or Nutrition Professional | 148 Casa St, San Luis Obispo, CA 93405-1804 | |
| Kristina N Dilworth | Nurse Practitioner | First Choice Physician Partners | 1064 Murray Ave, San Luis Obispo, CA 93405-1806 |
| Find all physicians in zip 93405 | |||
| City | SAN LUIS OBISPO |
| Zip Code | 93405 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SAN LUIS OBISPO + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on John T Mcmahan.
| 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.