Mary E Andich (NPI# 1093222408, PAC ID# 6002146107) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1093222408 |
| PAC ID by PECOS | 6002146107 |
| Professional Enrollment ID | I20191002001449 |
| Full Name | Mary E Andich |
| Organization Legal Name | SAN FRANCISCO EMERGENCY MEDICAL |
| Address |
5176 Hill Rd E Lakeport CA 95453-6300 |
| Phone Number | 7072625000 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5698662518 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050291 | SUTTER SANTA ROSA REGIONAL HOSPITAL |
| 051329 | SUTTER LAKESIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5176 Hill Rd E, Lakeport, CA 95453-6300 | 7072625000 | SAN FRANCISCO EMERGENCY MEDICAL |
| Organization Legal Name | SAN FRANCISCO EMERGENCY MEDICAL |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anand G Nataraj | Emergency Medicine | San Francisco Emergency Medical | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| Tiffany D Joe | Emergency Medicine | San Francisco Emergency Medical | 1101 Van Ness Ave, San Francisco, CA 94109-6919 |
| Tamal Roy | Emergency Medicine | San Francisco Emergency Medical | 3555 Cesar Chavez, San Francisco, CA 94110-4403 |
| Thomas R Dalton | Emergency Medicine | San Francisco Emergency Medical | 1101 Van Ness Ave, San Francisco, CA 94109-6919 |
| Matthew S Karp | Emergency Medicine | San Francisco Emergency Medical | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| Markus T Leong | Emergency Medicine | San Francisco Emergency Medical | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| Derrick K Pelton | Nurse Practitioner | San Francisco Emergency Medical | 30 Mark W Springs Rd, Santa Rosa, CA 95403-1436 |
| Craig S Cohen | Emergency Medicine | San Francisco Emergency Medical | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| John W Loewen | Emergency Medicine | San Francisco Emergency Medical | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| Jotham K Gikuhi | Nurse Practitioner | San Francisco Emergency Medical | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| Street Address |
5176 HILL RD E |
| City | LAKEPORT |
| State | CA |
| Zip | 95453-6300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria W House | General Surgery | Surgical Affiliates of California | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| Anand G Nataraj | Emergency Medicine | San Francisco Emergency Medical | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| David Ray Racker | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| John Alvar Sundin | General Surgery | Sutter Bay Hospitals | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| Naveen Maramreddy | Hospitalist | Farallon Inpatient Medical Group Inc | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| Amanda L Smithers | Physician Assistant | Sutter Bay Hospitals | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| Tony D Veletto | Internal Medicine | Farallon Inpatient Medical Group Inc | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| Jean Pierre Phancao | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| Thomas L Lawson | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| William Davis Duge | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Alwyn Jameson | Chiropractic | 930 11th St, Lakeport, CA 95453-4104 | |
| Geoffrey L Rice | Ophthalmology | Ukiah Adventist Hospital | 475 N Forbes St, Lakeport, CA 95453-4725 |
| Joanne M Lamonica | Urology | Ukiah Adventist Hospital | 475 N Forbes St, Lakeport, CA 95453-4725 |
| Randall E Woesner | Ophthalmology | Ukiah Adventist Hospital | 475 N Forbes St, Lakeport, CA 95453-4725 |
| Alanna Lee Wargula | Podiatry | Parkview Podiatry | 175 Park St, Lakeport, CA 95453-4803 |
| Katherine Andre | Psychologist, Clinical | 75 4th St, Lakeport, CA 95453-4804 | |
| Allison Jill Aclufi | Clinical Psychologist | 380 N Main St J, Lakeport, CA 95453-4845 | |
| Erin Alice Dailey | Psychologist, Clinical | 149 N Main St, Suite 200, Lakeport, CA 95453-4846 | |
| Mark L Buehnerkemper | Optometry | 120 S Main St, Lakeport, CA 95453-5017 | |
| David L Browning | Optometry | 225 S Main St, Lakeport, CA 95453-5018 | |
| Find all physicians in zip 95453 | |||
| City | LAKEPORT |
| Zip Code | 95453 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAKEPORT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary E Andich.
| 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.