Caroline D Andersen (NPI# 1669755682, PAC ID# 6305018201) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1669755682 |
| PAC ID by PECOS | 6305018201 |
| Professional Enrollment ID | I20111019000698 |
| Full Name | Caroline D Andersen |
| Organization Legal Name | STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC |
| Address |
415 E Harding Way Suite D Stockton CA 95204-6118 |
| Phone Number | 2099445750 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8921048257 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 415 E Harding Way, Suite D, Stockton, CA 95204-6118 | 2099445750 | STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 93% | |
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_243_overall | Cardiac Rehabilitation Patient Referral from an Outpatient Setting | 20% |
| Organization Legal Name | STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Puneet D Grewal | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 1530 Bessie Ave, Suite 101, Tracy, CA 95376-3080 |
| Sanjeev G Vaishampayan | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 1148 Norman Dr, Suite 3, Manteca, CA 95336-5961 |
| David C Lim | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 |
| Richard E Waters | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 |
| Surrender Raina | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 |
| George S Charos | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 |
| Abbas A Chothia | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 |
| Owais A Khawaja | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 |
| Ajay Kumar Toppur Ramanakumar | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 |
| Ali Reza Mirhosseini | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 1530 Bessie Ave, Suite 101, Tracy, CA 95376-3080 |
| Street Address |
415 E HARDING WAY SUITE D |
| City | STOCKTON |
| State | CA |
| Zip | 95204-6118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David C Lim | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 |
| Richard E Waters | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 |
| Surrender Raina | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 |
| Rashaad A Chothia | Cardiac Electrophysiology | 415 E Harding Way, Suite I, Stockton, CA 95204-6118 | |
| Dean S Karnaze | Neurology | 415 E Harding Way, Suite F, Stockton, CA 95204-6118 | |
| George S Charos | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 |
| Abbas A Chothia | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 |
| Kirti Kumar Solanki | Family Medicine | 415 E Harding Way, Suite A, Stockton, CA 95204-6118 | |
| Owais A Khawaja | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 |
| Ajay Kumar Toppur Ramanakumar | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison M Hom | Physical Therapy | 3215 N California, Suite 4, Stockton, CA 95204-3433 | |
| May Mardini | Physical Therapy | 3215 N California St, Suite 4, Stockton, CA 95204-3433 | |
| Antonia Aurora Fields | Physical Therapy | 3215 N California, Suite 4, Stockton, CA 95204-3433 | |
| Thomas Oliver | Chiropractic | 3020 Pacific Ave, Stockton, CA 95204-3639 | |
| Amrik Singh Sidhu | Family Medicine | 2800 N California St, Suite 10, Stockton, CA 95204-3758 | |
| Taymour E Malak | Family Medicine | 2800 N California St, Suite 11, Stockton, CA 95204-3758 | |
| Albina G Benabaye | Internal Medicine | 2800 N California St, Suite 16, Stockton, CA 95204-3758 | |
| Iftikhar A Malik | Gastroenterology | 2800 N California St, Suite 7, Stockton, CA 95204-3758 | |
| Fram Buhari | Cardiovascular Disease (cardiology) | San Joaquin Cardiology Medical Group Inc | 2800 N California St, 1 Dr Alvin Cacho, Stockton, CA 95204-3758 |
| Timothy Bechtel | General Surgery | 2800 N California St, Suite 6, Stockton, CA 95204-3758 | |
| Find all physicians in zip 95204 | |||
| City | STOCKTON |
| Zip Code | 95204 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | STOCKTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Caroline D Andersen.
| 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.