Shane E Cotter (NPI# 1467643718, PAC ID# 6608044037) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1467643718 |
| PAC ID by PECOS | 6608044037 |
| Professional Enrollment ID | I20130123000370 |
| Full Name | Shane E Cotter |
| Organization Legal Name | SANSUM CLINIC |
| Address |
1414 S Miller St H Santa Maria CA 93454-6915 |
| Phone Number | 8057378681 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 3678471976 |
| Number of Group Practice Members | 260 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050357 | GOLETA VALLEY COTTAGE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1414 S Miller St, H, Santa Maria, CA 93454-6915 | 8057378681 | SANSUM CLINIC |
| Organization Legal Name | SANSUM CLINIC |
| Physicians | 287 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel Robert Althauser | Psychiatry | Sansum Clinic | 3916 State St, Suite 300, Santa Barbara, CA 93105-3137 |
| Katrina Blackburn Mitchell | Surgical Oncology | Sansum Clinic | 540 W Pueblo St, Santsa Barbara, CA 93105-4310 |
| Meghan M Wallman | Obstetrics/gynecology | Sansum Clinic | 515 W Pueblo St, Santa Barbara, CA 93105-6212 |
| Colin D Shafer | Cardiovascular Disease (cardiology) | Sansum Clinic | 300 W Pueblo St, Santa Barbara, CA 93105-4311 |
| Christopher D Kuzminski | Diagnostic Radiology | Sansum Clinic | 4806 Carpinteria Ave, Carpinteria, CA 93013-1935 |
| Glenn W Hollingshead | Family Medicine | Sansum Clinic | 122 S Patterson Ave, Santa Barbara, CA 93111-2077 |
| John W. Gainor | Orthopedic Surgery | Sansum Clinic | 4151 Foothill Rd, Santa Barbara, CA 93110-1110 |
| Michael Polo | Psychiatry | Sansum Clinic | 1525 State St, Santa Barbara, CA 93101-2500 |
| David Zisman | Pulmonary Disease | Sansum Clinic | 301 W Pueblo St, Santa Barbara, CA 93105-4310 |
| Carol Dodero | Nurse Practitioner | Sansum Clinic | 51 Hitchcock Way, Santa Barbara, CA 93105-3101 |
| Street Address |
1414 S MILLER ST H |
| City | SANTA MARIA |
| State | CA |
| Zip | 93454-6915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristyn M Fowkes | Psychologist, Clinical | 1414 S Miller St, Suite D, Santa Maria, CA 93454-6915 | |
| Jennifer Lee Kissinger | Family Practice | Coast Valley Worship Center | 1414 S Miller St, Santa Maria, CA 93454-6916 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jane P O Brien | Certified Registered Nurse Anesthetist (crna) | 816 E Ehos Dr B, Santa Maria, CA 93454 | |
| Ramanand C Dandillaya | Neurology | 210 S Palisade S Dr, Suite 203, Santa Maria, CA 93454 | |
| Gayle L Ulshafer | Certified Registered Nurse Anesthetist | 837 Harper Ct, Santa Maria, CA 93454-2348 | |
| James Tahmisian | Psychologist, Clinical | 117 E Fesler St, Santa Maria, CA 93454-4404 | |
| Ron T Ng | Optometry | 610 E Chapel St, Suite C, Santa Maria, CA 93454-4522 | |
| Arlene C Gonzales | Family Medicine | 722 E Chapel St, Santa Maria, CA 93454-4524 | |
| Nathan Singer | Interventional Pain Management | 120 N Miller St A, Santa Maria, CA 93454-4557 | |
| Matthew Hadilaksono | Physical Medicine and Rehabilitation | Lags Spine and Sportscare Medical Centers Inc | 801 E Chapel St, Suite 1, Santa Maria, CA 93454-4607 |
| Kenneth Ejiogu | Nurse Practitioner | Lags Spine and Sportscare Medical Centers Inc | 801 E Chapel St, Santa Maria, CA 93454-4607 |
| Wanda J Spencer | Obstetrics/gynecology | 937 E Main St, 101 Women Care, Santa Maria, CA 93454-4607 | |
| Find all physicians in zip 93454 | |||
| City | SANTA MARIA |
| Zip Code | 93454 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | SANTA MARIA + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Shane E Cotter.
| 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.