Mark R Wieland (NPI# 1134114382, PAC ID# 6608830625) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1134114382 |
| PAC ID by PECOS | 6608830625 |
| Professional Enrollment ID | I20041118000424 |
| Full Name | Mark R Wieland |
| Organization Legal Name | NORTHERN CALIFORNIA RETINA VITREOUS ASSOCIATES MEDICAL GROUP, INC. |
| Address |
2512 Samaritan Ct P San Jose CA 95124-4002 |
| Phone Number | 4083568818 |
| Gender | M |
| Credential | MD |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 9133271927 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050380 | GOOD SAMARITAN HOSPITAL |
| 050007 | PENINSULA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2512 Samaritan Ct P, San Jose, CA 95124-4002 | 4083568818 | NORTHERN CALIFORNIA RETINA VITREOUS ASSOCIATES MEDICAL GROUP, INC. |
| Organization Legal Name | NORTHERN CALIFORNIA RETINA VITREOUS ASSOCIATES MEDICAL GROUP, INC. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James D Palmer | Ophthalmology | Northern California Retina Vitreous Associates Medical Group, Inc. | 798 Cass St, Suite 200, Monterey, CA 93940-2918 |
| Avni Patel Finn | Ophthalmology | Northern California Retina Vitreous Associates Medical Group, Inc. | 2485 Hospital Dr, Suite 200, Mountain View, CA 94040-4123 |
| Louis Chang | Ophthalmology | Northern California Retina Vitreous Associates Medical Group, Inc. | 2485 Hospital Dr, Suite 200, Mountain View, CA 94040-4123 |
| Alok S Bansal | Ophthalmology | Northern California Retina Vitreous Associates Medical Group, Inc. | 2485 Hospital Dr, Suite 200, Mountain View, CA 94040-4123 |
| Jesus Luigi Borrillo | Ophthalmology | Northern California Retina Vitreous Associates Medical Group, Inc. | 2485 Hospital Dr, Suite 200, Mountain View, CA 94040-4123 |
| Rahul Khurana | Ophthalmology | Northern California Retina Vitreous Associates Medical Group, Inc. | 2485 Hospital Dr, Suite 200, Mountain View, CA 94040-4123 |
| Edwin E Boldrey | Ophthalmology | Northern California Retina Vitreous Associates Medical Group, Inc. | 2485 Hospital Dr, Suite 200, Mountain View, CA 94040-4123 |
| Street Address |
2512 SAMARITAN CT P |
| City | SAN JOSE |
| State | CA |
| Zip | 95124-4002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle R Delbene | Chiropractic | 2121 Curtner Ave, San Jose, CA 95124-1308 | |
| Dale I Barr | Optometry | 2730 Union Ave, Suite A, San Jose, CA 95124-1431 | |
| Razaa A Ali | Chiropractic | 2937 Union Ave, Suite B, San Jose, CA 95124-1439 | |
| Vivian L Rice | Optometry | 2730 Union Ave A, San Jose, CA 95124-1496 | |
| Angela M Ornelas | Chiropractic | 2046 Camden Ave, San Jose, CA 95124-2023 | |
| Helen Feng | Rheumatology | 2242 Camden Ave, Suite 200, San Jose, CA 95124-2029 | |
| Dennis H Hum | Podiatry | 2242 Camden Avenue, Suite 204, San Jose, CA 95124-2029 | |
| Pamela G Mehta | Orthopedic Surgery | 2242 Camden Ave, Suite 104, San Jose, CA 95124-2029 | |
| Vidya Devarapalli | Physical Therapy | 3880 S Bascom Ave, Suite 106, San Jose, CA 95124-2600 | |
| Richard Silver | Chiropractic | 3880 S Bascom Ave, Suite 112, San Jose, CA 95124-2600 | |
| Find all physicians in zip 95124 | |||
| City | SAN JOSE |
| Zip Code | 95124 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | SAN JOSE + OPHTHALMOLOGY |
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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.