Robert T Wankmuller Jr. (NPI# 1639157167, PAC ID# 6901902881) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1639157167 |
| PAC ID by PECOS | 6901902881 |
| Professional Enrollment ID | I20080716000543 |
| Full Name | Robert T Wankmuller Jr. |
| Organization Legal Name | RIDEOUT MEDICAL ASSOCIATES, INC. |
| Address |
945 Shasta St Suite 150 Yuba City CA 95991-4114 |
| Phone Number | 5307515410 |
| Gender | M |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 1658524467 |
| Number of Group Practice Members | 66 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050133 | RIDEOUT MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 726 4th St, Marysville, CA 95901-5656 | 5306749000 | SUTTER BUTTES IMAGING MEDICAL GROUP, INC. |
| 945 Shasta St, Suite 150, Yuba City, CA 95991-4114 | 5307515410 | RIDEOUT MEDICAL ASSOCIATES, INC. |
| 945 Shasta St, Yuba City, CA 95991-4114 | 5306455338 | SUTTER BUTTES IMAGING MEDICAL GROUP, INC. |
| Organization Legal Name | RIDEOUT MEDICAL ASSOCIATES, INC. |
| Physicians | 68 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi E Pace | Nurse Practitioner | Rideout Medical Associates, Inc. | 1260 Williams Way, Yuba City, CA 95991-2400 |
| John G Mcavoy | Physician Assistant | Rideout Medical Associates, Inc. | 618 5th St, Marysville, CA 95901-5612 |
| Howard Youngworth | Diagnostic Radiology | Rideout Medical Associates, Inc. | 945 Shasta St, Suite 150, Yuba City, CA 95991-4114 |
| Swipen Grewal | Family Medicine | Rideout Medical Associates, Inc. | 726 4th St, Marysville, CA 95901-5656 |
| Jennifer A Duncan | Nurse Practitioner | Rideout Medical Associates, Inc. | 726 4th St, Marysville, CA 95901-5656 |
| Pargat S Sekhon | Nurse Practitioner | Rideout Medical Associates, Inc. | 726 4th St, Marysville, CA 95901-5656 |
| Natasha Jean See | Nurse Practitioner | Rideout Medical Associates, Inc. | 726 4th St, Marysville, CA 95901-5656 |
| Maninder S Bains | Pulmonary Disease | Rideout Medical Associates, Inc. | 726 4th St, Marysville, CA 95901-5656 |
| Harpreet Johl | Family Medicine | Rideout Medical Associates, Inc. | 726 4th St, Marysville, CA 95901-5656 |
| Douglas Fujii | Internal Medicine | Rideout Medical Associates, Inc. | 726 4th St, Marysville, CA 95901-5656 |
| Street Address |
945 SHASTA ST SUITE 150 |
| City | YUBA CITY |
| State | CA |
| Zip | 95991-4114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard Youngworth | Diagnostic Radiology | Rideout Medical Associates, Inc. | 945 Shasta St, Suite 150, Yuba City, CA 95991-4114 |
| Alka Thakran | Diagnostic Radiology | Rideout Medical Associates, Inc. | 945 Shasta St, Suite 150, Yuba City, CA 95991-4114 |
| Benjamin Wheeler Nasman | Diagnostic Radiology | Rideout Medical Associates, Inc. | 945 Shasta St, Suite 150, Yuba City, CA 95991-4114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cosmo Lyle Fraser | Nephrology | 2115 E Onstott Rd, Yuba City, CA 95991-1556 | |
| Jodi E Pace | Nurse Practitioner | Rideout Medical Associates, Inc. | 1260 Williams Way, Yuba City, CA 95991-2400 |
| Jackson Lim | Podiatry | 1531 Plumas Ct, A, Yuba City, CA 95991-2960 | |
| Allan R Au | Allergy/immunology | Allan R Au Md Inc | 1526 Plumas Ct, Suite 400, Yuba City, CA 95991-2961 |
| Marjorie L Waters | Physician Assistant | Allan R Au Md Inc | 1526 Plumas Ct, Yuba City, CA 95991-2961 |
| Narinder Singh Basra | Internal Medicine | 1481 Plumas St, Yuba City, CA 95991-2962 | |
| Jagraj S Nijjar | Infectious Disease | 1531 Plumas Ct, Suite A, Yuba City, CA 95991-2966 | |
| Venu M Kondle | Nephrology | North Valley Nephrology Inc | 1525 Plumas Ct B, Yuba City, CA 95991-2971 |
| Anthony S Gravin | Physical Therapy | Baas and Royce Rehabilitation Services Inc | 1528 Plumas Ct, Suite 200, Yuba City, CA 95991-2973 |
| Jonathan M Royce | Physical Therapy | Baas and Royce Rehabilitation Services Inc | 1528 Plumas Ct, Suite 200, Yuba City, CA 95991-2973 |
| Find all physicians in zip 95991 | |||
| City | YUBA CITY |
| Zip Code | 95991 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | YUBA CITY + DIAGNOSTIC RADIOLOGY |
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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.