Georgina Haden (NPI# 1770850323, PAC ID# 7214251321) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1770850323 |
| PAC ID by PECOS | 7214251321 |
| Professional Enrollment ID | I20150121000023 |
| Full Name | Georgina Haden |
| Organization Legal Name | ARETAEUS TELEMEDICINE INC. |
| Address |
501 Petaluma Ave Sebastopol CA 95472-4215 |
| Phone Number | 7078238511 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6002953635 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 051310 | ADVENTIST HEALTH HOWARD MEMORIAL |
| 050444 | MERCY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 501 Petaluma Ave, Sebastopol, CA 95472-4215 | 7078238511 | ARETAEUS TELEMEDICINE INC. |
| 1 Madrone St, Willits, CA 95490-4225 | 7074596801 | ARETAEUS TELEMEDICINE INC. |
| Organization Legal Name | ARETAEUS TELEMEDICINE INC. |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melvin Selinger | Critical Care (intensivists) | Aretaeus Telemedicine Inc. | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| James K Gude | Critical Care (intensivists) | Aretaeus Telemedicine Inc. | 13855 E 14th St, San Leandro Hospital, San Leandro, CA 94578-2611 |
| Thomas Craig Williams | Pulmonary Disease | Aretaeus Telemedicine Inc. | 13855 E 14th St, San Leandro Hospital, San Leandro, CA 94578-2611 |
| Dinah M Bukowski | Hospitalist | Aretaeus Telemedicine Inc. | 13855 E 14th St, San Leandro Hospital, San Leandro, CA 94578-2611 |
| Guy S Livnat | Pulmonary Disease | Aretaeus Telemedicine Inc. | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Josef Chemtob | Internal Medicine | Aretaeus Telemedicine Inc. | 501 Petaluma Ave, Sebastopol, CA 95472-4215 |
| Street Address |
501 PETALUMA AVE |
| City | SEBASTOPOL |
| State | CA |
| Zip | 95472-4215 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olga Lyass | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 501 Petaluma Ave, Sebastopol, CA 95472-4215 |
| Kevin M Rice | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 501 Petaluma Ave, Sebastopol, CA 95472-4215 |
| Tomer A Roth | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 501 Petaluma Ave, Sebastopol, CA 95472-4215 |
| Marcelo Spector | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 501 Petaluma Ave, Sebastopol, CA 95472-4215 |
| Lucas B Payor | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 501 Petaluma Ave, Sebastopol, CA 95472-4215 |
| Farbod Nasseri | Interventional Radiology | Renaissance Imaging Medical Associates Inc | 501 Petaluma Ave, Sebastopol, CA 95472-4215 |
| Shelleen E Denno | Internal Medicine | 501 Petaluma Ave, Sebastopol, CA 95472-4215 | |
| Josef Chemtob | Internal Medicine | Aretaeus Telemedicine Inc. | 501 Petaluma Ave, Sebastopol, CA 95472-4215 |
| Melissa J Gerlach | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 501 Petaluma Ave, Sebastopol, CA 95472-4215 |
| Erika M Steffe | Infectious Disease | 501 Petaluma Ave, Sebastopol, CA 95472-4215 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy A Davidson | Family Practice | 6800 Palm Ave, Suite A, Sebastopol, CA 95472-2446 | |
| Andrew Stephen Wagner | Family Medicine | 819 Longwood Ln, Sebastopol, CA 95472-2734 | |
| Brian P Jacobs | Clinical Social Worker | 868 Gravenstein Hwy N, Sebastopol, CA 95472-2810 | |
| David Perry Molencupp | Chiropractic | 868 Gravenstein Hwy N, Sebastopol, CA 95472-2810 | |
| Barry Lynn Lutz | Optometry | 868 Gravenstein Hwy N, Sebastopol, CA 95472-2810 | |
| Richard S Schechter | Chiropractic | 868 Gravenstein Hwy N, Sebastopol, CA 95472-2810 | |
| Larry A Smith | Podiatry | 1035 Gravenstein Hwy N, Sebastopol, CA 95472-2811 | |
| Norman J Mintz | Optometry | 825 Gravenstein Hwy N, Suite 7, Sebastopol, CA 95472-2844 | |
| Julie Smith | Physical Therapy | 100 Pleasant Hill N, Sebastopol1, CA 95472-3104 | |
| Patricia D Martinez | Physical Therapy | 100 Pleasant Hill N Ave, Sebastopol, CA 95472-3104 | |
| Find all physicians in zip 95472 | |||
| City | SEBASTOPOL |
| Zip Code | 95472 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SEBASTOPOL + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Georgina Haden.
| 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.