Justin Keadle
CENTRAL COAST NEUROLOGICAL SURGERY PC


Address: 1531 Higuera St, San Luis Obispo, CA 93401-2917
Phone: 8057040889

Justin Keadle (NPI# 1801210026, PAC ID# 7315163078) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1801210026
PAC ID by PECOS 7315163078
Professional Enrollment ID I20170616002240
Full Name Justin Keadle
Organization Legal Name CENTRAL COAST NEUROLOGICAL SURGERY PC
Address 1531 Higuera St
San Luis Obispo
CA 93401-2917
Phone Number 8057040889
Gender M
Graduation Year 2013
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 4587882030
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050232 FRENCH HOSPITAL MEDICAL CENTER
050107 MARIAN REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
1531 Higuera St, San Luis Obispo, CA 93401-2917 8057040889 CENTRAL COAST NEUROLOGICAL SURGERY PC

Organization Information

Organization Legal Name CENTRAL COAST NEUROLOGICAL SURGERY PC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
David J Yeh Neurosurgery Central Coast Neurological Surgery PC 1531 Higuera St, San Luis Obispo, CA 93401-2917

Office Location

Street Address 1531 HIGUERA ST
City SAN LUIS OBISPO
State CA
Zip 93401-2917

Physicians in the same location

Name Specialty Organization Address
David J Yeh Neurosurgery Central Coast Neurological Surgery PC 1531 Higuera St, San Luis Obispo, CA 93401-2917

Physicians in the same zip code

Name Specialty Organization Address
Patrick J Spalding Obstetrics/gynecology 1551 Bishop Medical Plz, C310, San Luis Obispo, CA 93401
Nell Bennett Clinical Social Worker 956 Walnut St, Suite 200, San Luis Obispo, CA 93401-1707
Jeffrey Friedman Psychologist, Clinical 956 Walnut St, Suite 200, San Luis Obispo, CA 93401-1707
Kourosh Bagheri Internal Medicine 1177 Marsh St, Suite 100, San Luis Obispo, CA 93401-2316
Donald A Ramberg Neurosurgery 699 California Blvd, Suite B, San Luis Obispo, CA 93401-2507
Phillip Kissel Neurosurgery 699 California Blvd, Suite A, San Luis Obispo, CA 93401-2507
Steven C Johnson Ophthalmology 628 California Blvd, Suite C, San Luis Obispo, CA 93401-2547
Laura A Lubarsky Pulmonary Disease Central Coast Chest Consultants, A Medical Corporation 1428 Phillips Ln, Suite 203, San Luis Obispo, CA 93401-2551
David C Anderson Physician Assistant Central Coast Chest Consultants, A Medical Corporation 1428 Phillips Ln, San Luis Obispo, CA 93401-2551
Michael James Ryan Pulmonary Disease Central Coast Chest Consultants, A Medical Corporation 1428 Phillips Ln, Suite 203, San Luis Obispo, CA 93401-2551
Find all physicians in zip 93401

Competitor

Search similar physicians

City SAN LUIS OBISPO
Zip Code 93401
Specialty PHYSICIAN ASSISTANT
City + Specialty SAN LUIS OBISPO + PHYSICIAN ASSISTANT

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Dataset Information

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.

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