Thomas J Church (NPI# 1548204639, PAC ID# 7517131584) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1548204639 |
| PAC ID by PECOS | 7517131584 |
| Professional Enrollment ID | I20111201000407 |
| Full Name | Thomas J Church |
| Organization Legal Name | DIAGNOSTIC IMAGING MEDICAL GROUP |
| Address |
1400 E Church St Marian Medical Center Catholic Heal Santa Maria CA 93454-5906 |
| Phone Number | 8057393400 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1355483983 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050107 | MARIAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1400 E Church St, Marian Medical Center Catholic Heal, Santa Maria, CA 93454-5906 | 8057393400 | DIAGNOSTIC IMAGING MEDICAL GROUP |
| 525 E Plaza Dr, Santa Maria, CA 93454-6953 | 8057393848 | DIAGNOSTIC IMAGING MEDICAL GROUP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 79% | |
| MIPS_EC_147_overall | Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy | 100% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 37% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 9% |
| Organization Legal Name | DIAGNOSTIC IMAGING MEDICAL GROUP |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven B Sonnabend | Diagnostic Radiology | Diagnostic Imaging Medical Group | 1400 E Church St, Marian Medical Center Catholic Heal, Santa Maria, CA 93454-5906 |
| Brent W Beahm | Diagnostic Radiology | Diagnostic Imaging Medical Group | 1400 E Church St, Marian Medical Center Catholic Heal, Santa Maria, CA 93454-5906 |
| Kenneth A Spearman | Diagnostic Radiology | Diagnostic Imaging Medical Group | 1400 E Church St, Marian Medical Center Catholic Heal, Santa Maria, CA 93454-5906 |
| Timothy D Watson | Diagnostic Radiology | Diagnostic Imaging Medical Group | 1400 E Church St, Marian Medical Center Catholic Heal, Santa Maria, CA 93454-5906 |
| Mark A Ziemba | Diagnostic Radiology | Diagnostic Imaging Medical Group | 1400 E Church St, Marian Medical Center Catholic Heal, Santa Maria, CA 93454-5906 |
| Robert P Kvalstad | Diagnostic Radiology | Diagnostic Imaging Medical Group | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3899 |
| William E Ashley | Diagnostic Radiology | Diagnostic Imaging Medical Group | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3899 |
| Street Address |
1400 E CHURCH ST MARIAN MEDICAL CENTER CATHOLIC HEAL |
| City | SANTA MARIA |
| State | CA |
| Zip | 93454-5906 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Patrick Piazza | Family Medicine | Pacific Central Coast Health Centers | 1400 E Church St, 8 Family Medicine Center, Santa Maria, CA 93454-5906 |
| Jia-yi Bian | Anesthesiology | Anesthesia Medical Group of Santa Maria Inc | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Wilbur Huang | Anesthesiology | Anesthesia Medical Group of Santa Maria Inc | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Paul L Dimodica | Emergency Medicine | Mmc Emergency Physicians Medical Group, Inc. | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Johnny Chen | Anesthesiology | Anesthesia Medical Group of Santa Maria Inc | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Jason Lent | Anesthesiology | Anesthesia Medical Group of Santa Maria Inc | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Lisa M Serpa | Nurse Practitioner | Mmc Emergency Physicians Medical Group, Inc. | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Amy M Aldrich | Emergency Medicine | Mmc Emergency Physicians Medical Group, Inc. | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Jaylong Wong Thongkham | Anesthesiology | Anesthesia Medical Group of Santa Maria Inc | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Keith Santoyo | Anesthesiology | Anesthesia Medical Group of Santa Maria Inc | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Find all physicians in the same address | |||
| 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 | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SANTA MARIA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Thomas J Church.
| 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.