Travis H Loidolt (NPI# 1811254329, PAC ID# 7911285853) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
Nation Provider ID (NPI) | 1811254329 |
PAC ID by PECOS | 7911285853 |
Professional Enrollment ID | I20190207000111 |
Full Name | Travis H Loidolt |
Address |
2220 E Bidwell St Folsom CA 95630-3463 |
Gender | M |
Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
Graduation Year | 2012 |
Primary Specialty | ORTHOPEDIC SURGERY |
Accepts Medicare Assignment | M |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050414 | MERCY HOSPITAL OF FOLSOM |
050309 | SUTTER ROSEVILLE MEDICAL CENTER |
050516 | MERCY SAN JUAN MEDICAL CENTER |
050498 | SUTTER AUBURN FAITH HOSPITAL |
050150 | SIERRA NEVADA MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
2220 E Bidwell St, Folsom, CA 95630-3463 | ||
1013 Galleria Blvd, Suite 205, Roseville, CA 95678-1363 | 9169182952 | ORTHOPEDIC SPECIALTY CENTER OF NORTHERN CALIFORNIA INC |
584 N Sunrise Ave, Suite 100, Roseville, CA 95661-2862 |
Street Address |
2220 E BIDWELL ST |
City | FOLSOM |
State | CA |
Zip | 95630-3463 |
Name | Specialty | Organization | Address |
---|---|---|---|
Savita D Kumar | Clinical Social Worker | 7210 Pine Grove Way, Folsom, CA 95630-1922 | |
Geoffrey A Allen | Chiropractic | 9477 Greenback Ln, Suite 520, Folsom, CA 95630-2087 | |
Gina E Nelson | Clinical Social Worker | 555 Oakdale St, Suite D, Folsom, CA 95630-2451 | |
Heather M Serpa | Chiropractic | Serpa Chiropractic Inc. | 513 Natoma St, Folsom, CA 95630-2523 |
David J Serpa | Chiropractic | Serpa Chiropractic Inc. | 513 Natoma St, Folsom, CA 95630-2523 |
William R Bassett | Physical Therapy | Body Concepts Inc. | 705 Gold Lake Dr, Suite 350, Folsom, CA 95630-2558 |
Donald Gutman | Internal Medicine | 510 Mill St, Folsom, CA 95630-2607 | |
William J Garcia | Physical Therapy | Folsom Physical Therapy and Training Center | 115 Natoma St, Training Cntr, Folsom, CA 95630-2615 |
Michael J Moore | Physical Therapy | Folsom Physical Therapy and Training Center | 115 Natoma St, Training Cntr, Folsom, CA 95630-2615 |
Timothy E Mcgonigle | Physical Therapy | Folsom Physical Therapy and Training Center | 115 Natoma St, Training Cntr, Folsom, CA 95630-2615 |
Find all physicians in zip 95630 |
City | FOLSOM |
Zip Code | 95630 |
Specialty | ORTHOPEDIC SURGERY |
City + Specialty | FOLSOM + ORTHOPEDIC SURGERY |
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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.