Stacy L Waneka (NPI# 1871557546, PAC ID# 8022920321) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1871557546 |
| PAC ID by PECOS | 8022920321 |
| Professional Enrollment ID | I20031104000704 |
| Full Name | Stacy L Waneka |
| Organization Legal Name | SUMMIT HEALTH GROUP INC |
| Address |
55 Rolling Oaks Dr Suite 100 Thousand Oaks CA 91361-1010 |
| Phone Number | 8054994446 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4587967575 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 55 Rolling Oaks Dr, Suite 100, Thousand Oaks, CA 91361-1010 | 8054994446 | SUMMIT HEALTH GROUP INC |
| Organization Legal Name | SUMMIT HEALTH GROUP INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donnelly R Wilkes | Family Medicine | Summit Health Group Inc | 55 Rolling Oaks Dr, Suite 100, Thousand Oaks, CA 91361-1010 |
| Shay Shani | Chiropractic | Summit Health Group Inc | 55 Rolling Oaks Dr, Suite 100, Thousand Oaks, CA 91361-1010 |
| Carrie A Sadler | Physician Assistant | Summit Health Group Inc | 55 Rolling Oaks Dr, Suite 100, Thousand Oaks, CA 91361-1010 |
| Nicolle Marie Warner | Registered Dietitian Or Nutrition Professional | Summit Health Group Inc | 55 Rolling Oaks Dr, Suite 100, Thousand Oaks, CA 91361-1010 |
| Thomas Johnson | Chiropractic | Summit Health Group Inc | 55 Rolling Oaks Dr, Suite 100, Thousand Oaks, CA 91361-1010 |
| Street Address |
55 ROLLING OAKS DR SUITE 100 |
| City | THOUSAND OAKS |
| State | CA |
| Zip | 91361-1010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donnelly R Wilkes | Family Medicine | Summit Health Group Inc | 55 Rolling Oaks Dr, Suite 100, Thousand Oaks, CA 91361-1010 |
| Jeanette K Mitchell | Dermatology | Conejo Dermatology Medical Group | 55 Rolling Oaks Dr, Suite 200, Thousand Oaks, CA 91361-1010 |
| Shay Shani | Chiropractic | Summit Health Group Inc | 55 Rolling Oaks Dr, Suite 100, Thousand Oaks, CA 91361-1010 |
| Carrie A Sadler | Physician Assistant | Summit Health Group Inc | 55 Rolling Oaks Dr, Suite 100, Thousand Oaks, CA 91361-1010 |
| William E Rietkerk | Dermatology | Conejo Dermatology Medical Group | 55 Rolling Oaks Dr, Suite 200, Thousand Oaks, CA 91361-1010 |
| Michael G Bodnar | Dermatology | Conejo Dermatology Medical Group | 55 Rolling Oaks Dr, Suite 200, Thousand Oaks, CA 91361-1010 |
| Ralph M Kamell | Dermatology | Conejo Dermatology Medical Group | 55 Rolling Oaks Dr, Suite 200, Thousand Oaks, CA 91361-1010 |
| Nicolle Marie Warner | Registered Dietitian Or Nutrition Professional | Summit Health Group Inc | 55 Rolling Oaks Dr, Suite 100, Thousand Oaks, CA 91361-1010 |
| Thomas Johnson | Chiropractic | Summit Health Group Inc | 55 Rolling Oaks Dr, Suite 100, Thousand Oaks, CA 91361-1010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pezhman Nazemi | Ophthalmology | 351 E Rollings Oaks Dr, Suite 201, Thousand Oaks, CA 91361 | |
| Irina Feldman | Family Medicine | 375 Rolling Oaks Dr, Suite 115, Thousand Oaks, CA 91361-1000 | |
| Christine E Dahlin | Internal Medicine | 375 Rolling Oaks Dr, Suite 115, Thousand Oaks, CA 91361-1000 | |
| Kelley Ann Bannon | Qualified Audiologist | Decibel Hearing Services | 375 Rolling Oaks Dr, Suite 140, Thousand Oaks, CA 91361-1001 |
| Kenneth A Raven | Psychologist, Clinical | 25 W Rolling Oaks Dr, Suite 107, Thousand Oaks, CA 91361-1003 | |
| Steven Hershel Suchman | Family Medicine | 77 Rolling Oaks Dr, Suite 305, Thousand Oaks, CA 91361-1007 | |
| Barbara L Irish | Physician Assistant | Hullander and Mozingo Lp | 339 S Moorpark Rd, Thousand Oaks, CA 91361-1008 |
| Martin M Mortazavi | Neurosurgery | California Brain Institute Inc | 333 S Moorpark Rd, Thousand Oaks, CA 91361-1008 |
| Nicholas Fettman | Otolaryngology | West Coast Ear, Nose and Throat | 302 S Moorpark Rd, Thousand Oaks, CA 91361-1008 |
| David Rosenfeld | Colorectal Surgery (proctology) | David B. Rosenfeld Md Inc | 341 S Moorpark Rd, T.o.p., Thousand Oaks, CA 91361-1008 |
| Find all physicians in zip 91361 | |||
| City | THOUSAND OAKS |
| Zip Code | 91361 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | THOUSAND OAKS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Stacy L Waneka.
| 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.