Chris Bernard Threatt (NPI# 1568466589, PAC ID# 8325093990) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1568466589 |
| PAC ID by PECOS | 8325093990 |
| Professional Enrollment ID | I20050316000616 |
| Full Name | Chris Bernard Threatt |
| Organization Legal Name | CHRIS THREATT MD INC |
| Address |
2900 Whipple Ave Suite 130 Redwood City CA 94062-2844 |
| Phone Number | 6503628250 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 4981920014 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050197 | SEQUOIA HOSPITAL |
| 050113 | SAN MATEO MEDICAL CENTER |
| 050308 | EL CAMINO HOSPITAL |
| 050007 | PENINSULA MEDICAL CENTER |
| 050441 | STANFORD HEALTH CARE |
| Address | Phone | Organization |
|---|---|---|
| 2900 Whipple Ave, Suite 130, Redwood City, CA 94062-2844 | 6503628250 | CHRIS THREATT MD INC |
| 222 W 39th Ave, San Mateo, CA 94403-4364 | 6505732222 | COUNTY OF SAN MATEO |
| Organization Legal Name | CHRIS THREATT MD INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marina J White | Urology | Chris Threatt Md Inc | 2900 Whipple Ave, Suite 130, Redwood City, CA 94062-2844 |
| Street Address |
2900 WHIPPLE AVE SUITE 130 |
| City | REDWOOD CITY |
| State | CA |
| Zip | 94062-2844 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chialin Lee | Physician Assistant | Peninsula Gastroenterology Medical Group, Inc | 2900 Whipple Ave, Suite 245, Redwood City, CA 94062-2851 |
| Duc Nguyen | Orthopedic Surgery | 2900 Whipple Ave, Suite 115, Redwood City, CA 94062-2858 | |
| Jaclyn C Wey | Orthopedic Surgery | Sutter Bay Medical Foundation | 2900 Whipple Ave, Suite 225, Redwood City, CA 94062-2851 |
| Sigal Tene | Pulmonary Disease | 2900 Whipple Ave, Suite 115, Redwood City, CA 94062-2858 | |
| Dennis J Sheehan | Cardiovascular Disease (cardiology) | Dignity Health Medical Foundation | 2900 Whipple Ave, Suite 140, Redwood City, CA 94062-2844 |
| Adam L Harmon | Cardiac Surgery | Dignity Health Medical Foundation | 2900 Whipple Ave, Suite 140, Redwood City, CA 94062-2844 |
| Tomoaki Hinohara | Cardiovascular Disease (cardiology) | Dignity Health Medical Foundation | 2900 Whipple Ave, Suite 140, Redwood City, CA 94062-2844 |
| Jean W Gillon | Vascular Surgery | 2900 Whipple Ave, Suite 200, Redwood City, CA 94062-2843 | |
| Marina J White | Urology | Chris Threatt Md Inc | 2900 Whipple Ave, Suite 130, Redwood City, CA 94062-2844 |
| Dieter Bruno | Urology | 2900 Whipple Ave, Suite 132, Redwood City, CA 94062-2844 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Un Hui Nam | General Practice | Arch Street Medical Associates | 143 Birch St, Redwood City, CA 94062-1306 |
| Peter J Bullock | General Practice | Arch Street Medical Associates | 143 Birch St, Redwood City, CA 94062-1306 |
| Betty Meiying Ho | Gastroenterology | 100 Arch St, Suite 3, Redwood City, CA 94062-1381 | |
| Hailing Fei | Internal Medicine | 39 Birch St A, Redwood City, CA 94062-1483 | |
| Sudhakar Tumuluri | Rheumatology | 80 Arch St, Suite A, Redwood City, CA 94062-1487 | |
| Umesh K Sabharwal | Allergy/immunology | Columbia Asthma and Allergy Clinic | 80 Arch St, Suite A, Redwood City, CA 94062-1487 |
| Shannon Lynn Chen | Physical Therapy | Advance Physical Therapy, Inc. | 2944 Broadway St, Redwood City, CA 94062-1510 |
| Alton Ching | Physical Therapy | Advance Physical Therapy Inc | 2944 Broadway, Redwood City, CA 94062-1510 |
| Sneha S Kadkol | Physical Therapy | Advance Physical Therapy Inc | 2944 Broadway, Redwood City, CA 94062-1510 |
| Deanne Barbara Smith | Physical Therapy | Advance Physical Therapy Inc | 2944 Broadway, Redwood City, CA 94062-1510 |
| Find all physicians in zip 94062 | |||
| City | REDWOOD CITY |
| Zip Code | 94062 |
| Specialty | UROLOGY |
| City + Specialty | REDWOOD CITY + UROLOGY |
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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.