Albert C Reynaud (NPI# 1104924000, PAC ID# 8527056274) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1104924000 |
| PAC ID by PECOS | 8527056274 |
| Professional Enrollment ID | I20120109000453 |
| Full Name | Albert C Reynaud |
| Organization Legal Name | ADVANCED DERMATOLOGY AND SKIN SURGERY PLLC |
| Address |
1700 W Riverstone Dr Coeur D Alene ID 83814-5683 |
| Phone Number | 2087702822 |
| Gender | M |
| Credential | MD |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3870480429 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 270004 | BILLINGS CLINIC HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 801 N 29th St, Billings, MT 59101-0909 | 4062382500 | BILLINGS CLINIC |
| 1700 W Riverstone Dr, Coeur D Alene, ID 83814-5683 | 2087702822 | ADVANCED DERMATOLOGY AND SKIN SURGERY PLLC |
| Organization Legal Name | ADVANCED DERMATOLOGY AND SKIN SURGERY PLLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea M Dominey | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 1807 N Hutchinson Rd, Spokane, WA 99212-2444 |
| Joel K Sears | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Staci M Hestdalen | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Amy Nicole Nelson | Physician Assistant | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Lark Greenwald Guss | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 1807 N Hutchinson Rd, Spokane, WA 99212-2444 |
| Scott B Ahrndt | Physician Assistant | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Paul T Dunn | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Brenda Kay Wilks | Physician Assistant | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Chadd J Sukut | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Travis James | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 1807 N Hutchinson Rd, Spokane, WA 99212-2444 |
| Street Address |
1700 W RIVERSTONE DR |
| City | COEUR D ALENE |
| State | ID |
| Zip | 83814-5683 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent Earl Hirschi | Chiropractic | 610 N Hubbard St, Suite 114, Coeur D'alene, ID 83814 | |
| Sean Tristan T Cook | Infectious Disease | Kootenai Health | 2120 W Ironwood Dr, Coeur D Alene, ID 83814 |
| Dustin D Dinning | Rheumatology | Kootenai Health | 700 N Ironwood Dr, 275w, Coeur D'alene, ID 83814 |
| Natalie Rose Cooper | Physical Medicine and Rehabilitation | Kootenai Health | 2120 W Ironwood Dr, Coeur D Alene, ID 83814 |
| Melanie L Enderwick | Infectious Disease | Kootenai Health | 2120 W Ironwood Dr, Coeur D Alene, ID 83814 |
| Sarah R Nave | Registered Dietitian Or Nutrition Professional | Kootenai Health | 700 N Ironwood Dr, 275w, Coeur D'alene, ID 83814 |
| Orlando E Nunez | Podiatry | 101 W Ironwood Dr, Suite 131, Coeur D Alene, ID 83814-1404 | |
| Kevin M Johnson | General Surgery | Coeur D Alene Surgical and Vein | 608 Northwest Blvd, Coeur D Alene, ID 83814-2174 |
| Steven M Schlough | Clinical Social Worker | Ambitions of Idaho Inc | 1038 Northwest Blvd, Suite 100, Coeur D Alene, ID 83814-2249 |
| Jennifer Duncan | Clinical Social Worker | Ambitions of Idaho Inc | 1038 Northwest Blvd, Suite 100, Coeur D Alene, ID 83814-2249 |
| Find all physicians in zip 83814 | |||
| City | COEUR D ALENE |
| Zip Code | 83814 |
| Specialty | DERMATOLOGY |
| City + Specialty | COEUR D ALENE + DERMATOLOGY |
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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.