Joseph Michael Centeno (NPI# 1124086137, PAC ID# 8820027071) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1124086137 |
| PAC ID by PECOS | 8820027071 |
| Professional Enrollment ID | I20070531000144 |
| Full Name | Joseph Michael Centeno |
| Organization Legal Name | TEODORO P. NISSEN M.D., INC |
| Address |
100 Hospital Dr Suite 303 Vallejo CA 94589-2577 |
| Phone Number | 7076457210 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 5193897817 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050101 | SUTTER SOLANO MEDICAL CENTER |
| 050107 | MARIAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 100 Hospital Dr, Suite 303, Vallejo, CA 94589-2577 | 7076457210 | TEODORO P. NISSEN M.D., INC |
| Organization Legal Name | TEODORO P. NISSEN M.D., INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teodoro P Nissen | Orthopedic Surgery | Teodoro P. Nissen M.d., Inc | 100 Hospital Dr, Suite 303, Vallejo, CA 94589-2577 |
| Street Address |
100 HOSPITAL DR SUITE 303 |
| City | VALLEJO |
| State | CA |
| Zip | 94589-2577 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank M Batcha | Family Medicine | St Lukes Clinic - Wood River LLC | 100 Hospital Dr, Suite 201, Ketchum, ID 83340-9998 |
| Dan S Fairman | Internal Medicine | St Lukes Clinic - Wood River LLC | 100 Hospital Dr, Ketchum, ID 83340-9998 |
| Quinn Mary Kneifl | Physician Assistant | Pender Community Hospital District | 100 Hospital Dr, Pender, NE 68047-4507 |
| Hassan Khalil | Internal Medicine | 100 Hospital Dr, Montrose, PA 18801-6402 | |
| Shashank Bhatt | Internal Medicine | 100 Hospital Dr, Montrose, PA 18801-6402 | |
| Ellen T Leavell | Emergency Medicine | Gem Capital Physicians Pllc | 100 Hospital Dr, Louisburg, NC 27549-2256 |
| Andrew John Krieger | Emergency Medicine | Gem Capital Physicians Pllc | 100 Hospital Dr, Louisburg, NC 27549-2256 |
| Dione E Blansit | Certified Registered Nurse Anesthetist (crna) | Mercy Clinic Springfield Communities | 100 Hospital Dr, Lebanon, MO 65536-9210 |
| Johnny R Bullock | Internal Medicine | Keystone Hospitalist Services of Ms Inc | 100 Hospital Dr, Tylertown, MS 39667-2022 |
| Vikas Sharma | Internal Medicine | Mercy Clinic Springfield Communities | 100 Hospital Dr, Lebanon, MO 65536-9210 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wayne K Ogata | Optometry | 4300 Sonoma Blvd, Suite 508, Vallejo, CA 94589-2210 | |
| Matthew J Holland | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jamie S Baskett | Clinical Social Worker | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jonathan D Getz | Psychiatry | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Serena M Wong | Psychiatry | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Heather L Nelson | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jeremiah L Johnson | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jeannie E Celestial | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Angel A Hurtado | Clinical Social Worker | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Allen T Mckee | Psychiatry | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Find all physicians in zip 94589 | |||
| City | VALLEJO |
| Zip Code | 94589 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | VALLEJO + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Joseph Michael Centeno.
| 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.