Theodore Karl Gregorius (NPI# 1013950450, PAC ID# 8921029984) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1013950450 |
| PAC ID by PECOS | 8921029984 |
| Professional Enrollment ID | I20051219000214 |
| Full Name | Theodore Karl Gregorius |
| Organization Legal Name | PALM IMAGING INSTITUTE A MEDICAL CORPORATION |
| Address |
399 E 21st St San Bernardino CA 92404-4815 |
| Phone Number | 9098822266 |
| Gender | M |
| Credential | MD |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 1153326475 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 900 E Washington St, Suite 200, Colton, CA 92324-4192 | 9098825687 | PALM IMAGING INSTITUTE A MEDICAL CORPORATION |
| 399 E 21st St, San Bernardino, CA 92404-4815 | 9098822266 | PALM IMAGING INSTITUTE A MEDICAL CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% |
| Organization Legal Name | PALM IMAGING INSTITUTE A MEDICAL CORPORATION |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arthur Sungsoo Chung | Radiation Oncology | Palm Imaging Institute A Medical Corporation | 399 E 21st St, San Bernardino, CA 92404-4815 |
| Adam Ross Coen | Diagnostic Radiology | Palm Imaging Institute A Medical Corporation | 1850 N Riverside Ave, Suite 160, Rialto, CA 92376-8056 |
| Barry A Wood | Physical Therapy | Palm Imaging Institute A Medical Corporation | 900 E Washington St, Suite 200, Colton, CA 92324-4192 |
| Joan Murad Haid | Interventional Radiology | Palm Imaging Institute A Medical Corporation | 1850 N Riverside Ave, Suite 160, Rialto, CA 92376-8056 |
| Heidi R Turpen-folks | Physician Assistant | Palm Imaging Institute A Medical Corporation | 900 E Washington St, Suite 200, Colton, CA 92324-4192 |
| Richard A Biama | Orthopedic Surgery | Palm Imaging Institute A Medical Corporation | 900 E Washington St, Suite 200, Colton, CA 92324-4192 |
| Wayne R Boyd | Diagnostic Radiology | Palm Imaging Institute A Medical Corporation | 1850 N Riverside Ave, Suite 160, Rialto, CA 92376-8056 |
| Stephen W Zecher | Physical Therapy | Palm Imaging Institute A Medical Corporation | 900 E Washington St, Suite 200, Colton, CA 92324-4192 |
| Jessica A Guillen | Physician Assistant | Palm Imaging Institute A Medical Corporation | 900 E Washington St, Suite 200, Colton, CA 92324-4192 |
| Olivia Marie Marshall | Physician Assistant | Palm Imaging Institute A Medical Corporation | 900 E Washington St, Suite 200, Colton, CA 92324-4192 |
| Street Address |
399 E 21ST ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip | 92404-4815 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arthur Sungsoo Chung | Radiation Oncology | Palm Imaging Institute A Medical Corporation | 399 E 21st St, San Bernardino, CA 92404-4815 |
| Vernon Lambert | Physical Therapy | Palm Imaging Institute, A Medical Corporation | 399 E 21st St, San Bernardino, CA 92404-4815 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elaine Sze Ho | Family Medicine | Unicare Community Health Center Inc | 184 -190 E Highland Ave, San Bernardino, CA 92404-3658 |
| Mary Edem | Nurse Practitioner | Joseph M Molina Md Professional Corporation-southern California | 190 E Highland Ave, San Bernardino, CA 92404-3658 |
| Renato G Rada | Family Medicine | Unicare Community Health Center Inc | 184 -190 E Highland Ave, San Bernardino, CA 92404-3658 |
| Gloria E Morrow | Clinical Psychologist | Joseph M Molina Md Professional Corporation-southern California | 190 E Highland Ave, San Bernardino, CA 92404-3658 |
| Yvonne C Medock | Nurse Practitioner | Joseph M Molina Md Professional Corporation-southern California | 190 E Highland Ave, San Bernardino, CA 92404-3658 |
| Nathan B Williams | Family Medicine | Premier Urgent Care Centers of California Inc | 284 E Highland Ave, San Bernardino, CA 92404-3706 |
| Irene Donley Kimble | Obstetrics/gynecology | Woman To Woman Ob Gyn Medical Grp | 249 E Highland Ave, San Bernrdno, CA 92404-3707 |
| Robert D Parkinson | Physician Assistant | Dignity Health Medical Foundation | 401 E Highland Ave, Suite 251, San Bernardino, CA 92404-3800 |
| Samir Ved Kubba | Hematology/oncology | Inland Hematology Oncology Medical Group Inc | 401 C E Highland Ave, San Bernadino, CA 92404-3801 |
| Rajiv Malik | Hematology/oncology | Inland Hematology Oncology Medical Group Inc | 401 C E Highland Ave, San Bernadino, CA 92404-3801 |
| Find all physicians in zip 92404 | |||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | SAN BERNARDINO + 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.