Michael James Glamore (NPI# 1033522842, PAC ID# 8921228206) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1033522842 |
| PAC ID by PECOS | 8921228206 |
| Professional Enrollment ID | I20190731000953 |
| Full Name | Michael James Glamore |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Address |
1701 4th St Suite 200 Santa Rosa CA 95404-3661 |
| Phone Number | 7075792100 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | UROLOGY |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 8921993205 |
| Number of Group Practice Members | 1049 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050174 | SANTA ROSA MEMORIAL HOSPITAL |
| 050136 | PETALUMA VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1701 4th St, Suite 200, Santa Rosa, CA 95404-3661 | 7075792100 | ST JOSEPH HERITAGE HEALTHCARE |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Physicians | 1022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tarah N Nelson | Nurse Practitioner | St Joseph Heritage Healthcare | 2460 Buhne St, Eureka, CA 95501-3207 |
| Kristen Shay Rasnick | Nurse Practitioner | St Joseph Heritage Healthcare | 6580 Hembree Ln, Suite 270, Windsor, CA 95492-6885 |
| Basit Rahim | Neurology | St Joseph Heritage Healthcare | 26800 Crown Valley Pkwy, Suite 385, Mission Viejo, CA 92691-7320 |
| Elizabeth Wachtel O'brien | Certified Nurse Midwife (cnm) | St Joseph Heritage Healthcare | 3307 Renner Dr, Fortuna, CA 95540-3119 |
| Teresa E Shields-szabo | Family Medicine | St Joseph Heritage Healthcare | 26795 Portola Pkwy, Foothill Ranch, CA 92610-1713 |
| Austin James Perkins | Physician Assistant | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Sherin Ann Chakkalakel | Nurse Practitioner | St Joseph Heritage Healthcare | 905 E Washington St, St Joseph Heritage Healthcare, Petaluma, CA 94952-3389 |
| Jamie Lea Meyer | Nurse Practitioner | St Joseph Heritage Healthcare | 2332 23rd St, Eureka, CA 95501-3231 |
| Laura Elizabeth Hall | Nurse Practitioner | St Joseph Heritage Healthcare | 2280 Harrison Ave, Suite K, Eureka, CA 95501-3200 |
| Mindy Eve Tittiger | Internal Medicine | St Joseph Heritage Healthcare | 2700 Dolbeer St, Eureka, CA 95501-4736 |
| Street Address |
1701 4TH ST SUITE 200 |
| City | SANTA ROSA |
| State | CA |
| Zip | 95404-3661 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kim E. Schmitt | Otolaryngology | Northern California Medical Assoc Inc | 1701 4th St, Suite 120, Santa Rosa, CA 95404-3661 |
| I-tsyr Shaw | Endocrinology | Northern California Medical Assoc Inc | 1701 4th St, Suite 210, Santa Rosa, CA 95404-3661 |
| Razi M Arifuddin | Gastroenterology | Northern California Medical Assoc Inc | 1701 4th St, Suite 100, Santa Rosa, CA 95404-3661 |
| Kent William Blakely | Rheumatology | Northern California Medical Assoc Inc | 1701 4th St, Suite 210, Santa Rosa, CA 95404-3661 |
| Stefan M Zechowy | Otolaryngology | Northern California Medical Assoc Inc | 1701 4th St, Suite 120, Santa Rosa, CA 95404-3661 |
| Judith Seargeant-holmes | Physician Assistant | Northern California Medical Assoc Inc | 1701 4th St, Santa Rosa, CA 95404-3661 |
| Ashleigh Erin Korves | Podiatry | Northern California Medical Assoc Inc | 1701 4th St, Suite 100, Santa Rosa, CA 95404-3661 |
| Alexander M Lustberg | Gastroenterology | Northern California Medical Assoc Inc | 1701 4th St, Suite 100, Santa Rosa, CA 95404-3661 |
| Mark R Homicz | Otolaryngology | Northern California Medical Assoc Inc | 1701 4th St, Suite 120, Santa Rosa, CA 95404-3661 |
| Isha Shrestha | Endocrinology | Northern California Medical Assoc Inc | 1701 4th St, Suite 210, Santa Rosa, CA 95404-3661 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darin E Brandt | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Colin E Bauer | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Scott A Sewell | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Lesley M Field | Physician Assistant | Redwood Radiology Group Inc | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Steven L Marlowe | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Kofi E Inkabi | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Michael Hector Caccavale | Interventional Radiology | Redwood Radiology Group Inc | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Raymond F Conway Iii | Interventional Radiology | Redwood Radiology Group Inc | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| David Claude Sidney | Infectious Disease | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 | |
| Robert M Pousman | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Find all physicians in zip 95404 | |||
| City | SANTA ROSA |
| Zip Code | 95404 |
| Specialty | UROLOGY |
| City + Specialty | SANTA ROSA + UROLOGY |
Please comment or provide details below to improve the information on Michael James Glamore.
| 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.