Suja D Dubois (NPI# 1013976612, PAC ID# 9436125010) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1013976612 |
| PAC ID by PECOS | 9436125010 |
| Professional Enrollment ID | I20040903001129 |
| Full Name | Suja D Dubois |
| Organization Legal Name | SAN DIEGO GASTROENTEROLOGY MEDICAL ASSOCIATES |
| Address |
4060 4th Ave Suite 240 San Diego CA 92103-2120 |
| Phone Number | 6192916064 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8123008935 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050077 | SCRIPPS MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4060 4th Ave, Suite 240, San Diego, CA 92103-2120 | 6192916064 | SAN DIEGO GASTROENTEROLOGY MEDICAL ASSOCIATES |
| 4077 5th Ave, San Diego, CA 92103-2105 | 6192948111 | EMERGENCY AND ACUTE CARE MEDICAL CORPORATION |
| Organization Legal Name | SAN DIEGO GASTROENTEROLOGY MEDICAL ASSOCIATES |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aurora E Butler | Physician Assistant | San Diego Gastroenterology Medical Associates | 4060 4th Ave, Suite 240, San Diego, CA 92103-2120 |
| Sally Stipho | Gastroenterology | San Diego Gastroenterology Medical Associates | 4060 4th Ave, Suite 240, San Diego, CA 92103-2120 |
| Yash Mittal | Gastroenterology | San Diego Gastroenterology Medical Associates | 4060 4th Ave, Suite 240, San Diego, CA 92103-2120 |
| Andrew B Cummins | Gastroenterology | San Diego Gastroenterology Medical Associates | 4060 4th Ave, Suite 240, San Diego, CA 92103-2120 |
| Kishore V Gaddipati | Gastroenterology | San Diego Gastroenterology Medical Associates | 4060 4th Ave, Suite 240, San Diego, CA 92103-2120 |
| Sajiv Chandradas | Gastroenterology | San Diego Gastroenterology Medical Associates | 4060 4th Ave, Suite 240, San Diego, CA 92103-2120 |
| Kara M Wills | Physician Assistant | San Diego Gastroenterology Medical Associates | 4060 4th Ave, Suite 240, San Diego, CA 92103-2120 |
| Kevin S Haynes | Gastroenterology | San Diego Gastroenterology Medical Associates | 4060 4th Ave, San Diego, CA 92103-2120 |
| Street Address |
4060 4TH AVE SUITE 240 |
| City | SAN DIEGO |
| State | CA |
| Zip | 92103-2120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Marie Sorgent | Nurse Practitioner | Hillcrest Internal Medicine A Medical Corporation | 4060 4th Ave, Suite 505, San Diego, CA 92103-2121 |
| Erin Dwyer | Nurse Practitioner | Genesis Healthcare Partners PC | 4060 4th Ave, Suite 310, San Diego, CA 92103-2120 |
| Emily D Scott | Cardiovascular Disease (cardiology) | 4060 4th Ave, Suite 500, San Diego, CA 92103-2121 | |
| Stephen E Hemperly | Dermatology | J Robert West Md Inc | 4060 4th Ave, Suite 415, San Diego, CA 92103-2121 |
| Paul D Wagner | Internal Medicine | Paul D Wagner Md Inc | 4060 4th Ave, Suite 100, San Diego, CA 92103-2120 |
| Kristian L Brown | General Surgery | Balboa Nephrology Medical Group Inc | 4060 4th Ave, Suite 220, San Diego, CA 92103-2120 |
| David S Mignea | Physical Therapy | Eggleton and Langton Physical Therapy Management Services | 4060 4th Ave, Suite 206, San Diego, CA 92103-2120 |
| Kelly L Reed | Dermatology | J Robert West Md Inc | 4060 4th Ave, Suite 415, San Diego, CA 92103-2121 |
| Howard Randall Hicks | Psychiatry | 4060 4th Ave, Suite 615, San Diego, CA 92103-2121 | |
| Christa R Lawhorn | Nurse Practitioner | Paul D Wagner Md Inc | 4060 4th Ave, Suite 100, San Diego, CA 92103-2120 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter E Cadman | Nephrology | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
| Patrick Pablo | Registered Dietitian Or Nutrition Professional | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
| Kelli Gray-meisner | Registered Dietitian Or Nutrition Professional | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
| Lovella S Hailey | Nurse Practitioner | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
| Valerie L Waters | Nurse Practitioner | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
| Jennifer A Dorward | Nurse Practitioner | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
| Erika Albani | Family Practice | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
| Sharon Grodner | Psychologist, Clinical | 2278 Pine St, San Diego, CA 92103-1153 | |
| Gregory M Balourdas | Hand Surgery | 4101 Randolph St, San Diego, CA 92103-1342 | |
| Stephanie L Lessig | Neurology | Regents of The University of California - Ucsd Medical Group | 4311 3rd Ave, San Diego, CA 92103-1407 |
| Find all physicians in zip 92103 | |||
| City | SAN DIEGO |
| Zip Code | 92103 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | SAN DIEGO + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Suja D Dubois.
| 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.