Jack Tanenbaum (NPI# 1154419505, PAC ID# 9537292115) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
Nation Provider ID (NPI) | 1154419505 |
PAC ID by PECOS | 9537292115 |
Professional Enrollment ID | I20100803000661 |
Full Name | Jack Tanenbaum |
Address |
1209 W Tokay St Suite 11 Lodi CA 95240-3845 |
Phone Number | 9166625947 |
Gender | M |
Medical School | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1964 |
Primary Specialty | CLINICAL SOCIAL WORKER |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1209 W Tokay St, Suite 11, Lodi, CA 95240-3845 | 9166625947 |
Street Address |
1209 W TOKAY ST SUITE 11 |
City | LODI |
State | CA |
Zip | 95240-3845 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ramnik Singh Clair | Osteopathic Manipulative Medicine | 900 S Fairmont A A, Lodi, CA 95240 | |
Kharis E Powell | Psychologist, Clinical | 12 S Hutchins St, Lodi, CA 95240-1922 | |
Sarah A Bozeman | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 210 W Pine St, Lodi, CA 95240-2020 |
Zachary Joseph Mertz | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 210 W Pine St, Lodi, CA 95240-2020 |
Fatema M Ghani | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 210 W Pine St, Lodi, CA 95240-2020 |
Michael R Oconnell | Chiropractic | 404 W Pine St, Suite 14, Lodi, CA 95240-2048 | |
Toni F Reynolds | Chiropractic | 404 W Pine St, Suite 4, Lodi, CA 95240-2048 | |
Heather West Leam | Chiropractic | 812 W Lodi Ave, Lodi, CA 95240-3302 | |
Larry Od Simpfenderfer | Optometry | 1210 W Tokay St, Lodi, CA 95240-3810 | |
Frank T Huang Jr. | Endocrinology | Adventist Health Physicians Network | 515 S Fairmont Ave, Lodi, CA 95240-3834 |
Find all physicians in zip 95240 |
City | LODI |
Zip Code | 95240 |
Specialty | CLINICAL SOCIAL WORKER |
City + Specialty | LODI + CLINICAL SOCIAL WORKER |
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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.