Brian E Spencer (NPI# 1649398785, PAC ID# 9739246307) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1649398785 |
| PAC ID by PECOS | 9739246307 |
| Professional Enrollment ID | I20130110000397 |
| Full Name | Brian E Spencer |
| Organization Legal Name | PHYSICIAN ASSISTANT SURGICAL ASSIST, INC |
| Address |
5122 Crystal Cove Dr Rancho Cordova CA 95742-8192 |
| Phone Number | 9166474821 |
| Gender | M |
| Graduation Year | 1985 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8123271749 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050414 | MERCY HOSPITAL OF FOLSOM |
| Address | Phone | Organization |
|---|---|---|
| 5122 Crystal Cove Dr, Rancho Cordova, CA 95742-8192 | 9166474821 | PHYSICIAN ASSISTANT SURGICAL ASSIST, INC |
| Organization Legal Name | PHYSICIAN ASSISTANT SURGICAL ASSIST, INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Loretta R Winn | Physician Assistant | Physician Assistant Surgical Assist, Inc | 5122 Crystal Cove Dr, Rancho Cordova, CA 95742-8192 |
| Chad Everett Spears | Physician Assistant | Physician Assistant Surgical Assist, Inc | 5122 Crystal Cove Dr, Rancho Cordova, CA 95742-8192 |
| Sohrab Behbahani | Obstetrics/gynecology | Physician Assistant Surgical Assist, Inc | 5122 Crystal Cove Dr, Rancho Cordova, CA 95742-8192 |
| Sharon A Hapak | Nurse Practitioner | Physician Assistant Surgical Assist, Inc | 5122 Crystal Cove Dr, Rancho Cordova, CA 95742-8192 |
| Gabriel A Maalouf Ii | Physician Assistant | Physician Assistant Surgical Assist, Inc | 5122 Crystal Cove Dr, Rancho Cordova, CA 95742-8192 |
| Heidi E Groessl | Physician Assistant | Physician Assistant Surgical Assist, Inc | 5122 Crystal Cove Dr, Rancho Cordova, CA 95742-8192 |
| Lorne Sachs | Physician Assistant | Physician Assistant Surgical Assist, Inc | 5122 Crystal Cove Dr, Rancho Cordova, CA 95742-8192 |
| Michael P Reising | Physician Assistant | Physician Assistant Surgical Assist, Inc | 5122 Crystal Cove Dr, Rancho Cordova, CA 95742-8192 |
| Joshua R Khoshsefat | Nurse Practitioner | Physician Assistant Surgical Assist, Inc | 5122 Crystal Cove Dr, Rancho Cordova, CA 95742-8192 |
| Street Address |
5122 CRYSTAL COVE DR |
| City | RANCHO CORDOVA |
| State | CA |
| Zip | 95742-8192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Loretta R Winn | Physician Assistant | Physician Assistant Surgical Assist, Inc | 5122 Crystal Cove Dr, Rancho Cordova, CA 95742-8192 |
| Chad Everett Spears | Physician Assistant | Physician Assistant Surgical Assist, Inc | 5122 Crystal Cove Dr, Rancho Cordova, CA 95742-8192 |
| Sohrab Behbahani | Obstetrics/gynecology | Physician Assistant Surgical Assist, Inc | 5122 Crystal Cove Dr, Rancho Cordova, CA 95742-8192 |
| Sharon A Hapak | Nurse Practitioner | Physician Assistant Surgical Assist, Inc | 5122 Crystal Cove Dr, Rancho Cordova, CA 95742-8192 |
| Gabriel A Maalouf Ii | Physician Assistant | Physician Assistant Surgical Assist, Inc | 5122 Crystal Cove Dr, Rancho Cordova, CA 95742-8192 |
| Heidi E Groessl | Physician Assistant | Physician Assistant Surgical Assist, Inc | 5122 Crystal Cove Dr, Rancho Cordova, CA 95742-8192 |
| Lorne Sachs | Physician Assistant | Physician Assistant Surgical Assist, Inc | 5122 Crystal Cove Dr, Rancho Cordova, CA 95742-8192 |
| Michael P Reising | Physician Assistant | Physician Assistant Surgical Assist, Inc | 5122 Crystal Cove Dr, Rancho Cordova, CA 95742-8192 |
| Joshua R Khoshsefat | Nurse Practitioner | Physician Assistant Surgical Assist, Inc | 5122 Crystal Cove Dr, Rancho Cordova, CA 95742-8192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norman D Reyes | Vascular Surgery | Capitol Nephrology Medical Group | 2893 Sunrise Blvd, Suite 103, Rancho Cordova, CA 95742-6527 |
| Julie Debra Hunt | Nurse Practitioner | Sutter Valley Medical Foundation | 4040 Sunrise Blvd, Suite 130, Rancho Cordova, CA 95742-6922 |
| Andrelyn C Almario | Nurse Practitioner | Sutter Valley Medical Foundation | 4040 Sunrise Blvd, Suite 130, Rancho Cordova, CA 95742-6922 |
| Kristi Hufford | Nurse Practitioner | Sutter Valley Medical Foundation | 4040 Sunrise Blvd, Suite 130, Rancho Cordova, CA 95742-6922 |
| Pamela Phanmaha Visathep | Nurse Practitioner | Sutter Valley Medical Foundation | 4040 Sunrise Blvd, Suite 130, Rancho Cordova, CA 95742-6922 |
| Karen Kay Klein | Nurse Practitioner | Sutter Valley Medical Foundation | 4040 Sunrise Blvd, Suite 130, Rancho Cordova, CA 95742-6922 |
| Marcia S Blecher | Physician Assistant | Sutter Valley Medical Foundation | 4040 Sunrise Blvd, Suite 130, Rancho Cordova, CA 95742-6922 |
| Tyla Ann Healton | Nurse Practitioner | Sutter Valley Medical Foundation | 4040 Sunrise Blvd, Suite 130, Rancho Cordova, CA 95742-6922 |
| City | RANCHO CORDOVA |
| Zip Code | 95742 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | RANCHO CORDOVA + PHYSICIAN ASSISTANT |
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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.