Frederick W Penczak (NPI# 1841379070, PAC ID# 9830185339) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1841379070 |
| PAC ID by PECOS | 9830185339 |
| Professional Enrollment ID | I20040421000882 |
| Full Name | Frederick W Penczak |
| Address |
250 Bon Air Rd Greenbrae CA 94904-1702 |
| Phone Number | 4159257000 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF PENNSYLVANIA |
| Graduation Year | 1999 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | NEUROSURGERY, ORTHOPEDIC SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050131 | NOVATO COMMUNITY HOSPITAL |
| 050360 | MARIN GENERAL HOSPITAL |
| 050008 | CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP |
| Address | Phone | Organization |
|---|---|---|
| 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 4159257000 | |
| 180 Rowland Way, Novato, CA 94945-5009 | 4152091300 |
| Street Address |
250 BON AIR RD |
| City | GREENBRAE |
| State | CA |
| Zip | 94904-1702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Elaine Schmidt | Internal Medicine | Marin Hospitalist Medical Group, Inc. | 250 Bon Air Rd, Rm 3209, Greenbrae, CA 94904-1702 |
| Gordon J Juriansz | Internal Medicine | Marin Hospitalist Medical Group, Inc. | 250 Bon Air Rd, Rm 3209, Greenbrae, CA 94904-1702 |
| George Paul | Anesthesiology | Anesthesiology Consultants of Marin | 250 Bon Air Rd, Greenbrae, CA 94904-1702 |
| Joshua S Kane | Psychiatry | County of Marin | 250 Bon Air Rd, Greenbrae, CA 94904-1784 |
| Terry L Hand | Plastic and Reconstructive Surgery | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | |
| Denis J Glenn | Internal Medicine | Marin Hospitalist Medical Group, Inc. | 250 Bon Air Rd, Rm 3209, Greenbrae, CA 94904-1702 |
| Harith H Al Shuwaykh | Internal Medicine | Marin Hospitalist Medical Group, Inc. | 250 Bon Air Rd, Rm 3209, Greenbrae, CA 94904-1702 |
| Tom Joseph | Anesthesiology | Anesthesiology Consultants of Marin | 250 Bon Air Rd, Greenbrae, CA 94904-1702 |
| Kerry L Davidson | Internal Medicine | Marin Hospitalist Medical Group, Inc. | 250 Bon Air Rd, Rm 3209, Greenbrae, CA 94904-1702 |
| Vineet Kapur | Critical Care (intensivists) | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marilyn G Orlova Zitzer | Nurse Practitioner | 250 Bon Air Dr, Greenbrae, CA 94904 | |
| Anthony Michael Sajewicz | Diagnostic Radiology | West Florida Radiology Associates Pa | 31 Corte Lodato, Greenbrae, CA 94904-1225 |
| Chloe A Martin | Psychologist, Clinical | 1030 Sir Francis Drake Blvd, Suite 100, Kentfield, CA 94904-1411 | |
| Monica J Sligh | Nurse Practitioner | Vibra Physicians LLC | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Genevieve F Smith | Nurse Practitioner | Vibra Physicians LLC | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Aida Calvillo | Internal Medicine | Marin Hospitalist Medical Group, Inc. | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Melvin Selinger | Critical Care (intensivists) | Aretaeus Telemedicine Inc. | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Robert P Lasser | Psychologist, Clinical | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | |
| Francis X Perez | Family Medicine | Marin Hospitalist Medical Group, Inc. | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Michael K Vaughan | Family Medicine | Marin Hospitalist Medical Group, Inc. | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Find all physicians in zip 94904 | |||
| City | GREENBRAE |
| Zip Code | 94904 |
| Specialty | GENERAL SURGERY |
| City + Specialty | GREENBRAE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Frederick W Penczak.
| 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.