Michael G Kent (NPI# 1841429339, PAC ID# 9830314582) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1841429339 |
| PAC ID by PECOS | 9830314582 |
| Professional Enrollment ID | I20170912002573 |
| Full Name | Michael G Kent |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Address |
3307 Renner Dr Fortuna CA 95540-3119 |
| Phone Number | 7144494800 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 8921993205 |
| Number of Group Practice Members | 1049 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050006 | ST JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3307 Renner Dr, Fortuna, CA 95540-3119 | 7144494800 | 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 |
| Michael James Glamore | Urology | St Joseph Heritage Healthcare | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3661 |
| 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 |
| Street Address |
3307 RENNER DR |
| City | FORTUNA |
| State | CA |
| Zip | 95540-3119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Wachtel O'brien | Certified Nurse Midwife (cnm) | St Joseph Heritage Healthcare | 3307 Renner Dr, Fortuna, CA 95540-3119 |
| Brandon Eugene Bireley | General Surgery | St Joseph Heritage Healthcare | 3307 Renner Dr, Fortuna, CA 95540-3119 |
| John A Montgomery | General Surgery | St Joseph Heritage Healthcare | 3307 Renner Dr, Fortuna, CA 95540-3119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan D Brinckhaus | Family Medicine | Fortuna Family Medical Group Inc | 874 Main St, Fortuna, CA 95540-1926 |
| Ruben E Brinckhaus | Family Medicine | Fortuna Family Medical Group Inc | 874 Main St, Fortuna, CA 95540-1926 |
| Brian Calvert | Optometry | 777 9th St, Fortuna, CA 95540-2001 | |
| Joy B Frasier | Clinical Social Worker | 940 Main St, Fortuna, CA 95540-2007 | |
| Noreen L Edwards | Clinical Social Worker | 1100 Main St, Suite B, Fortuna, CA 95540-2148 | |
| Alan E French | Optometry | 630 9th St, Fortuna, CA 95540-2324 | |
| Neil Robert Kelley | Podiatry | 1730 Main St, Suite B, Fortuna, CA 95540-2451 | |
| Lauretta R Allen | Physical Therapy | Eureka Physical Therapy | 2600 Newburg Rd, A Phys Therapy Corp, Fortuna, CA 95540-2536 |
| Michael H Crosbie | Chiropractic | 1828 Main St, Fortuna, CA 95540-2717 | |
| Benjamin R Cowell | Chiropractic | 431 N Fortuna Blvd, Fortuna, CA 95540-2724 | |
| Find all physicians in zip 95540 | |||
| City | FORTUNA |
| Zip Code | 95540 |
| Specialty | GENERAL SURGERY |
| City + Specialty | FORTUNA + GENERAL SURGERY |
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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.