Dr Ryan Alexander Smith, MD | |
3975 Old Redwood Hwy Ste 152, Santa Rosa, CA 95403-1719 | |
(310) 478-3711 | |
Not Available |
Full Name | Dr Ryan Alexander Smith |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 3975 Old Redwood Hwy Ste 152, Santa Rosa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104317262 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | A165869 (California) | Primary |
208600000X | Surgery | R76953 (Arizona) | Secondary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Dr Ryan Alexander Smith, MD 3975 Old Redwood Hwy Ste 152, Santa Rosa, CA 95403-1719 Ph: (310) 478-3711 | Dr Ryan Alexander Smith, MD 3975 Old Redwood Hwy Ste 152, Santa Rosa, CA 95403-1719 Ph: (310) 478-3711 |
Christa Adele Green, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 208 Concourse Blvd Ste 2, Santa Rosa, CA 95403 Phone: 707-303-4995 Fax: 707-303-4996 | |
Marcia Ann Luisi, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 990 Sonoma Ave, Suite #3, Santa Rosa, CA 95404 Phone: 707-546-5487 Fax: 707-546-5488 | |
Mrs. Anina Christine Imhof, PT, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 140 Wikiup Dr, Santa Rosa, CA 95403 Phone: 707-542-5400 | |
Dr. Kevin M Satow, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1144 Sonoma Ave, Suite 115, Santa Rosa, CA 95405 Phone: 707-523-2070 Fax: 707-523-2037 | |
Joseph Lapenna, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 500 Doyle Park Dr Ste 300, Santa Rosa, CA 95405 Phone: 707-303-8320 | |
Dr. Robert Adam Schulman, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 95 Montgomery Dr, Ste 120, Santa Rosa, CA 95404 Phone: 415-893-8399 Fax: 866-280-2348 |