Dr Ryan F Brown, MD | |
401 Bicentennial Way, Santa Rosa, CA 95403-2149 | |
(707) 393-4427 | |
Not Available |
Full Name | Dr Ryan F Brown |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 401 Bicentennial Way, 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 |
---|---|---|---|
1497768881 | NPI | - | NPPES |
21828784 | Medicaid | CO | |
022592 | Other | CO | KAISER COMMERCIAL NUMBER |
282206602 | Other | TX | CSHCN |
282206601 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 51198 (Colorado) | Secondary |
207Y00000X | Otolaryngology | N7781 (Texas) | Secondary |
207Y00000X | Otolaryngology | C177627 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
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 F Brown, MD 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 393-4000 | Dr Ryan F Brown, MD 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 393-4427 |
Dr. William Arnold Combs, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1701 4th St Ste 120, Santa Rosa, CA 95404 Phone: 707-523-7025 | |
Dr. Victor G Lacombe, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1002 Mendocino Ave, Santa Rosa, CA 95401 Phone: 707-577-8292 Fax: 707-575-3941 | |
Stefan M Zechowy, M.D. Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 1701 4th St, Ste 120, Santa Rosa, CA 95404 Phone: 707-523-7025 Fax: 707-523-3024 | |
Annick Aubin-pouliot, Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 1701 4th St Ste 120, Santa Rosa, CA 95404 Phone: 707-523-7025 Fax: 707-523-3024 | |
Dr. Richard Turley, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-393-4409 | |
Charles J. Meltzer, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Mark R Homicz, M.D. Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 1701 4th St Ste 120, Santa Rosa, CA 95404 Phone: 707-523-7025 Fax: 707-523-3024 |