John Jiwoong Ryu, MD | |
1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 | |
(925) 939-3000 | |
(925) 947-5286 |
Full Name | John Jiwoong Ryu |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 1601 Ygnacio Valley Rd, Walnut Creek, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497783021 | NPI | - | NPPES |
00A516860 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A51686 (California) | Primary |
Entity Name | John Muir Trauma Physicians Billing Service |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093864837 PECOS PAC ID: 3476542515 Enrollment ID: O20050420001452 |
Entity Name | Cep America - Anesthesia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790401438 PECOS PAC ID: 3678897915 Enrollment ID: O20150115001110 |
Entity Name | G2 Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487214698 PECOS PAC ID: 3375873599 Enrollment ID: O20191001001034 |
Entity Name | Total Anesthesia Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730806449 PECOS PAC ID: 8224408364 Enrollment ID: O20230105001535 |
Mailing Address | Practice Location Address |
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John Jiwoong Ryu, MD Po Box 7793, San Francisco, CA 94120-7793 Ph: () - | John Jiwoong Ryu, MD 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 Ph: (925) 939-3000 |
Kevin George Kaiser, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 925-939-3000 Fax: 925-947-5286 | |
David Curtis Fitzgerald, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 925-939-3000 Fax: 925-947-5286 | |
Kurt Dieter Dittmar, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1607 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 925-939-3000 Fax: 925-947-5286 | |
Christine E. Sands, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
David Aaron Shapiro, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 925-939-3000 Fax: 925-947-5286 | |
Nitin Kumar, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 925-939-3000 | |
Mark D. Piehler, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 |