Mark P Sloan, MD | |
401 Bicentennial Way, Santa Rosa, CA 95403-2149 | |
(707) 571-4000 | |
Not Available |
Full Name | Mark P Sloan |
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Gender | Male |
Speciality | Pediatrics |
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 |
---|---|---|---|
1063596054 | NPI | - | NPPES |
00G483940 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | G48394 (California) | Primary |
Entity Name | Petaluma Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588656268 PECOS PAC ID: 9133180375 Enrollment ID: O20050315000415 |
Mailing Address | Practice Location Address |
---|---|
Mark P Sloan, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Mark P Sloan, MD 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 571-4000 |
Krisztina J. Balazs, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Daniel J Greenfield, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Doyle Park Dr Ste 100, Santa Rosa, CA 95405 Phone: 707-544-6090 Fax: 707-544-2389 | |
Dr. Jeff Miller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3925 Old Redwood Hwy, Santa Rosa, CA 95403 Phone: 707-566-5312 | |
Dr. Allison Cali Paine, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Doyle Park Dr, Suite 100, Santa Rosa, CA 95405 Phone: 650-248-9309 | |
Dr. Deborah Madansky, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 858 Third Street, Santa Rosa, CA 95404 Phone: 707-576-1813 Fax: 707-874-3332 | |
Leland Davis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Sonoma Ave, Suite 6, Santa Rosa, CA 95405 Phone: 707-545-2545 |