| Shasta Orthopaedics And Sports Medicine | |
|
1255 Liberty Street Redding CA 96001-0814 | |
| (530) 246-2467 | |
| (530) 242-9460 |
| Full Name | Shasta Orthopaedics And Sports Medicine |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 1255 Liberty Street, Redding, California |
| Authorized Official Name and Position | Paul E Schwartz (PRESIDENT) |
| Authorized Official Contact | 5302462467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shasta Orthopaedics And Sports Medicine Po Box 991950 Redding CA 96099-1950 Ph: (530) 246-2467 | Shasta Orthopaedics And Sports Medicine 1255 Liberty Street Redding CA 96001-0814 Ph: (530) 246-2467 |
| NPI Number | 1750493979 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 12/09/2022 |
| Medicare PECOS PAC ID | 3375533276 |
|---|---|
| Medicare Enrollment ID | O20040513000733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750493979 | NPI | - | NPPES |
| Provider Name | Michael O Kirk |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346308459 PECOS PAC ID: 8921056300 Enrollment ID: I20050112000523 |
| Provider Name | Jack D Schillen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265401541 PECOS PAC ID: 9739119694 Enrollment ID: I20050819000571 |
| Provider Name | David Eric Lindsey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447330816 PECOS PAC ID: 7315952066 Enrollment ID: I20060216000208 |
| Provider Name | Farzad Hosseinali Sabet |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164454591 PECOS PAC ID: 4981620366 Enrollment ID: I20061213000335 |
| Provider Name | Lucas Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053428698 PECOS PAC ID: 5092717074 Enrollment ID: I20070203000079 |
| Provider Name | Galen S Kam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477617496 PECOS PAC ID: 8123110152 Enrollment ID: I20070822001258 |
| Provider Name | Paul Schwartz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780796904 PECOS PAC ID: 2769396407 Enrollment ID: I20080707000669 |
| Provider Name | Stephen P Ferraro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366544595 PECOS PAC ID: 1951215698 Enrollment ID: I20080725000517 |
| Provider Name | Lester Lance Lollar |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1154407468 PECOS PAC ID: 6204998016 Enrollment ID: I20090102000171 |
| Provider Name | Nathan R Ehmer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871767673 PECOS PAC ID: 8628127511 Enrollment ID: I20090526000270 |
| Provider Name | Tony Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871784678 PECOS PAC ID: 9436346608 Enrollment ID: I20101214000742 |
| Provider Name | Lee Steven James |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487755997 PECOS PAC ID: 6002083334 Enrollment ID: I20120126000780 |
| Provider Name | Laura M Dellacort-erickson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871878538 PECOS PAC ID: 8426212507 Enrollment ID: I20120621000432 |
| Provider Name | Jason D Nowak |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831402155 PECOS PAC ID: 6204073687 Enrollment ID: I20130501000540 |
| Provider Name | Rita M Allmeyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043236946 PECOS PAC ID: 2860629649 Enrollment ID: I20131227000127 |
| Provider Name | Jennifer Olds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427479740 PECOS PAC ID: 9537391925 Enrollment ID: I20140417001740 |
| Provider Name | Dayna Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417138959 PECOS PAC ID: 6002030293 Enrollment ID: I20140609001562 |
| Provider Name | Hannah L Hamilton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407240245 PECOS PAC ID: 9335469915 Enrollment ID: I20150521001781 |
| Provider Name | Eric Jenkinson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1427057132 PECOS PAC ID: 2961696513 Enrollment ID: I20150707002537 |
| Provider Name | Troy A Miles |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972829968 PECOS PAC ID: 9830344555 Enrollment ID: I20150831002315 |
| Provider Name | Jordan Knouse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659813012 PECOS PAC ID: 4789964479 Enrollment ID: I20161215001613 |
| Provider Name | Dorris Mendonca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174069306 PECOS PAC ID: 4789960170 Enrollment ID: I20170419002800 |
| Provider Name | Forrest R Monroe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114362019 PECOS PAC ID: 1557667102 Enrollment ID: I20180618003281 |
| Provider Name | Matthew J Herring |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609219658 PECOS PAC ID: 3577867381 Enrollment ID: I20180816000850 |
| Provider Name | Melissa G C Daugaard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760825574 PECOS PAC ID: 3173763992 Enrollment ID: I20190412001617 |
| Provider Name | Brian R Blackburn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851687297 PECOS PAC ID: 7416262282 Enrollment ID: I20190711003411 |
| Provider Name | Michael T Borrello |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1265476857 PECOS PAC ID: 1254335672 Enrollment ID: I20190718001198 |
| Provider Name | Kristin Marie Trevor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043442361 PECOS PAC ID: 1759406408 Enrollment ID: I20200110000671 |
| Provider Name | Tiffany Kirstin Kernutt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700119609 PECOS PAC ID: 6709216294 Enrollment ID: I20200424000346 |
| Provider Name | Garret L Strand |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689106882 PECOS PAC ID: 1456781863 Enrollment ID: I20200428000161 |
| Provider Name | Tyler Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851836506 PECOS PAC ID: 6204117039 Enrollment ID: I20200910002552 |
| Provider Name | Collin Grant Messerly |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588150825 PECOS PAC ID: 4284043076 Enrollment ID: I20210506003173 |
| Provider Name | Helene Cook |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326508961 PECOS PAC ID: 1355730409 Enrollment ID: I20211111002383 |
| Provider Name | Lester Lance Lollar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154407468 PECOS PAC ID: 6204998016 Enrollment ID: I20220113002260 |
| Provider Name | Scott David Schleunes |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033748512 PECOS PAC ID: 9133599863 Enrollment ID: I20221221001707 |
| Provider Name | Garrett P Wireman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982061180 PECOS PAC ID: 9638515554 Enrollment ID: I20240313002473 |
Andrew L Knapp Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Butte St, Redding, CA 96001 Phone: 530-243-0498 | |
Than T Aung Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2421 Old Eureka Way, Redding, CA 96001 Phone: 530-225-8775 Fax: 530-225-8778 | |
Shasta Community College - Student Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11555 Old Oregon Trl, Redding, CA 96003 Phone: 530-242-7580 Fax: 530-225-4968 | |
Excellence In Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2110 Railroad Ave., Redding, CA 96001 Phone: 530-243-1414 Fax: 530-243-0493 | |
Prestige Urgent Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Hartnell Ave, Redding, CA 96002 Phone: 530-262-6001 | |
Docs Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2510 Airpark Dr, Suite 102, Redding, CA 96001 Phone: 530-243-8667 Fax: 530-243-8742 | |
Mercy Maternity Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Railroad Ave, Redding, CA 96001 Phone: 530-225-7486 Fax: 530-225-7293 |