| Sierra Medical Partnership | |
|
1625 Creekside Dr Ste 200 Folsom CA 95630-3819 | |
| (916) 857-8260 | |
| Not Available |
| Full Name | Sierra Medical Partnership |
|---|---|
| Speciality | Surgery |
| Location | 1625 Creekside Dr Ste 200, Folsom, California |
| Authorized Official Name and Position | David Skeehan (GENERAL PARTNER) |
| Authorized Official Contact | 9166632100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Medical Partnership 1625 Creekside Dr Ste 202 Folsom CA 95630-3819 Ph: (916) 663-2100 | Sierra Medical Partnership 1625 Creekside Dr Ste 200 Folsom CA 95630-3819 Ph: (916) 857-8260 |
| NPI Number | 1568015808 |
|---|---|
| Provider Enumeration Date | 07/16/2019 |
| Last Update Date | 01/25/2023 |
| Medicare PECOS PAC ID | 7810321858 |
|---|---|
| Medicare Enrollment ID | O20191227000310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568015808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Primary |
| Provider Name | Kamyar Farhangfar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821145426 PECOS PAC ID: 9739157694 Enrollment ID: I20041123000296 |
| Provider Name | David R Couillard |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457462319 PECOS PAC ID: 3274606660 Enrollment ID: I20080717000620 |
| Provider Name | Scott C Braley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598777658 PECOS PAC ID: 2365519519 Enrollment ID: I20081002000070 |
| Provider Name | David M Skeehan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629289186 PECOS PAC ID: 4981757812 Enrollment ID: I20090724000516 |
| Provider Name | Tet Toe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710132733 PECOS PAC ID: 4486707973 Enrollment ID: I20090730000570 |
| Provider Name | John Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487689840 PECOS PAC ID: 5799792354 Enrollment ID: I20090923000716 |
| Provider Name | Shelley R Rutherford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588747430 PECOS PAC ID: 6709054083 Enrollment ID: I20120202000748 |
| Provider Name | Joshua Lewis Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841401916 PECOS PAC ID: 9537322128 Enrollment ID: I20120531000054 |
| Provider Name | Kyle Ross Mcclintock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477831527 PECOS PAC ID: 1951550151 Enrollment ID: I20170725000806 |
| Provider Name | Marc B Cabanne |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1578848347 PECOS PAC ID: 2062752199 Enrollment ID: I20190327001193 |
| Provider Name | Zachary E Brewer |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1467741975 PECOS PAC ID: 9234409665 Enrollment ID: I20190426000556 |
| Provider Name | Ryan Chen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831516095 PECOS PAC ID: 3173833324 Enrollment ID: I20190801002813 |
| Provider Name | Jay S Robertson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467869354 PECOS PAC ID: 4981917218 Enrollment ID: I20190827002491 |
| Provider Name | Bridgette Franz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831669811 PECOS PAC ID: 6305178625 Enrollment ID: I20191105002817 |
| Provider Name | Emilianne Dougall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376897330 PECOS PAC ID: 4688826480 Enrollment ID: I20201009001388 |
| Provider Name | Adel M.m. Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609314905 PECOS PAC ID: 1850794447 Enrollment ID: I20210720001694 |
| Provider Name | Amanda Van Ly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417443334 PECOS PAC ID: 0244589844 Enrollment ID: I20230816002701 |
| Provider Name | Samantha Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871298174 PECOS PAC ID: 6507223963 Enrollment ID: I20231102002990 |
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