| Briant W Smith, MD | |
|
3883 Airway Dr, Suite 165, Santa Rosa, CA 95403-1670 | |
| (707) 521-7799 | |
| (707) 521-8951 |
| Full Name | Briant W Smith |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 3883 Airway Dr, 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 |
|---|---|---|---|
| 1639253628 | NPI | - | NPPES |
| 00G611630 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | G61163 (California) | Primary |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Entity Name | Santa Rosa Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578631172 PECOS PAC ID: 0345130423 Enrollment ID: O20040319001444 |
| Mailing Address | Practice Location Address |
|---|---|
| Briant W Smith, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (707) 521-7799 | Briant W Smith, MD 3883 Airway Dr, Suite 165, Santa Rosa, CA 95403-1670 Ph: (707) 521-7799 |
Raymond Severt, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1144 Sonoma Ave, Suite 121, Santa Rosa, CA 95405 Phone: 707-978-4322 Fax: 707-538-2519 | |
Dr. Peter Bernard Albert Pappas, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 76 Brookwood Ave, Santa Rosa, CA 95404 Phone: 707-523-2381 Fax: 707-523-2677 | |
Christian Nabil Athanassious, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1405 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-546-1922 Fax: 707-546-1897 | |
Jacob Zipperstein, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-393-4080 | |
Dr. Thomas C Degenhardt, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1405 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-546-1922 Fax: 707-546-1987 | |
Dr. Roger A Klein, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Sonoma Ave, Suite 106, Santa Rosa, CA 95405 Phone: 707-576-0366 Fax: 707-576-0468 | |
Dr. Mark E. Schakel Ii, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1405 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-546-1922 Fax: 707-546-1897 |