| Douglas Ankrom, MD | |
|
680 Guzzi Ln Ste 205, Sonora, CA 95370-5288 | |
| (209) 533-3321 | |
| (209) 533-3118 |
| Full Name | Douglas Ankrom |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 42 Years |
| Location | 680 Guzzi Ln Ste 205, Sonora, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558390393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | A52517 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Hanford | Hanford, CA | Hospital |
| Adventist Health Sonora | Sonora, CA | Hospital |
| Adventist Health Tulare | Tulare, CA | Hospital |
| Adventist Health Reedley | Reedley, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adventist Health Physicians Network | 3274580972 | 572 |
| Central Valley General Hospital | 8325957517 | 78 |
| Entity Name | Sonora Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033100854 PECOS PAC ID: 4284538505 Enrollment ID: O20040316000829 |
| Entity Name | Sonora Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851382675 PECOS PAC ID: 4284538505 Enrollment ID: O20050329000637 |
| Entity Name | Adventist Health Physicians Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633 |
| Entity Name | Douglas W Ankrom M D Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477761914 PECOS PAC ID: 5496799629 Enrollment ID: O20050721000336 |
| Entity Name | Reedley Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336167550 PECOS PAC ID: 0941460984 Enrollment ID: O20201224000078 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Ankrom, MD 680 Guzzi Ln Ste 205, Sonora, CA 95370-5288 Ph: (209) 533-3321 | Douglas Ankrom, MD 680 Guzzi Ln Ste 205, Sonora, CA 95370-5288 Ph: (209) 533-3321 |