| Dr Kalle Marc Stidham, DO | |
|
550 S Winchester Blvd, Suite 100, San Jose, CA 95128-2544 | |
| (650) 851-4900 | |
| (408) 556-8415 |
| Full Name | Dr Kalle Marc Stidham |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 23 Years |
| Location | 550 S Winchester Blvd, San Jose, 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 |
|---|---|---|---|
| 1164627501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 20A10063 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Washington Hospital | Fremont, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| James Petros Md Inc | 0941479216 | 15 |
| Advanced Surgical Associates | 2567438849 | 6 |
| Orthopaedic Sports Specialists A Medical Corp. | 7113968181 | 5 |
| Entity Name | Advanced Surgical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013027150 PECOS PAC ID: 2567438849 Enrollment ID: O20040908000760 |
| Entity Name | Orthopaedic Sports Specialists A Medical Corp. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447311253 PECOS PAC ID: 7113968181 Enrollment ID: O20090527000163 |
| Entity Name | Dr Morteza Farr Do Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033425350 PECOS PAC ID: 4183809387 Enrollment ID: O20110504000200 |
| Entity Name | James Petros Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336448299 PECOS PAC ID: 0941479216 Enrollment ID: O20110803000651 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kalle Marc Stidham, DO 500 Arguello St, Suite 100, Redwood City, CA 94063-1566 Ph: (650) 851-4900 | Dr Kalle Marc Stidham, DO 550 S Winchester Blvd, Suite 100, San Jose, CA 95128-2544 Ph: (650) 851-4900 |
Morteza Moosavi Farr, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 125 N Jackson Ave, # 101, San Jose, CA 95116 Phone: 408-258-6565 Fax: 408-258-1220 | |
Charissa Farris, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2516 Samaritan Dr Ste B, San Jose, CA 95124 Phone: 408-356-3777 | |
Dr. William Robert Stearns, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 123 Di Salvo Ave, Suite E, San Jose, CA 95128 Phone: 408-297-3485 Fax: 408-297-1193 | |
Mari Escay, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 | |
Dr. Jessica C Mcbeth, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, Valley Medical Center, Dept Of Orthopaedics, San Jose, CA 95128 Phone: 408-885-5395 | |
Eric Moss Kagel, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2430 Samaritan Dr, San Jose, CA 95124 Phone: 408-358-3555 Fax: 408-358-3505 | |
Sandra Lee Reidel, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 |