| Dr Ryan Alexander Smith, MD | |
|
3975 Old Redwood Hwy Ste 152, Santa Rosa, CA 95403-1719 | |
| (310) 478-3711 | |
| Not Available |
| Full Name | Dr Ryan Alexander Smith |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 7 Years |
| Location | 3975 Old Redwood Hwy Ste 152, Santa Rosa, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104317262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | A165869 (California) | Primary |
| 208600000X | Surgery | R76953 (Arizona) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan Alexander Smith, MD 3975 Old Redwood Hwy Ste 152, Santa Rosa, CA 95403-1719 Ph: (310) 478-3711 | Dr Ryan Alexander Smith, MD 3975 Old Redwood Hwy Ste 152, Santa Rosa, CA 95403-1719 Ph: (310) 478-3711 |
Christa Adele Green, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 208 Concourse Blvd Ste 2, Santa Rosa, CA 95403 Phone: 707-303-4995 Fax: 707-303-4996 | |
Marcia Ann Luisi, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 990 Sonoma Ave, Suite #3, Santa Rosa, CA 95404 Phone: 707-546-5487 Fax: 707-546-5488 | |
Mrs. Anina Christine Imhof, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 140 Wikiup Dr, Santa Rosa, CA 95403 Phone: 707-542-5400 | |
Dr. Maria B. Patten, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-547-4608 | |
Dr. Kevin M Satow, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1144 Sonoma Ave, Suite 115, Santa Rosa, CA 95405 Phone: 707-523-2070 Fax: 707-523-2037 | |
Joseph Lapenna, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 500 Doyle Park Dr Ste 300, Santa Rosa, CA 95405 Phone: 707-303-8320 |