| James Edward O'dorisio, MD | |
|
76 Brookwood Ave, Santa Rosa, CA 95404-4312 | |
| (707) 578-3000 | |
| (707) 540-6407 |
| Full Name | James Edward O'dorisio |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 44 Years |
| Location | 76 Brookwood Ave, 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 |
|---|---|---|---|
| 1598820219 | NPI | - | NPPES |
| P00462712 | Other | RAILROAD MEDICARE | |
| 00A441470 | Medicaid | CA | |
| 00A441470 | Other | CA | BLUE SHIELD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | A44147 (California) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | A44147 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Ukiah Valley | Ukiah, CA | Hospital |
| Mendocino Coast District Hospital | Fort bragg, CA | Hospital |
| Sutter Lakeside Hospital | Lakeport, CA | Hospital |
| Adventist Health Clearlake | Clearlake, CA | Hospital |
| Adventist Health Howard Memorial | Willits, CA | Hospital |
| Entity Name | James E O'dorisio Md A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083050041 PECOS PAC ID: 4587893847 Enrollment ID: O20140207000175 |
| Mailing Address | Practice Location Address |
|---|---|
| James Edward O'dorisio, MD 76 Brookwood Ave, Santa Rosa, CA 95404-4312 Ph: (707) 578-3000 | James Edward O'dorisio, MD 76 Brookwood Ave, Santa Rosa, CA 95404-4312 Ph: (707) 578-3000 |
Dr. Joseph David Cohn, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 6552 Pine Valley Dr, Santa Rosa, CA 95409 Phone: 707-480-8702 Fax: 707-578-6701 | |
Ramzi Khalil Deeik, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 500 Doyle Park Dr, Suite G-05, Santa Rosa, CA 95405 Phone: 707-255-8825 Fax: 707-252-9325 |