| Michael Craig Nussdorfer, MD | |
|
1700 S Court St Ste F, Visalia, CA 93277-4931 | |
| (559) 734-9244 | |
| (559) 734-6932 |
| Full Name | Michael Craig Nussdorfer |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 37 Years |
| Location | 1700 S Court St Ste F, Visalia, 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 |
|---|---|---|---|
| 1740250323 | NPI | - | NPPES |
| 00G739140 | Medicaid | CA | |
| 002003018 | Medicaid | NV | |
| 300127544 | Other | NV | RAILROAD MEDICARE |
| 300127546 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 6620 (Nevada) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | G73914 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Honorhealth Scottsdale Shea Medical Center | Scottsdale, AZ | Hospital |
| Scottsdale Osborn Medical Center | Scottsdale, AZ | Hospital |
| John C. Lincoln North Mountain Hospital | Phoenix, AZ | Hospital |
| Honorhealth Deer Valley Medical Center | Phoenix, AZ | Hospital |
| Scottsdale Thompson Peak Medical Center | Scottsdale, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sonoran Radiology Ltd | 3375964505 | 386 |
| Southwest Diagnostic Imaging Llc | 7416946199 | 100 |
| Sonoran Radiology Ltd | 3375964505 | 386 |
| Entity Name | Honorhealth Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043851793 PECOS PAC ID: 1557274057 Enrollment ID: O20031119000717 |
| Entity Name | Southwest Diagnostic Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902896236 PECOS PAC ID: 7416946199 Enrollment ID: O20040507001294 |
| Entity Name | Sonoran Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20200526002412 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Craig Nussdorfer, MD 1700 S Court St Ste F, Visalia, CA 93277-4931 Ph: (559) 734-9244 | Michael Craig Nussdorfer, MD 1700 S Court St Ste F, Visalia, CA 93277-4931 Ph: (559) 734-9244 |
Dr. Michael J Bowers, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1700 S Court St Ste F, Visalia, CA 93277 Phone: 559-734-9244 Fax: 559-734-6932 | |
Glade E Roper, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 S Court St Ste A, Visalia, CA 93277 Phone: 559-734-9244 Fax: 559-734-6932 | |
Dr. Jaime C Aguet, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 S Court St Ste F, Visalia, CA 93277 Phone: 559-734-9244 Fax: 559-734-6932 | |
Bharath Surapaneni, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 S Court St Ste F, Visalia, CA 93277 Phone: 559-734-9244 | |
Stanislav Ryndin, Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 W Mineral King Ave, Visalia, CA 93291 Phone: 916-241-5828 | |
Dr. Ronald A Beggs, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1700 S Court St Ste F, Visalia, CA 93277 Phone: 559-734-9244 Fax: 559-734-6932 | |
Bennett K Abe, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 S Court St Ste F, Visalia, CA 93277 Phone: 559-734-9244 Fax: 559-734-9244 |