| Mr Christopher John Gordon Chisholm, MD | |
|
15725 Pomerado Rd, Suite 107, Poway, CA 92064-2068 | |
| (858) 453-7700 | |
| (858) 947-3828 |
| Full Name | Mr Christopher John Gordon Chisholm |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 25 Years |
| Location | 15725 Pomerado Rd, Poway, 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 |
|---|---|---|---|
| 1538173950 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cpms Medical Group, Inc | 1951490838 | 2 |
| Zachary C Cohen Md Apc | 6608260179 | 11 |
| Banner - University Hospital Based Physicians Llc | 1052614294 | 287 |
| Entity Name | Cpms Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942400692 PECOS PAC ID: 1951490838 Enrollment ID: O20071129000472 |
| Entity Name | Zachary C Cohen Md Apc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689334468 PECOS PAC ID: 6608260179 Enrollment ID: O20220225001761 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Christopher John Gordon Chisholm, MD Po Box 501724, San Diego, CA 92150-1724 Ph: (619) 894-1975 | Mr Christopher John Gordon Chisholm, MD 15725 Pomerado Rd, Suite 107, Poway, CA 92064-2068 Ph: (858) 453-7700 |
Dr. William Lowell Nelson Jr., MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 13439 Calle Colina, Poway, CA 92064 Phone: 858-385-9064 | |
Lakshmi S Sundblad, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 15525 Pomerado Rd Ste E2, Poway, CA 92064 Phone: 858-521-0031 | |
Patricia Johnson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 15525 Pomerado Rd, Ste E2, Poway, CA 92064 Phone: 858-521-0031 Fax: 858-421-0912 | |
Michael Nussbaum, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 15525 Pomerado Rd, Poway, CA 92064 Phone: 858-521-0031 Fax: 858-521-0912 |