Thomas King, FNP | |
768 Mountain Ranch Rd, San Andreas, CA 95249 | |
(209) 754-2520 | |
Not Available |
Full Name | Thomas King |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 768 Mountain Ranch Rd, San Andreas, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497005268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 784345 (California) | Primary |
163WC0200X | Registered Nurse - Critical Care Medicine | 785345 (California) | Secondary |
Entity Name | Rodger S. Orman, Md, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932324258 PECOS PAC ID: 7618910670 Enrollment ID: O20050609001121 |
Mailing Address | Practice Location Address |
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Thomas King, FNP 768 Mountain Ranch Rd, San Andreas, CA 95249 Ph: (209) 754-2520 | Thomas King, FNP 768 Mountain Ranch Rd, San Andreas, CA 95249 Ph: (209) 754-2520 |
Lily N Clarkson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1113 Hwy 49, San Andreas, CA 95249 Phone: 209-755-1400 Fax: 209-755-1430 | |
Karen Orbeta, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1113 Highway 49, San Andreas, CA 95249 Phone: 209-755-1400 Fax: 209-755-1430 | |
Debra Mutopo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-754-3823 |