LEWIS T BROSCHARD (NPI# 1003135930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003135930 |
Entity Type | Individual |
Full Name | LEWIS T BROSCHARD |
Credential | MD |
Practice Address |
2720 Low Ct Fairfield CA 94534-9771 |
Mailing Address |
10470 Old Placerville Rd Suite 100 Sacramento CA 95827-2539 |
Practice Telephone | 7078640356 |
Practice Fax Number | 7074282740 |
Mailing Telephone | 7074274900 |
Mailing Fax Number | 7074282740 |
Enumeration Date | 2010-05-17 |
Last Update Date | 2014-07-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | G22557 | CA | Allopathic & Osteopathic Physicians |
Street Address |
2720 LOW CT |
City | FAIRFIELD |
State | CA |
Zip Code | 94534-9771 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982646154 | Anit B. Patel | Internal Medicine | 2720 Low Ct, Fairfield, CA 94534-9771 | 2006-06-12 |
1093246688 | Baninder Kaur Baidwan | Pediatrics | 2720 Low Ct, Fairfield, CA 94534-9771 | 2017-03-24 |
1932514791 | Sudy Yang | Pediatrics | 2720 Low Ct, Fairfield, CA 94534-9771 | 2014-06-30 |
1336550680 | Reshtina Alamzai | Family Medicine | 2720 Low Ct, Fairfield, CA 94534-9771 | 2014-05-08 |
1063822237 | Dorota Zuzanna Korta | Dermatology | 2720 Low Ct, Fairfield, CA 94534-9771 | 2014-04-28 |
1215270939 | Anita Durham | Dietitian, Registered | 2720 Low Ct, Fairfield, CA 94534-9771 | 2013-04-01 |
1851699532 | Bien-aimee Vu Lau | Dermatology | 2720 Low Ct, Fairfield, CA 94534-9771 | 2011-03-04 |
1881991487 | Shavana Turay | Physician Assistant | 2720 Low Ct, Fairfield, CA 94534-9771 | 2011-02-16 |
1336377514 | Margaret Elizabeth Poscher | Internal Medicine | 2720 Low Ct, Fairfield, CA 94534 | 2009-06-26 |
1295961779 | Veronica Monti | Dietitian, Registered | 2720 Low Ct, Fairfield, CA 94534-9771 | 2009-06-10 |
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1558922187 | Solano County Superintendent of Schools | Marriage & Family Therapist | 5100 Business Center Drive, Fairfield, CA 94534 | 2019-06-25 |
1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
1508358003 | Advent Healthcare Services LLC | Hospice Care, Community Based | 1300 Oliver Rd Ste 350, Fairfield, CA 94534 | 2018-05-31 |
1447770268 | Nicole Valentine | Social Worker | 1300 Oliver Rd., 193, Fairfield, CA 94534 | 2017-06-22 |
1700339843 | Lap of Love | Point of Service | 3286 Inwood Place, Fairfield, CA 94534 | 2016-07-25 |
1013398577 | Paul Severino Bright | Marriage & Family Therapist | 1771 Barton Dr, Fairfield, CA 94534 | 2015-06-10 |
1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
1972906048 | Kathleen Therese Omeara | Psychologist | 4416 Starflower Ct., Fairfield, CA 94534 | 2014-10-03 |
1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
1174953368 | Alice Lane Therrell | Registered Nurse | 4160 Suisun Valley Rd #132, Fairfield, CA 94534 | 2013-11-25 |
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Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.