JEROME R DUNKLIN (NPI# 1063403442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063403442 |
| Entity Type | Individual |
| Full Name | JEROME R DUNKLIN |
| Credential | M.D. |
| Practice Address |
1630 E Herndon Ave Fresno CA 93720-3305 |
| Practice Telephone | 5592565200 |
| Practice Fax Number | 5592565376 |
| Mailing Telephone | 5592565200 |
| Mailing Fax Number | 5592565376 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2008-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | G58378 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | 200043696 | 01 |
| CA | STATE OF WASHINGTON | 0170286 | 01 |
| Street Address |
1630 E HERNDON AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932754488 | Alyssa Matoba | Physical Therapy Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2019-08-01 |
| 1518477348 | David A Kunz | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2017-10-06 |
| 1437699873 | Jennifer R Steger | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2017-03-05 |
| 1952841983 | Jennifer Maynez | Physical Therapist | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2017-02-23 |
| 1083062475 | Beau Kalmes | Family Medicine | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2016-05-26 |
| 1477907699 | Shari Matsuura | Physical Therapist | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2016-04-14 |
| 1134583578 | Sierra Pacific Orthopaedic Center | Physical Therapist | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2016-04-12 |
| 1679954747 | Samantha Payseno | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2015-06-15 |
| 1053714089 | Jennifer Ann Brough Wilson | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2014-10-05 |
| 1427450477 | Stephanie Lynn Hartman | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2014-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639463417 | Danilo R Manimtim M D Inc Danilo R Manimtim Pres | Orthopaedic Surgery | 6101 N Fresno St Ste 101, Fresno, CA 93710-8606 | 2011-06-08 |
| 1730483769 | Joseph T Christensen | Orthopaedic Surgery | 7300 N Fresno St Dept Of, Fresno, CA 93720-2941 | 2011-01-05 |
| 1750562336 | Prospice Medical Group Corporation | Orthopaedic Surgery | 4770 N Cedar Ave, Fresno, CA 93726-1065 | 2007-11-23 |
| 1558454546 | Sanagaram S Shantharam | Orthopaedic Surgery | 7065 N Maple Ave, Ste 102, Fresno, CA 93720-8013 | 2006-10-02 |
| 1508962119 | Donald Robert Huene | Orthopaedic Surgery | 201 N Valeria St, Fresno, CA 93701-2123 | 2006-09-15 |
| 1952411423 | Daniel Robert Baxter | Orthopaedic Surgery | 2210 E. Illinois Ave, Suite 401, Fresno, CA 93701 | 2006-08-30 |
| 1467568550 | Don Kevin Lester | Orthopaedic Surgery | 6085 N First St #101, Fresno, CA 93710-5465 | 2006-08-22 |
| 1386757409 | Peter D. Mcgann | Orthopaedic Surgery | 7255 N Cedar Ave Ste 101, Fresno, CA 93720-3831 | 2006-08-15 |
| 1881603256 | Arthroscopic Surgery Associates Corporation | Orthopaedic Surgery | 7255 N Cedar Ave, Suite 102, Fresno, CA 93720-3831 | 2006-08-05 |
| 1558389965 | Charles Huppert Touton | Orthopaedic Surgery | 213 N Valeria St, Fresno, CA 93701-2123 | 2006-07-17 |
| Find all providers in FRESNO | ||||
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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.