THOMAS LEE BOSSHARDT


Address: 1325 E Church St Ste 202, Santa Maria, CA 93454-5915
Phone: 8053463456

THOMAS LEE BOSSHARDT (NPI# 1104958156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104958156
Entity Type Individual
Full Name THOMAS LEE BOSSHARDT
Credential MD
Practice Address 1325 E Church St Ste 202
Santa Maria
CA 93454-5915
Mailing Address 1400 E Church Street
Medical Staff
Santa Maria
CA 93454-1206
Practice Telephone 8053463456
Practice Fax Number 8053463454
Mailing Telephone 8057393114
Mailing Fax Number 8057393502
Enumeration Date 2007-03-12
Last Update Date 2020-10-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery G78405 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G784050 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
316 S Stratford Ave, Suite C, Santa Maria, CA 934545908 8053483700 8053483730

Office Location

Street Address 1325 E CHURCH ST STE 202
City SANTA MARIA
State CA
Zip Code 93454-5915

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164995825 Virgilia Elizabeth Kennedy Counselor 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 2019-01-05
1891290151 Philbert Ramirez Pandac Behavioral Analyst 1016 East Maint Street, Santa Maria, CA 93454 2018-03-28
1487166120 Good Samaritan Shelter Family Medicine 412 East Tunnell Street, Santa Maria, CA 93454 2017-11-03
1306357892 Aklilu Joseph Pharmacist 1700 S. Bradley Rd, Santa Maria, CA 93454 2017-10-24
1225557267 Eric Edward Lofstrand Counselor 1214 S Miller St Ste 11, Santa Maria, CA 93454 2017-09-11
1881112449 Tess Wianecki Physician Assistant 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 2017-09-05
1730603705 Cac Alvin Center Counselor 316 E Mcelhany Ave, Santa Maria, CA 93454 2017-08-01
1174045009 Peter A. Statti Md Inc. Pediatrics 1414 S. Miller St. #12, Santa Maria, CA 93454 2017-07-12
1982143970 Child Abuse Listening Mediation Community/Behavioral Health 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 2017-02-23
1821531344 Maria Isabel Lara Counselor 210 E Enos Dr, Santa Maria, CA 93454 2016-12-01
Find all providers in zip 93454

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518225630 Julietta Hona Chang Surgery 316 S. Stratford, Suite B, Santa Maria, CA 93454 2012-04-26
1962534909 Robert Ray Moss Surgery 525 Plaza Dr Ste 204, Santa Maria, CA 93454-6954 2007-03-12
1285766493 Monica Ann Rocco Surgery 1325 East Church Street, Suite 202, Santa Maria, CA 93454-5915 2007-03-12
1568487858 Ruby Skinner Surgery 316 S. Stratford Avenue, Suite A, Santa Maria, CA 93454 2006-07-13
1508802992 Kevin M Lin-hurtubise Surgery 316 S Stratford Ave Ste C, Santa Maria, CA 93454-5908 2006-06-22
1235170028 Edward Lawrence Felix Surgery 316 South Stratford Avenue, Suite B, Santa Maria, CA 93454-5908 2006-06-10
1891790614 Daniel Oh Surgery 316 S Stratford Ave, Suite C, Santa Maria, CA 93454-5908 2005-06-17
1003173816 Ray Herman Rivas Surgery 316 S Stratford Ave Ste C, Santa Maria, CA 93454-5908 2012-04-18
1568767960 Andrea Pakula Surgery 316 S Stratford Ave Ste B, Santa Maria, CA 93454 2011-01-14
1669687562 Daryl A. Reid Surgery 316 S Stratford Ave, Suite C, Santa Maria, CA 93454-5908 2007-05-14
Find all providers in SANTA MARIA

Competitor

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City SANTA MARIA
Zip Code 93454

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Dataset Information

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.

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