MR. DAMON N TOCZYLOWSKI (NPI# 1174894612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174894612 |
| Entity Type | Individual |
| Full Name | MR. DAMON N TOCZYLOWSKI |
| Credential | ACNP |
| Practice Address |
101 Bodin Cir Fairfield CA 94535-1809 |
| Mailing Address |
101 Bodin Circle Fairfield CA 94535 |
| Practice Telephone | (707) 423-3400 |
| Mailing Telephone | (707) 423-3400 |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2018-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4749-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
4749-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4700 Las Vegas Blvd N, Nellis Afb, NV 891916600 | 7026533560 |
| Street Address |
101 BODIN CIR |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94535-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912504093 | Dallas Mcwilliams | Military Health Care Provider | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-10-02 |
| 1669082897 | Sahra K. Pak | Dietitian, Registered | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-08-03 |
| 1164031407 | Abigail Greenwell | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-07-22 |
| 1851919468 | Derek P Brady | Military Health Care Provider | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-07-09 |
| 1588282396 | Jacob Blotter | Counselor | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-07-08 |
| 1154947679 | Daniel Warren Cline | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-06-20 |
| 1477174654 | Robert Dillon Hill | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-04-29 |
| 1124653878 | Hana L Ha | Pharmacist | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-03-03 |
| 1972137644 | Audrey Nicole Imperial | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-03-02 |
| 1366074163 | Christian Heinrich Kniep | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
| 1568081255 | Miguel Julian Moreno | Student in an Organized Health Care Education/Training Program | 690 Airmen Drive, Travis Afb, CA 94535 | 2020-04-13 |
| 1174096101 | Zlatoslava Karga | Nurse Practitioner | 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 | 2019-01-02 |
| 1437648292 | Luke C Vera | Dentist | David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 | 2018-05-08 |
| 1588163430 | Sanaz Ziad | Pharmacist | 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 | 2018-02-06 |
| 1194265686 | Geoffrey Johnston | Dentist | 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 | 2017-03-02 |
| 1336693407 | Hannah Isla Nordwall | Social Worker | 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 | 2016-08-06 |
| 1184177149 | Taylor Murrie-robinson | Social Worker | 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 | 2016-07-26 |
| 1952759607 | Eric Kincaid-sharp | General Practice | 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 | 2016-06-02 |
| 1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
| Find all providers in zip 94535 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422916 | Rebecca Hardt | Nurse Practitioner | 79 Applewood Dr, Fairfield, OH 45014-5297 | 2020-09-17 |
| 1841741816 | Og Medical Services, LLC | Nurse Practitioner | 3830 Woodridge Blvd Ste C, Fairfield, OH 45014-7564 | 2016-10-14 |
| 1164038725 | George Edward Guju Jr. | Nurse Practitioner | 925 Deis Dr, Fairfield, OH 45014-8130 | 2020-09-18 |
| 1265993083 | Min Choi | Nurse Practitioner | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2019-03-26 |
| 1609304963 | Rebecca L Parker | Nurse Practitioner | 1860 Pennsylvania Ave, Fairfield, CA 94533-3590 | 2017-05-31 |
| 1023436813 | Laurence Cecilio | Nurse Practitioner | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2014-03-31 |
| 1225381833 | Traci N Phillips | Nurse Practitioner | 3000 Mack Rd, Ste 120, Fairfield, OH 45014-5335 | 2012-10-19 |
| 1992057004 | Alonya Elgrably | Nurse Practitioner | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2012-10-12 |
| 1629355466 | Nicole C. Engelbert | Nurse Practitioner | 3000 Mack Rd, Ste 120, Fairfield, OH 45014-5335 | 2011-11-08 |
| 1851521470 | Amanda L Rumpke | Nurse Practitioner | 3000 Mack Rd, Ste. 120, Fairfield, OH 45014-5335 | 2009-07-16 |
| Find all providers in FAIRFIELD | ||||
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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.