DR. JEFFREY LYNN WISWELL JR. (NPI# 1245551001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245551001 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY LYNN WISWELL JR. |
| Credential | MD |
| Practice Address |
4150 V Street, Pssb Suite 2100 Dept of Emergency Medicine, Uc Davis Medical Center Sacramento CA 95817 |
| Practice Telephone | 9167348249 |
| Practice Fax Number | 9167347950 |
| Mailing Telephone | 9167348249 |
| Mailing Fax Number | 9167347950 |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A125105 | CA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 54320 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 700 West Ave S, La Crosse, WI 546014783 | 6087850940 |
| Street Address |
4150 V STREET, PSSB SUITE 2100 DEPT OF EMERGENCY MEDICINE, UC DAVIS MEDICAL CENTER |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568850709 | Jessica Paz | Emergency Medicine | 4610 X Street, Apt 154, Sacramento, CA 95817 | 2014-12-22 |
| 1215221635 | Alison Barrow | Emergency Medicine | 4100 Folsom Blvd, Unit 1b, Sacramento, CA 95819-4055 | 2011-06-02 |
| 1538458351 | Boomer Medical Clinic | Emergency Medicine | 3525 Watt Ave, Sacramento, CA 95821 | 2011-04-01 |
| 1114246287 | Julianne Marie Awrey | Emergency Medicine | 2315 Stockton Blvd., Pssb 2100, Sacramento, CA 95817 | 2010-05-27 |
| 1629394036 | Ryan Joseph Ribeira | Emergency Medicine | 3126 W St Apt 2, Sacramento, CA 95817-1273 | 2010-04-09 |
| 1427371087 | Omar R Washington | Emergency Medicine | 3424 52nd St, Sacramento, CA 95820 | 2010-03-10 |
| 1255654570 | Jamal Rahman Rahimi | Emergency Medicine | 4870 T St., Sacramento, CA 95819 | 2010-03-02 |
| 1508197591 | Seyun Kim | Emergency Medicine | 1501 16th St Apt 205, Sacramento, CA 95814-6075 | 2010-01-15 |
| 1205164050 | Sage Wexner | Emergency Medicine | 4510 V St, Suite 2100, Sacramento, CA 95817 | 2009-12-04 |
| 1366777195 | Daniel Quesada | Emergency Medicine | 510 Pine Garden Ln Apt A, Sacramento, CA 95825-5514 | 2009-10-13 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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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.