DR. ROBERT EDWIN NOLL JR. (NPI# 1275654295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275654295 |
| Entity Type | Individual |
| Full Name | DR. ROBERT EDWIN NOLL JR. |
| Credential | M.D. |
| Practice Address |
10535 Hospital Way Surgical Service (112/smat) Mather CA 95655-4200 |
| Practice Telephone | 9168439388 |
| Mailing Telephone | 9168439388 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2018-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | C54369 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04009361 | 05 | |
| LA | 1077691 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Bodin Cir, Travis Afb, CA 945351809 | 7074232300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497233076 | Robert Noll Jr. | Dentist | 8759 Center Pkwy, Sacramento, CA 95823-7682 | 2018-08-05 |
| 1871946848 | Robert Noll | Counselor | 816 Pennsylvania Ave, Saint Cloud, FL 34769-3371 | 2016-07-14 |
| 1578627220 | Robert Blum Noll | Psychologist | 3420 Fifth Avenue, Room 236, Pittsburgh, PA 15213 | 2006-12-20 |
| 1821017112 | Robert K Noll | Pediatrics | 30 Medical Center Blvd, Suite 205, Chester, PA 19013-3955 | 2006-07-18 |
| Street Address |
10535 HOSPITAL WAY SURGICAL SERVICE (112/SMAT) |
| City | MATHER |
| State | CA |
| Zip Code | 95655-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447251681 | Harold A Burger | Internal Medicine | 10535 Hospital Way, Mather Va Hospital, Mather, CA 95655 | 2005-08-10 |
| 1174123483 | Daniel Porter | Nurse Practitioner | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-10-27 |
| 1306443379 | Brandon Flaig | Registered Nurse | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-10-02 |
| 1568076883 | Heather A Tucker-bjorum | Nurse Practitioner | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-09-03 |
| 1457961260 | Sunny Renee Burdick | Audiologist | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-08-06 |
| 1508475096 | Duyen Thien Doan | Pharmacist | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-07-30 |
| 1568071181 | Alice Chen | Pharmacist | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-07-29 |
| 1659980753 | Christie Carole Mead | Psychologist | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-07-24 |
| 1124646393 | Ann Marie Bowring | Nurse Practitioner | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-07-13 |
| 1558984781 | Sonja Careaga Espinosa | Social Worker | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624489 | Sacramento County Office of Education | Clinic/Center | Sacramento County Office of Education/david P. Meaney, 10474 Mather Boulevard, Conference Room A, Mather, CA 95655 | 2019-11-18 |
| 1528539194 | Diana Florina Mccarthy | Pharmacist | 11009 Brattleboro Cir, Mather, CA 95655 | 2018-12-07 |
| 1336235811 | Ian Chan | Internal Medicine | 10565 Hospital Way, Bldg 647, Cardiology Department, Mather, CA 95655 | 2006-10-04 |
| 1790759066 | Tin Zar Shain | Psychiatry & Neurology | 10633 Grissom Avenue, Mather, CA 95655 | 2006-02-14 |
| 1174594659 | Leslie K Eaton | Psychiatry & Neurology | 16033 Grissom Ave, Mather, CA 95655 | 2006-01-31 |
| 1306496799 | Connie Q Sou | Pharmacist | 10535 Hospital Way # 119, Mather, CA 95655 | 2019-09-17 |
| 1356901490 | Sacramento County Office of Education | Local Education Agency (LEA) | 10474 Mather Blvd, Mather, CA 95655 | 2019-06-20 |
| 1619946449 | Melinda Jane Keenan | Psychologist | 10633 Grissom Ave, Mather, CA 95655 | 2006-03-15 |
| 1467438952 | Scott Alfred Hundahl | Surgery | Sacramento Va Medical Center - Chief of Surgery, 10535 Hospital Way, Smat-112, Mather, CA 95655-1200 | 2005-12-16 |
| 1932171519 | Nipavan Chiamvimonvat | Specialist | Va Medical Center, 10535 Hospital Way, Mather, CA 95655-1200 | 2006-02-07 |
| Find all providers in zip 95655 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548237746 | Jon Baker | Surgery | 10535 Hospital Way, Mather, CA 95655-4200 | 2006-03-07 |
| 1780667345 | James Eric Wiedeman | Surgery | 10535 Hospital Way, Mather, CA 95655-4200 | 2005-11-28 |
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| 1396344321 | Sadeghi Medical Corporation | Surgery | 3871 Piedmont Ave # 105, Oakland, CA 94611-5378 | 2020-10-21 |
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| 1619584497 | Prohealth Partners A Medical Group | Surgery | 3628 E Imperial Hwy Ste 303, Lynwood, CA 90262-2646 | 2020-09-25 |
| 1235744004 | Yvette Speight Md Inc | Surgery | 433 N Doheny Dr, Beverly Hills, CA 90210-5734 | 2020-09-09 |
| 1538786900 | Tdwo Inc | Surgery | 57445 29 Palms Hwy Ste 301, Yucca Valley, CA 92284-2947 | 2020-07-01 |
| 1003439746 | Howard Takiff | Surgery | 760 La Canada St, La Jolla, CA 92037-6724 | 2020-05-27 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1811517667 | John K Colwell | Surgery | 222 Hollywood Ave, Los Gatos, CA 95030 | 2020-04-22 |
| 1295361772 | William Robert Berry | Surgery | 5775 Del Cerro Blvd, San Diego, CA 92120-4513 | 2020-03-17 |
| 1497380638 | Bay Area Medical and Surgical Group, Inc. | Surgery | 490 Post St Ste 530, San Francisco, CA 94102-1412 | 2020-03-09 |
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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.