DHP OF TWIN CITIES MEDICAL GROUP INC (NPI# 1295082857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295082857 |
| Entity Type | Organization |
| Organization Name | DHP OF TWIN CITIES MEDICAL GROUP INC |
| Practice Address |
1100 Las Tablas Rd Templeton CA 93465-9704 |
| Mailing Address |
265 Brookview Centre Way Suite 400 Knoxville TN 37919-4052 |
| Practice Telephone | 8054343500 |
| Mailing Telephone | 8656931000 |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |
| Authorized Official Name | DR. SUJAL MANDAVIA (PRESIDENT) |
| Authorized Official Telephone | 8656931000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1100 LAS TABLAS RD |
| City | TEMPLETON |
| State | CA |
| Zip Code | 93465-9704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497738348 | Diane K. Noyes | Internal Medicine | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2005-11-23 |
| 1568953560 | Brenna Shatswell | Nurse Practitioner | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2018-05-24 |
| 1851815518 | Linda Robinson | Clinical Pharmacology | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2017-08-02 |
| 1407219033 | Emilia Wobga-pasiah | Family Medicine | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2016-03-31 |
| 1558735340 | Sandra Rowell-connors | Registered Nurse | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2015-11-17 |
| 1013257567 | Affiliated Pathologists of The Central Coast | Pathology | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2013-02-20 |
| 1346546363 | Hospitalist Medicine Physicians of San Luis Obispo County, Inc | Internal Medicine | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2011-02-09 |
| 1497055800 | Robert P Imbernino, Md, Inc | Anesthesiology | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2010-11-01 |
| 1396063079 | Central Coast Radiology Medical Group Inc | Radiology | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2010-05-05 |
| 1942526769 | Wendy Louise Minarik | Dietitian, Registered | 1100 Las Tablas Rd, Dept of Food & Nutrition, Templeton, CA 93465-9704 | 2010-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346773306 | Edward Delos Trino | Nurse Practitioner | 350 Posada Ln # 102, Templeton, CA 93465 | 2017-04-06 |
| 1497102883 | Miriam Castillo | Counselor | 44 Brewer St, Templeton, CA 93465 | 2016-05-16 |
| 1013395821 | Marna Moore-barr | Registered Nurse | 90 Dandelion Ln, Templeton, CA 93465 | 2015-05-12 |
| 1396007308 | Melissa Lee Gaidis | Psychologist | 225 Posada Lane, Suite L, Templeton, CA 93465 | 2012-06-14 |
| 1033418736 | Central Coast Associated Physicians, Inc. | Internal Medicine | 1220 Las Tablas Rd, Suite 1418, Templeton, CA 93465 | 2011-03-21 |
| 1922306281 | Benjamin Ernest Bartel | Counselor | 1827 Orlen Lane, Templeton, CA 93465 | 2011-03-09 |
| 1003116674 | Tiffney Taylor | Internal Medicine | 265 Posada Ln Ste B, Templeton, CA 93465 | 2010-10-28 |
| 1124355342 | Mary Christine Schaff | Nurse Practitioner | 1111 Las Tablas Rd., Ste. M, Templeton, CA 93465 | 2009-11-09 |
| 1417196890 | Liberty Michael Romig | Marriage & Family Therapist | 318 Crocker Street, Templeton, CA 93465 | 2009-02-09 |
| 1427212273 | Linda Kay Shaleen | Social Worker | 212 Main Street Suite 201, Templeton, CA 93465 | 2008-07-10 |
| Find all providers in zip 93465 | ||||
| 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 |
|---|---|---|---|---|
| 1679738504 | Robert W.e. Fry | Orthopaedic Surgery | 1111 Las Tablas Rd Ste R, Templeton, CA 93465-9732 | 2008-07-21 |
| 1770505505 | William F Sima | Orthopaedic Surgery | 322 Posada Lane, Ste A, Templeton, CA 93465 | 2006-07-24 |
| 1497751804 | Newton Birrell Smith | Orthopaedic Surgery | 350 Posada Ln, Ste 201, Templeton, CA 93465-4060 | 2005-06-22 |
| 1255814281 | Robert We Fry Md Inc. | Orthopaedic Surgery | 1111 Las Tablas Rd Ste R, Templeton, CA 93465-9732 | 2018-09-14 |
| 1851560429 | Morris B Aron | Orthopaedic Surgery | 1111 Las Tablas Rd, Suite R, Templeton, CA 93465 | 2008-02-27 |
| 1831388313 | William F Sima Md Inc | Orthopaedic Surgery | 322 Posada Ln Ste A, Templeton, CA 93465-4003 | 2007-10-19 |
| 1154455541 | Coast Orthopedic Specialty Associates | Orthopaedic Surgery | 78 S Main St, Templeton, CA 93465-9787 | 2007-03-15 |
| 1750455507 | Mark Gerard Kowall | Orthopaedic Surgery | 78 S Main St, Templeton, CA 93465-9787 | 2006-11-20 |
| 1730253584 | Mark Francis Mooney | Orthopaedic Surgery | 78 S Main St, Templeton, CA 93465-9787 | 2006-11-20 |
| 1205869278 | Templeton Orthopaedics | Orthopaedic Surgery | 1111 Las Tablas Rd, Ste R, Templeton, CA 93465 | 2006-07-10 |
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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.