MAURICE DUSOL JR. (NPI# 1326034273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326034273 |
| Entity Type | Individual |
| Full Name | MAURICE DUSOL JR. |
| Credential | M.D. |
| Practice Address |
1041 N China Lake Blvd B Ridgecrest CA 93555-3183 |
| Mailing Address |
1011 N China Lake Blvd B Ridgecrest CA 93555-3130 |
| Practice Telephone | 7604466404 |
| Practice Fax Number | 7604466415 |
| Mailing Telephone | 7604997262 |
| Mailing Fax Number | 7604997264 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2012-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
G20524 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G205240 | 05 | |
| CHAMPUS | A109 | 01 |
| Street Address |
1041 N CHINA LAKE BLVD B |
| City | RIDGECREST |
| State | CA |
| Zip Code | 93555-3183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960327 | Barbara N Bass | Dermatology | 1041 N China Lake Blvd, Ste B, Ridgecrest, CA 93555-3183 | 2005-05-24 |
| 1689024473 | Kimberly Celeste Mouzon | Nurse Practitioner | 1041 N China Lake Blvd, Ridgecrest, CA 93555-3168 | 2016-06-13 |
| 1700103520 | Aisha Indria Rollins | Pediatrics | 1041 N China Lake Blvd, Suite B, Ridgecrest, CA 93555-3168 | 2010-05-04 |
| 1710200464 | Ridgecrest Women's Medical Practice | Clinic/Center | 1041 N China Lake Blvd, Suite C, Ridgecrest, CA 93555-3168 | 2010-03-09 |
| 1639327315 | Healthy Jayantilal Desai | Orthopaedic Surgery | 1041 N China Lake Blvd, B, Ridgecrest, CA 93555-3183 | 2008-09-05 |
| 1891834446 | William P. Cannata | Surgery | 1041 N China Lake Blvd, B, Ridgecrest, CA 93555-3183 | 2007-02-06 |
| 1013068162 | Avinash M. Mondkar M.d.,a Medical Corporation | Internal Medicine | 1041 N China Lake Blvd, Suite A, Ridgecrest, CA 93555-3168 | 2007-01-16 |
| 1174579056 | Ridgecrest Regional Hospital | Family Medicine | 1041 N China Lake Blvd, B, Ridgecrest, CA 93555-3183 | 2006-05-25 |
| 1730185992 | Bobby Ray Miller Jr. | Obstetrics & Gynecology | 1041 N China Lake Blvd, Ste C, Ridgecrest, CA 93555-3189 | 2005-06-22 |
| 1033113006 | Pedro L Farinha | Internal Medicine | 1041 N China Lake Blvd, Ste A, Ridgecrest, CA 93555-3168 | 2005-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321776 | Patrick Joseph Mccammon | Case Manager/Care Coordinator | 1400 N Norma, Ste 127, Ridgecrest, CA 93555 | 2019-11-25 |
| 1780170704 | Krista Mae Sanchez Tizon | Behavior Technician | 123 Grande Way, Suite B, Ridgecrest, CA 93555 | 2018-07-02 |
| 1245726348 | Shinta Desentia Fraya | Behavior Technician | 123 Grande Way Ste B, Ridgecrest, CA 93555 | 2018-07-02 |
| 1780114397 | Darci Turner | Occupational Therapy Assistant | 4309 W Weiman, Ridgecrest, CA 93555 | 2017-06-15 |
| 1700319407 | Telecare Corporation | Clinic/Center | 1141 Chelsea Street, Ridgecrest, CA 93555 | 2017-04-10 |
| 1245776236 | Katherine Gerow | Prevention Professional | 1131 Inyokern Rd, Ridgecrest, CA 93555 | 2017-01-13 |
| 1639552151 | Max Scott Higa | Social Worker | 1400 North Norma Street, Suite 133, Ridgecrest, CA 93555 | 2015-07-01 |
| 1184044703 | Ridgecrest Charter School | Speech-Language Pathologist | 325 S. Downs St., Ridgecrest, CA 93555 | 2014-04-22 |
| 1023366838 | Andrew Whalley | Occupational Therapist | 901 N.heritage Dr., Suite 106, Ridgecrest, CA 93555 | 2012-08-28 |
| 1831453026 | Andrew S Peters | Family Medicine | 1 Administration Circle, Stop 1311, Branch Clinic China Lake, Bldg 1403, Ridgecrest, CA 93555 | 2012-07-02 |
| Find all providers in zip 93555 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| Find all providers with the same taxonomy | ||||
| City | RIDGECREST |
| Zip Code | 93555 |
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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.