DR. PHILIP ADRIEN GAUDREAU III (NPI# 1326207077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326207077 |
| Entity Type | Individual |
| Full Name | DR. PHILIP ADRIEN GAUDREAU III |
| Credential | M.D. |
| Practice Address |
34520 Bob Wilson Dr Ste 200 San Diego CA 92134-2200 |
| Practice Telephone | 6195329600 |
| Mailing Telephone | (619) 532-9600 |
| Enumeration Date | 2008-06-07 |
| Last Update Date | 2017-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | A149585 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
34520 BOB WILSON DR STE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92134-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215005699 | Angela M Powell | Otolaryngology | 34520 Bob Wilson Dr Ste 200, San Diego, CA 92134-2200 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178457 | Joseph Hunter Sampson | Military Health Care Provider | 34101 Farenholt Ave #14, San Diego, CA 92134 | 2020-06-15 |
| 1508495201 | Benjamin Michael Taylor | Military Health Care Provider | Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2020-04-04 |
| 1255870333 | Dosh Page | Physician Assistant | Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 | 2017-02-22 |
| 1417328063 | Noem Clay Gallego | Military Health Care Provider | 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 | 2015-10-08 |
| 1972999183 | Justin Paul Lachney | Military Health Care Provider | 34101 Farenholt Avenue, San Diego, CA 92134 | 2015-04-14 |
| 1174963532 | Ryan Anders Crane | Otolaryngology | Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 | 2013-07-01 |
| 1447591268 | Amy B. Cornell | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 | 2013-03-04 |
| 1841562956 | Christopher Patrick Androski Jr. | Emergency Medical Technician, Basic | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 | 2012-02-04 |
| 1164717740 | Jason James Weiner | Internal Medicine | Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2011-06-13 |
| 1225320237 | Kimberly Ann Thompson | Student in an Organized Health Care Education/Training Program | Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 | 2011-05-09 |
| Find all providers in zip 92134 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447663794 | Daniel Dewerd | Otolaryngology | 3627 Riviera Dr, San Diego, CA 92109-6641 | 2014-06-04 |
| 1003239948 | Jesse Qualliotine | Otolaryngology | 200 W Arbor Dr # 8895, San Diego, CA 92103 | 2014-01-29 |
| 1972931236 | Joseph Traxler | Otolaryngology | 12356 Avenida Consentido, San Diego, CA 92128-3283 | 2013-10-24 |
| 1174963532 | Ryan Anders Crane | Otolaryngology | Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 | 2013-07-01 |
| 1225395734 | Samantha Jill Hauff | Otolaryngology | 4282 Genesee Ave Ste 202, San Diego, CA 92117-4989 | 2012-04-20 |
| 1205064805 | Art Anthony Ambrosio | Otolaryngology | 34800 Bob Wilson Dr Ste 200, San Diego, CA 92134-2538 | 2009-06-23 |
| 1376600601 | Perry Mansfield, M.d., Inc. | Otolaryngology | 6645 Alvarado Rd # 4000, San Diego, CA 92120-5208 | 2007-01-03 |
| 1477612372 | Brent R Driskill | Otolaryngology | 4033 3rd Ave Ste 104, San Diego, CA 92103-2136 | 2006-12-06 |
| 1215005699 | Angela M Powell | Otolaryngology | 34520 Bob Wilson Dr Ste 200, San Diego, CA 92134-2200 | 2006-12-01 |
| 1144320599 | Marc E Kramer | Otolaryngology | 8929 University Center Lane, #208, San Diego, CA 92122 | 2006-09-25 |
| Find all providers in SAN DIEGO | ||||
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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.