DR. MARVIN HERBERT PRIMACK (NPI# 1356367262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356367262 |
| Entity Type | Individual |
| Full Name | DR. MARVIN HERBERT PRIMACK |
| Credential | MD |
| Practice Address |
521 S Ham Ln Suite F Lodi CA 95242-3528 |
| Mailing Address |
Po Box 692661 Stockton CA 95269-2661 |
| Practice Telephone | 2094738118 |
| Practice Fax Number | 2099540524 |
| Mailing Telephone | 2094738118 |
| Mailing Fax Number | 2099540524 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | C20132 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538140355 | Marvin Primack | Orthopaedic Surgery | 100 Village Grn, Suite 120, Lincolnshire, IL 60069-3094 | 2005-11-09 |
| Street Address |
521 S HAM LN SUITE F |
| City | LODI |
| State | CA |
| Zip Code | 95242-3528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093771073 | Artel LLC | Clinic/Center | 521 S Ham Ln, Suite F, Lodi, CA 95242-3528 | 2006-04-26 |
| 1831445352 | Hieu Minh Ly | Optometrist | 521 S Ham Ln, Lodi, CA 95242-3528 | 2012-08-02 |
| 1457549123 | Delta Eye Medical Group, Inc. | Ophthalmology | 521 S Ham Ln, Suite A, Lodi, CA 95242-3528 | 2007-10-09 |
| 1992812739 | George D Chen | Ophthalmology | 521 S Ham Ln, Suite A, Lodi, CA 95242-3528 | 2006-08-25 |
| 1912014739 | Andrew Philip Chen | Ophthalmology | 521 S Ham Ln, Suite A, Lodi, CA 95242-3528 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| Find all providers in zip 95242 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922201086 | George Siegfried Chalmers | Anesthesiology | 2442 Central Park Dr, Lodi, CA 95242-3205 | 2007-06-07 |
| 1144303389 | Richard S Forman Do Inc | Anesthesiology | 521 East Ham Lane, F, Lodi, CA 95242 | 2006-10-23 |
| 1194732404 | Brenden F Panzarello | Anesthesiology | 521 East Ham Ln, F, Lodi, CA 95242 | 2006-08-01 |
| 1376556720 | Richard S Forman | Anesthesiology | 521 East Ham Lane, #f, Lodi, CA 95242 | 2006-08-15 |
| 1194751537 | Patricio L Lauder | Anesthesiology | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2006-06-25 |
| 1679516157 | Noel Antonio Ferrer | Anesthesiology | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2006-06-13 |
| 1760450092 | James Jason Cooney | Anesthesiology | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2006-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170916 | Jeffrey L Wu, Inc | Anesthesiology | 2143 W Orangewood Ave # 100, Orange, CA 92868-1941 | 2020-09-29 |
| 1598372435 | Perioperative Patient Advocate | Anesthesiology | 625 Cardiff Reef, Costa Mesa, CA 92627-7742 | 2020-09-24 |
| 1043826720 | Cedars-sinai Medical Care Foundation | Anesthesiology | 8700 Beverly Blvd Ste Sb-290, Los Angeles, CA 90048-1804 | 2020-09-18 |
| 1841804101 | Desert Valley Medical Group, Inc. | Anesthesiology | 11883 Amethyst Rd Ste 202, Victorville, CA 92392-9225 | 2020-09-03 |
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1083237804 | Robert K Ross | Anesthesiology | 1717 E Vista Chino Ste A7-579, Palm Springs, CA 92262-3559 | 2020-05-27 |
| 1659994788 | Meilani Sarai Chuquimia | Anesthesiology | 1555 Orange Ave Unit 1005, Redlands, CA 92373-1459 | 2020-05-23 |
| 1497376339 | Mark Alan Posner | Anesthesiology | 1814 Clinton Ave, Alameda, CA 94501-4112 | 2020-05-01 |
| 1275153249 | Janholz Group LLC | Anesthesiology | 1029 Marlow Ln, Yreka, CA 96097-9027 | 2020-04-20 |
| 1003443672 | Limbic Medical | Anesthesiology | 24940 Alicante Dr, Calabasas, CA 91302-3026 | 2020-03-24 |
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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.