DR. EPHRAIM DICKINSON (NPI# 1386957785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386957785 |
| Entity Type | Individual |
| Full Name | DR. EPHRAIM DICKINSON |
| Credential | M.D. |
| Practice Address |
260 Hospital Dr Ste 107 Ukiah CA 95482 |
| Mailing Address |
260 Hospital Dr Ste 107 Ukiah CA 95482-4568 |
| Practice Telephone | 7074675278 |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2018-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | A121228 | CA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 2015-00873 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NC2420 | 05 | |
| NC | 1386957785 | 05 |
| Street Address |
260 HOSPITAL DR STE 107 |
| City | UKIAH |
| State | CA |
| Zip Code | 95482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093797250 | Kristin Marie Groessl | Physician Assistant | 260 Hospital Dr Ste 107, Ukiah, CA 95482 | 2005-11-15 |
| 1447647771 | Brian Scott Gould | Family Medicine | 260 Hospital Dr Ste 107, Ukiah, CA 95482-4568 | 2015-04-24 |
| 1922334671 | Mark E. Trump | Orthopaedic Surgery | 260 Hospital Dr Ste 107, Ukiah, CA 95482 | 2009-10-29 |
| 1932152667 | Adrian B Obuch | Orthopaedic Surgery | 260 Hospital Dr Ste 107, Ukiah, CA 95482 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| 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 |
|---|---|---|---|---|
| 1518953181 | Kenneth J Hoek | Orthopaedic Surgery | 308 Jefferson Ln, Ukiah, CA 95482-6618 | 2005-09-20 |
| 1659764777 | Adventist Health Physicians Network | Orthopaedic Surgery | 260 Hospital Dr, Suite 107, Ukiah, CA 95482-4568 | 2015-03-13 |
| 1922334671 | Mark E. Trump | Orthopaedic Surgery | 260 Hospital Dr Ste 107, Ukiah, CA 95482 | 2009-10-29 |
| 1215006143 | Aldis Baltins | Orthopaedic Surgery | 1165 S Dora St, Suite C1, Ukiah, CA 95482 | 2006-11-07 |
| 1114007093 | Thomas Eugene Kilkenny Jr. | Orthopaedic Surgery | 1165 S Dora St, Suite C1, Ukiah, CA 95482-8325 | 2006-10-16 |
| 1811077704 | Aldis Baltins | Orthopaedic Surgery | 1252 Airport Park Blvd, Suite C7, Ukiah, CA 95482-5979 | 2006-10-16 |
| 1932152667 | Adrian B Obuch | Orthopaedic Surgery | 260 Hospital Dr Ste 107, Ukiah, CA 95482 | 2006-05-17 |
| 1033175187 | Scott Thomas Gherini | Orthopaedic Surgery | 721 S Dora St, Ukiah, CA 95482-5300 | 2006-04-25 |
| 1881678548 | Carl Henning | Orthopaedic Surgery | 260 Hospital Dr, Ukiah, CA 95482-4561 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163382 | San Bernardino Medical Orthopaedic Group Inc | Orthopaedic Surgery | 8805 Haven Ave Ste 100, Rancho Cucamonga, CA 91730-5149 | 2020-10-30 |
| 1376142067 | San Bernardino Medical Orthopaedic Gro | Orthopaedic Surgery | 4500 Brockton Ave Ste 306, Riverside, CA 92501-4027 | 2020-10-22 |
| 1699372326 | Adventist Health Physicians Network | Orthopaedic Surgery | 84 Madrone St Ste A, Willits, CA 95490-4249 | 2020-10-06 |
| 1982215992 | Roshan T Melvani Md Inc | Orthopaedic Surgery | 12677 Hesperia Rd Ste 140, Victorville, CA 92395-7735 | 2020-08-13 |
| 1164033684 | First Care Multispecialty Medical Group, Inc. | Orthopaedic Surgery | 4401 Atlantic Ave Ste 480, Long Beach, CA 90807-2265 | 2020-08-10 |
| 1194343855 | Orthopaedic Group of Orange County | Orthopaedic Surgery | 1200 N Tustin Ave Ste 250, Santa Ana, CA 92705-3596 | 2020-07-09 |
| 1497372536 | Kaley Brown Surgical Pa | Orthopaedic Surgery | 360 Tom Mcguinness Jr Cir, Fallbrook, CA 92028-2623 | 2020-07-05 |
| 1982220612 | Advanced Orthopaedic Surgeons At Long Beach, Inc | Orthopaedic Surgery | 1760 Termino Ave Ste 208, Long Beach, CA 90804-2151 | 2020-06-18 |
| 1982227609 | Sun Medical Group Huntington, Inc | Orthopaedic Surgery | 7801 Center Ave Ste 203, Huntington Beach, CA 92647-9118 | 2020-05-28 |
| 1932722733 | Julian Hakim Baloyan | Orthopaedic Surgery | 333 H St Ste 5000503, Chula Vista, CA 91910-5555 | 2020-05-27 |
| Find all providers with the same taxonomy | ||||
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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.