MJ THIBAULT, MD, INC (NPI# 1427093293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427093293 |
| Entity Type | Organization |
| Organization Name | MJ THIBAULT, MD, INC |
| Practice Address |
227 N El Camino Real Ste 100 Encinitas CA 92024-5821 |
| Practice Telephone | 7606320070 |
| Practice Fax Number | 7606320071 |
| Mailing Telephone | 7606320070 |
| Mailing Fax Number | 7606320071 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARIE-JOSEE THIBAULT (OWNER) |
| Authorized Official Telephone | 7606320070 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A51019 | CA | Other Service Providers |
| Street Address |
227 N EL CAMINO REAL STE 100 |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-5821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366981920 | Holly Mckinnon | Physical Therapy Assistant | 227 N El Camino Real, Ste 100, Encinitas, CA 92024-2807 | 2017-02-15 |
| 1164977419 | Alejandro Cerna | Physical Therapist | 227 N El Camino Real, Suite 100, Encinitas, CA 92024-2807 | 2016-08-16 |
| 1164887667 | Jason Mclaughlin | Physical Therapist | 227 N El Camino Real, 100, Encinitas, CA 92024-2807 | 2015-12-28 |
| 1235509860 | Kristin Audra Maynes | Physical Therapist | 227 N El Camino Real, Suite 103, Encinitas, CA 92024-2807 | 2015-09-25 |
| 1205202876 | Paula Mae Lamont | Physical Therapist | 227 N El Camino Real, Suite 103, Encinitas, CA 92024-2807 | 2015-08-18 |
| 1083098347 | Jeffrey Kegler | Physical Therapist | 227 N El Camino Real, Suite 103, Encinitas, CA 92024-2807 | 2015-07-16 |
| 1447657226 | Shannon Gorman | Physical Therapist | 227 N El Camino Real, Suite 103, Encinitas, CA 92024-2807 | 2014-11-22 |
| 1629319074 | Ashlee S. Zimmerman | Physical Therapist | 227 N El Camino Real, Suite 103, Encinitas, CA 92024-2807 | 2013-03-11 |
| 1326388232 | Riki Joanne Kirchhoff | Physical Therapist | 227 N El Camino Real, Suite 103, Encinitas, CA 92024-2807 | 2013-03-01 |
| 1659526168 | Amad E Kadry, M.d. | Family Medicine | 227 N El Camino Real, Ste 100, Encinitas, CA 92024-2807 | 2008-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954576 | Shawna Kimberly Campbell | Specialist | 619 S Vulcan Ave Ste 102, Encinitas, CA 92024-3653 | 2020-02-13 |
| 1083066021 | Brandon Soelberg | Specialist | 761 Garden View Ct Ste 103, Encinitas, CA 92024-2400 | 2016-07-01 |
| 1386038230 | Kristin Obrien | Specialist | 1518 Calle Orquideas, Encinitas, CA 92024-4114 | 2015-03-27 |
| 1750579033 | Rodney Warren Mccoubrey | Specialist | 844 Del Rio Ave, Encinitas, CA 92024-2323 | 2007-10-11 |
| 1205948270 | Bradley A Eli | Specialist | 4403 Manchester Ave, Suite 101, Encinitas, CA 92024-4939 | 2006-08-31 |
| 1063528412 | Stephen Peter Nozetz | Specialist | 4401 Manchester Ave Ste 103, Encinitas, CA 92024-4938 | 2006-08-21 |
| 1366467169 | Michele Maria Gerber | Specialist | 320 Santa Fe Drive #300, Encinitas, CA 92024-5138 | 2006-07-13 |
| 1568491025 | Joanna Roberta Louis | Specialist | 1853 N Vulcan Ave, Suite 5, Encinitas, CA 92024-1151 | 2006-06-30 |
| 1770581183 | North County Radiation Oncology | Specialist | 477 N El Camino Real, Ste D100, Encinitas, CA 92024-1328 | 2005-07-09 |
| 1376033142 | Urology Wellness Centre | Specialist | 477 N El Camino Real Ste C204, Encinitas, CA 92024-1332 | 2018-05-16 |
| Find all providers in ENCINITAS | ||||
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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.