DR. JAN RODGER RADKE


Address: 13241 Luckett Ct, San Diego, CA 92130-3225
Phone: 8582591239

DR. JAN RODGER RADKE (NPI# 1437327053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437327053
Entity Type Individual
Full Name DR. JAN RODGER RADKE
Credential MD
Practice Address 13241 Luckett Ct
San Diego
CA 92130-3225
Practice Telephone 8582591239
Enumeration Date 2008-02-16
Last Update Date 2008-02-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
G85793 CA Allopathic & Osteopathic Physicians

Other Providers JAN RADKE

NPI Name Taxonomy Address Enumeration
1114205192 Jan Radke Marriage & Family Therapist 1023 College Ave, Santa Rosa, CA 95404-4112 2011-07-25

Office Location

Street Address 13241 LUCKETT CT
City SAN DIEGO
State CA
Zip Code 92130-3225

Providers in the same zip code

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1326551003 Theotokos, LLC Pharmacy 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 2017-11-16
1154879146 Halie Hommes Occupational Therapist 12250 El Camino Real Ste 250, San Diego, CA 92130 2016-09-19
1790232015 Coastal Skin and Eye Institute, Inc. Ophthalmology 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 2016-09-02
1720534951 Nosti and Rygg Dental Corporation Dentist 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 2016-08-28
1831644053 Marco Savittieri Dentist 3715 Ruette De Vl, San Diego, CA 92130 2016-08-17
1336508621 Discovery Practice Management, Inc Psychiatric Residential Treatment Facility 11455 Camino Real, Ste 360, San Diego, CA 92130 2016-02-16
1427434679 Coast Pediatrics Carmel Valley Pediatrics 5965 Village Drive, Suite 201, San Diego, CA 92130 2015-08-10
1659753762 T Sidal Dds Md Inc Dentist 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 2015-06-25
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093198392 Abdurrahman Akhlaq Husain Internal Medicine 8555 Aero Dr Ste 104, San Diego, CA 92123-1744 2015-07-04
1639447337 Richard David Kremsdorf Internal Medicine 4172 Combe Way, San Diego, CA 92122-2511 2011-12-08
1962738641 Xavier Soler Internal Medicine 200 West Arbor Dr - 8201, Ucsd Medical Center, San Diego, CA 92103-8201 2009-10-30
1124079793 Samuel J. Clark, M.d., Inc. Internal Medicine 1940 El Cajon Blvd, San Diego, CA 92104-1005 2006-05-16
1134190945 Kenneth Lee Eisenberg Internal Medicine 3480 Bob Wilson Drive, Nmcsd,att Medical Staff Services, San Diego, CA 92134 2006-01-30
1023006418 Gregg Garner Internal Medicine 1684 Torrance St, San Diego, CA 92103-3746 2005-10-10
1922008598 Gang Bao Internal Medicine 6699 Alvarado Rd Ste 2306, San Diego, CA 92120-5241 2005-07-26
1891280228 Gregory P. Ranches Md, Apc Internal Medicine 501 Washington St., Ste 508, San Diego, CA 92103 2018-06-27
1891207171 Iha Pulmonary Inc Internal Medicine 7801 Mission Center Ct, San Diego, CA 92108-1313 2017-10-26
1023436417 Jisha K. Joshua Internal Medicine 200 W Arbor Dr, San Diego, CA 92103-9000 2014-04-02
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Competitor

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City SAN DIEGO
Zip Code 92130

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Dataset Information

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.

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