MIKE P FEALY (NPI# 1457308868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457308868 |
| Entity Type | Individual |
| Full Name | MIKE P FEALY |
| Credential | MD |
| Practice Address |
6412 Laurel Ave Mountain Mesa Lake Isabella CA 93240-9529 |
| Mailing Address |
1140 Orchid Dr Santa Barbara CA 93111-2913 |
| Practice Telephone | 7603792681 |
| Mailing Telephone | 8056376932 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2011-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | G63961 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G639610 | 05 |
| Street Address |
6412 LAUREL AVE MOUNTAIN MESA |
| City | LAKE ISABELLA |
| State | CA |
| Zip Code | 93240-9529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427049964 | Kern Valley Healthcare District | Skilled Nursing Facility | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 | 2005-11-03 |
| 1033694096 | Tiffany Clarice Frieson | Dietitian, Registered | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 | 2018-09-26 |
| 1568865657 | Bryan Batdorf | Physician Assistant | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 | 2014-10-02 |
| 1366630550 | Isabella Emergency Physicians | Emergency Medicine | 6412 Laurel Ave, Mountain Mesa, Lake Isabella, CA 93240-9529 | 2007-10-12 |
| 1760504815 | Peter Jackson Newell | Emergency Medicine | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 | 2007-04-06 |
| 1619025228 | Christopher R Burrows | Emergency Medicine | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 | 2007-01-08 |
| 1548217953 | Gregory Lavarr Crawford | Emergency Medicine | 6412 Laurel Ave, Mountain Mesa, Lake Isabella, CA 93240-9529 | 2006-05-30 |
| 1366499774 | Paul Andrew Lincoln Giem | Emergency Medicine | 6412 Laurel Ave, Mountain Mesa, Lake Isabella, CA 93240-9529 | 2006-05-30 |
| 1053360156 | California Em-i Medical Services, A Medical Corporation | Emergency Medicine | 6412 Laurel Ave, Mountain Mesa, Lake Isabella, CA 93240-9529 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568001 | Chelsea Rose Vega | Case Manager/Care Coordinator | 2731 Nugget Aveune, Lake Isabella, CA 93240 | 2020-01-30 |
| 1891224655 | David Travis Stirling | Chiropractor | 3615 Wagon Wheel Dr, Lake Isabella, CA 93240 | 2017-06-06 |
| 1629442017 | Parinaz Khojastehfar | Pharmacist | 5530 Lake Isabella, Lake Isabella, CA 93240 | 2015-11-23 |
| 1184040610 | Joseph M Kent Dds Inc. | Dentist | 6421 Lynch Canyon Drive, Lake Isabella, CA 93240 | 2014-03-07 |
| 1720347495 | Patricia Maria Arellano | Massage Therapist | 3611 Wagon Wheel, Lake Isabella, CA 93240 | 2012-05-15 |
| 1104154533 | College Community Services | Community/Behavioral Health | 2717 Nugget Avenue, Lake Isabella, CA 93240 | 2009-11-23 |
| 1407028442 | Faith Lucille Morrison | Massage Therapist | 5540 Kern Valley Plaza, Lake Isabella Blvd, Lake Isabella, CA 93240 | 2008-03-31 |
| 1730388992 | Kent Edward Skogerson | Surgery | 4612 Laurel Ave, Lake Isabella, CA 93240 | 2007-07-17 |
| 1275749145 | Trung Nguyen | Dentist | 5640 Lake Isabella Blvd # A5, Box 3254, Lake Isabella, CA 93240 | 2007-05-15 |
| 1184840209 | Robert A Rachal | Hearing Instrument Specialist | 6040 B Lake Isabella Blvd, Lake Isabella, CA 93240 | 2007-04-17 |
| Find all providers in zip 93240 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275580680 | Phillip Allan Martin | Emergency Medicine | 6425 Lynch Canyon Dr, Lake Isabella, CA 93240-9726 | 2006-05-30 |
| 1366630550 | Isabella Emergency Physicians | Emergency Medicine | 6412 Laurel Ave, Mountain Mesa, Lake Isabella, CA 93240-9529 | 2007-10-12 |
| 1760504815 | Peter Jackson Newell | Emergency Medicine | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 | 2007-04-06 |
| 1619025228 | Christopher R Burrows | Emergency Medicine | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 | 2007-01-08 |
| 1548217953 | Gregory Lavarr Crawford | Emergency Medicine | 6412 Laurel Ave, Mountain Mesa, Lake Isabella, CA 93240-9529 | 2006-05-30 |
| 1366499774 | Paul Andrew Lincoln Giem | Emergency Medicine | 6412 Laurel Ave, Mountain Mesa, Lake Isabella, CA 93240-9529 | 2006-05-30 |
| 1053360156 | California Em-i Medical Services, A Medical Corporation | Emergency Medicine | 6412 Laurel Ave, Mountain Mesa, Lake Isabella, CA 93240-9529 | 2006-05-08 |
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|---|---|---|---|---|
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| 1316561517 | Sagen Consulting, PC | Emergency Medicine | 10053 Bret Ave, Cupertino, CA 95014-3518 | 2020-06-03 |
| 1265051304 | Madhok Medical Corporation | Emergency Medicine | 2309 Noriega St # 5, San Francisco, CA 94122-4239 | 2020-04-09 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1376177402 | Aria Urgent Care Associates, Inc | Emergency Medicine | 601 S Beach Blvd, Anaheim, CA 92804-3102 | 2020-02-27 |
| 1851922900 | Anna Lankester Webster | Emergency Medicine | 1600 Los Gamos Dr Ste 220, San Rafael, CA 94903-1842 | 2020-01-28 |
| 1487294385 | Cep America - Auc PC | Emergency Medicine | 240 La Casa Via Ste 200, Walnut Creek, CA 94598-4866 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ISABELLA |
| Zip Code | 93240 |
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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.