BLYNN L SHIDELER MD PC (NPI# 1497953921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497953921 |
| Entity Type | Organization |
| Organization Name | BLYNN L SHIDELER MD PC |
| Practice Address |
5 Lower Ragsdale Dr Suite 101 Monterey CA 93940-5817 |
| Mailing Address |
1420 Nw Gilman Blvd Suite 2 2786 Issaquah WA 98027-5394 |
| Practice Telephone | 4259961001 |
| Practice Fax Number | 2066005033 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2008-03-04 |
| Authorized Official Name | BLYNN L SHIDELER (PRESIDENT) |
| Authorized Official Telephone | 4259961001 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD00045810 | WA | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | G23099 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI FOR INDIVIDUAL | 1265524912 | 01 | |
| CA | 9670018 | 05 |
| Street Address |
5 LOWER RAGSDALE DR SUITE 101 |
| City | MONTEREY |
| State | CA |
| Zip Code | 93940-5817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718884 | Central Coast Vna and Hospice, Inc. | Home Health | 5 Lower Ragsdale Dr, Monterey, CA 93940-5740 | 2005-05-24 |
| 1174857569 | Keller Medical Institute | Internal Medicine | 5 Lower Ragsdale Dr, Monterey, CA 93940-5817 | 2009-10-01 |
| 1669577334 | Carla J. Rosal | Family Medicine | 5 Lower Ragsdale Dr, 100, Monterey, CA 93940-5817 | 2006-09-14 |
| 1972520468 | Central Coast Vna and Hospice, Inc. | Hospice Care, Community Based | 5 Lower Ragsdale Dr, Monterey, CA 93940-5740 | 2006-07-17 |
| 1073546529 | Vna Community Services, Inc. | Home Health | 5 Lower Ragsdale Dr, Monterey, CA 93940-5740 | 2006-07-08 |
| 1104859651 | Central Coast Community Health Care, Inc. | Home Health | 5 Lower Ragsdale Dr, Monterey, CA 93940-5740 | 2006-07-08 |
| 1407855265 | Central Coast Cardiology A Medical Corporation | Nuclear Medicine | 5 Lower Ragsdale Dr, #102, Monterey, CA 93940-5817 | 2005-07-14 |
| 1437156650 | Dawn M Mudge | Internal Medicine | 5 Lower Ragsdale Dr, 100, Monterey, CA 93940-5817 | 2005-07-01 |
| 1831192418 | Melissa Larsen | Obstetrics & Gynecology | 5 Lower Ragsdale Dr, Suite 101, Monterey, CA 93940-5817 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770145682 | Mogo Urgent Care | Clinic/Center | 2020 Del Monte Avenue, Suite B, Monterey, CA 93940 | 2019-07-01 |
| 1023537883 | Drais and Chow Dental Corporation | Dentist | 21 Upper Ragsdale Suite 160, Monterey, CA 93940 | 2017-09-13 |
| 1639697048 | Neil Northey | Counselor | 343 Dela Vina Ave., Monterey, CA 93940 | 2017-09-06 |
| 1316469075 | Ashley Nicole Walden | Counselor | 1010 Cass St Ste C, Monterey, CA 93940 | 2017-07-13 |
| 1801317524 | Aubrey Nicole Trammell | Behavior Technician | 140 W Franklin St., Unit 202, Monterey, CA 93940 | 2017-07-03 |
| 1366971764 | Marlene Schwaighofer | Behavior Technician | 140 W Franklin Street, Ste. #202, Monterey, CA 93940 | 2017-06-08 |
| 1235668500 | Rochelle Lyrae Winsted | Licensed Psychiatric Technician | Drake House 399 Drake St, Monterey, CA 93940 | 2017-06-08 |
| 1447783386 | Interim Incorporated | Community Based Residential Treatment Facility, Mental Illness | 321 Hawthorne St, Apt B, Monterey, CA 93940 | 2017-04-07 |
| 1851841076 | Joy Dean | Counselor | 343 Dela Vina, Monterey, CA 93940 | 2016-10-12 |
| 1629426416 | Interim Inc | Community Based Residential Treatment Facility, Mental Illness | 604 Pearl St., Monterey, CA 93940 | 2016-06-02 |
| Find all providers in zip 93940 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609973031 | Benjamin T Richards | Surgery | 757 Pacific St Ste C3, Monterey, CA 93940-2819 | 2006-09-20 |
| 1215199641 | Richard Zug, M.d., Inc. | Surgery | 23625 Wr Holman Hwy, Suite 3731, Monterey, CA 93940-5902 | 2008-06-26 |
| 1639376064 | Steve Sung-yul Chang | Surgery | 2 Upper Ragsdale Dr, B230, Monterey, CA 93940-5736 | 2007-06-29 |
| 1316153570 | Klein Medical Group Inc | Surgery | 700 Cass St Ste 116, Monterey, CA 93940-2921 | 2007-05-15 |
| 1639237175 | Michael E. Stuntz, M.d., Inc. | Surgery | 5 Via Joaquin, Suite 1, Monterey, CA 93940-4530 | 2006-12-05 |
| 1952469470 | Michael E Stuntz | Surgery | 2 Upper Ragsdale Dr, Suite B230, Monterey, CA 93940-5736 | 2006-12-05 |
| 1982782017 | Richard Garza | Surgery | 2 Upper Ragsdale Dr, B230, Monterey, CA 93940-5736 | 2006-11-02 |
| 1265524912 | Blynn L Shideler | Surgery | 576 Hartnell St, Suite 200, Monterey, CA 93940-2833 | 2006-09-29 |
| 1558379818 | Pamela Hunt Craig | Surgery | 23625 Holman Hwy, Monterey, CA 93940-5902 | 2006-08-03 |
| 1275564908 | Richard C Zug | Surgery | 23625 Wr Holman Hwy, Monterey, CA 93940-5902 | 2006-07-05 |
| Find all providers in MONTEREY | ||||
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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.