SHAUN MICHAEL GIFFORD


Address: 101 Bodin Cir, Travis Afb, CA 94535-1809
Phone: 7074235215

SHAUN MICHAEL GIFFORD (NPI# 1558576918) 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) 1558576918
Entity Type Individual
Full Name SHAUN MICHAEL GIFFORD
Credential M.D.
Practice Address 101 Bodin Cir
Travis Afb
CA 94535-1809
Practice Telephone 7074235215
Enumeration Date 2007-05-11
Last Update Date 2019-10-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
149477 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN ENROLLED 05
IA ENROLLED 05
MN RAILROAD MEDICARE P01088750 01

Other Providers SHAUN GIFFORD

NPI Name Taxonomy Address Enumeration
1558491241 Shaun Ray Gifford Chiropractor 1064 County Road 42 E, Burnsville, MN 55337-4652 2007-03-06

Office Location

Street Address 101 BODIN CIR
City TRAVIS AFB
State CA
Zip Code 94535-1809

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801893276 Charles A Tujo Radiology 101 Bodin Cir, Travis Afb, CA 94535-1809 2005-06-30
1538769351 Chelsey Violet Pelkey Military Health Care Provider 101 Bodin Cir, Travis Afb, CA 94535-1809 2020-10-30
1538768114 Jordan Rose Student in an Organized Health Care Education/Training Program 101 Bodin Cir, Travis Afb, CA 94535-1809 2020-10-23
1821606591 Madelyn Hale Military Health Care Provider 101 Bodin Cir, Travis Afb, CA 94535-1809 2020-07-20
1932727856 Julie Thein Audiologist 101 Bodin Cir, Travis Afb, CA 94535-1809 2020-07-07
1063039501 Shae Daniel Bryant Dentist 101 Bodin Cir, Travis Afb, CA 94535-1809 2020-07-01
1598381089 Aaron J Surbaugh Student in an Organized Health Care Education/Training Program 101 Bodin Cir, Travis Afb, CA 94535-1809 2020-06-19
1194348466 Amanda Vance Registered Nurse 101 Bodin Cir, Travis Afb, CA 94535-1809 2020-05-21
1427681196 Bradley Burkey Student in an Organized Health Care Education/Training Program 101 Bodin Cir, Travis Afb, CA 94535-1809 2020-02-20
1821629288 Gloria Calvillo Student in an Organized Health Care Education/Training Program 101 Bodin Cir, Travis Afb, CA 94535-1809 2020-02-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508487711 Sheila C Flood Student in an Organized Health Care Education/Training Program 101 Biden Circle, Fairfield, CA 94535 2020-04-28
1568081255 Miguel Julian Moreno Student in an Organized Health Care Education/Training Program 690 Airmen Drive, Travis Afb, CA 94535 2020-04-13
1174096101 Zlatoslava Karga Nurse Practitioner 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 2019-01-02
1437648292 Luke C Vera Dentist David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 2018-05-08
1588163430 Sanaz Ziad Pharmacist 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 2018-02-06
1194265686 Geoffrey Johnston Dentist 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 2017-03-02
1336693407 Hannah Isla Nordwall Social Worker 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 2016-08-06
1184177149 Taylor Murrie-robinson Social Worker 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 2016-07-26
1952759607 Eric Kincaid-sharp General Practice 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 2016-06-02
1023472040 Genieve Marie Martinez-hernandez Internal Medicine 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 2016-04-06
Find all providers in zip 94535

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396030102 Thomas Anthony Heafner Surgery 60 Mdg/60 Sgcs/sgch, 101 Bodin Cir, Travis Afb, CA 94535 2011-06-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881213817 Robert Morton Carroll X Surgery 2241 Century Hl, Los Angeles, CA 90067-3506 2020-04-09
1992341895 Surgicalist of Ca PC Surgery 3300 E South St Ste 301a, Lakewood, CA 90805-4549 2019-11-26
1528600558 Kevin M Casey Md Apmc Surgery 1919 State St # 204-206, Santa Barbara, CA 93101-2430 2019-10-10
1487117594 John Nastasi Surgery 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 2019-04-08
1225508385 Jay Labourene Surgery 1550 G Tiburon Blvd, Tiburon, CA 94920-2531 2018-12-03
1467922120 Paul Bressman Md Inc Surgery 1493 S Crest Dr, Los Angeles, CA 90035-3339 2018-11-26
1437638517 Thousand Oaks Vein Clinic PC Surgery 225 N Moorpark Rd Ste C, Thousand Oaks, CA 91360-4320 2018-08-09
1881186377 Lavs Access Center Inc. Surgery 620 W Beverly Blvd Ste B, Montebello, CA 90640-3624 2018-05-31
1841789328 Sunil Rayan, M.d., Inc. Surgery 320 Santa Fe Dr Ste 212, Encinitas, CA 92024-5139 2018-05-09
1245739820 Northridge Vascular Center A Professional Medical Corporation Surgery 19331 Business Center Dr Ste 102, Northridge, CA 91324-3533 2018-02-08
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Competitor

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City TRAVIS AFB
Zip Code 94535

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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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