SIERRA FOOTHILLS SURGICAL SPECIALISTS INC (NPI# 1568536191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568536191 |
Entity Type | Organization |
Organization Name | SIERRA FOOTHILLS SURGICAL SPECIALISTS INC |
Practice Address |
3257 Professional Drive Suite E Auburn CA 95602 |
Practice Telephone | 5308230701 |
Practice Fax Number | 5308230737 |
Mailing Telephone | 5308230701 |
Mailing Fax Number | 5308230737 |
Enumeration Date | 2006-11-17 |
Last Update Date | 2020-08-22 |
Authorized Official Name | JEFFREY R JENKINS (MD) |
Authorized Official Telephone | 5308230701 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 208600000X | Surgery | A49907 | CA | Allopathic & Osteopathic Physicians |
X | 208600000X | Surgery | G83638 | CA | Allopathic & Osteopathic Physicians |
X | 208600000X | Surgery | G84850 | CA | Allopathic & Osteopathic Physicians |
X | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
14936 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MEDICAL | GR0091920 | 01 |
Street Address |
3257 PROFESSIONAL DRIVE SUITE E |
City | AUBURN |
State | CA |
Zip Code | 95602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750454666 | William Warner Kirby | Urology | 3257 Professional Drive, Suite D, Auburn, CA 95602-2460 | 2006-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144770793 | Western Sierra Medical Clinic, Inc. | Clinic/Center | 12183 Locksley Ln Ste 107, Auburn, CA 95602 | 2016-10-06 |
1073904231 | Bunny Stanfield | Psychologist | 6435 Fairway Ct., Auburn, CA 95602 | 2015-02-10 |
1326319419 | Blake Reed Williams | Counselor | 10593 Rockview Ct, Auburn, CA 95602 | 2012-01-20 |
1548387970 | Richard Earl Thornton | Chiropractor | 10988 Combie Road, Suite 100, Auburn, CA 95602 | 2007-03-22 |
1346378957 | Stanford K Schulte | Marriage & Family Therapist | 3215 Fortune Court, Auburn, CA 95602 | 2007-03-02 |
1144372590 | Daniel E Mertz Dds Inc | Dentist | 3205 Professional Dr, Auburn, CA 95602 | 2007-01-17 |
1619035805 | Robert Lee Hook | General Practice | 11775 Education St Ste 211, Auburn, CA 95602 | 2006-12-04 |
1093898710 | David Ray Norcott | Optometrist | 3211 Fortune Court, Auburn, CA 95602 | 2006-10-24 |
1467553834 | Heather Lynne Perry | Chiropractor | 3275 Fortune Ct, Auburn, CA 95602 | 2006-09-26 |
1659478360 | Melanie M Lehman | Physician Assistant | 3254 Professional Dr, Auburn, CA 95602 | 2006-09-17 |
Find all providers in zip 95602 |
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 |
---|---|---|---|---|
1306336011 | Jinwoo Hur | Surgery | 2305 Vincente Dr, Auburn, AL 36830-1449 | 2018-05-17 |
1336411057 | Heidar Nemat | Surgery | 44 Hillside Avenue, Auburn, ME 04210-4653 | 2012-01-27 |
1437319241 | Alan Charles Sherburne | Surgery | 77 Nelson Street, Suite #220, D/b/a Surgical Services of Auburn, Auburn, NY 13021-1983 | 2008-06-15 |
1669631651 | Mark Hsueh Tseng | Surgery | 121 N Division, Suite 300, Auburn, WA 98001 | 2008-06-04 |
1467599217 | Jeffrey R Jenkins | Surgery | 3257 Professional Dr Ste E, Auburn, CA 95602-2460 | 2007-01-31 |
1093886244 | Hanafy M Hanafy | Surgery | 121 N Division St Ste 202, Auburn, WA 98001-4931 | 2006-11-10 |
1790860013 | Deborah A. Geer Surgical, Pllc | Surgery | 12 Waterford Ln, Auburn, NY 13021-9662 | 2006-10-26 |
1376634360 | Chung Hyun Oh | Surgery | 26 Seminary Ave, Auburn, NY 13021-2633 | 2006-09-27 |
1588608871 | South Hill Surgical Practice Inc | Surgery | 337 4th St Ne, Auburn, WA 98002-5025 | 2006-06-16 |
1639147234 | Behzad Fakhery | Surgery | 33 Rafnell St, Auburn, ME 04210 | 2006-03-09 |
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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.