DR. JOHN DENNIS BRODERICK (NPI# 1588666424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588666424 |
| Entity Type | Individual |
| Full Name | DR. JOHN DENNIS BRODERICK |
| Credential | M.D. |
| Practice Address |
7755 Center Ave Ste 630 Huntington Beach CA 92647-9152 |
| Mailing Address |
15 Fenimore Pl Gansevoort NY 12831-1476 |
| Practice Telephone | 6574005180 |
| Mailing Telephone | 5183065908 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2019-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 210877-2 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01862431 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 113 Glenn Pl Unit 100, Lexington, KY 405053518 | 8333582278 | |
| 2401 Park Dr Ste 101, Harrisburg, PA 171109303 | 7176869842 | |
| Adirondack Medical Center, 2233 State Rt. 86, Saranac Lake, NY 12983 | 5188972570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396831053 | John P Broderick | Chiropractor | 174 Central Street, Suite 234, Lowell, MA 01852 | 2006-10-04 |
| 1265084537 | John Marcus Broderick | Case Manager/Care Coordinator | 7946 Goodwood Blvd, Baton Rouge, LA 70806-7629 | 2019-07-16 |
| 1841403953 | John G. Broderick | Dentist | 167 Gano St, Providence, RI 02906-3808 | 2007-05-07 |
| 1508939976 | John Scott Broderick | Psychiatry & Neurology | 13133 N Port Washington Rd, Suite G06, Mequon, WI 53097-2419 | 2006-11-15 |
| 1235180670 | John Scott Broderick | Orthopaedic Surgery | 480 Floyd Rd, Suite A, Spartanburg, SC 29307-1518 | 2006-05-12 |
| Street Address |
7755 CENTER AVE STE 630 |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92647-9152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063910172 | Landmark Connect of California PC | General Practice | 7755 Center Ave Ste 630, Huntington Beach, CA 92647-9152 | 2018-01-24 |
| 1588966352 | Vanessa S Vinn | Internal Medicine | 7755 Center Ave Ste 630, Huntington Beach, CA 92647-9152 | 2010-11-29 |
| 1205052990 | Deepak Thiagarajan | Internal Medicine | 7755 Center Ave Ste 630, Huntington Beach, CA 92647-9152 | 2007-04-18 |
| 1326191107 | Pamela C Sullivan | Emergency Medicine | 7755 Center Ave Ste 630, Huntington Beach, CA 92647 | 2007-01-18 |
| 1750332409 | Michael Huy Le | Internal Medicine | 7755 Center Ave Ste 630, Huntington Beach, CA 92647-9152 | 2006-05-15 |
| 1962497024 | Scott Anthony Mancuso | Internal Medicine | 7755 Center Ave Ste 630, Huntington Beach, CA 92647-9152 | 2005-09-14 |
| 1689667636 | Shelly Miller Tat | Nurse Practitioner | 7755 Center Ave Ste 630, Huntington Beach, CA 92647-9152 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464231 | Patricia Michelle Ramsey | Counselor | 16761 Viewpoint Lane, Apt 386, Huntington Beach, CA 92647 | 2018-01-02 |
| 1780103390 | Luz Flores | Health Educator | 8041 Newman Avenue, Hungtington Beach, CA 92647 | 2017-09-14 |
| 1134649106 | Louise Polzel | Social Worker | 17111 Beach Blvd St 205, Huntington Beach, CA 92647 | 2017-06-21 |
| 1205364015 | Chi Hong Nguyen | Family Medicine | 8201 Newman Ave 101, Huntington, CA 92647 | 2017-05-24 |
| 1396281770 | Sandra Vera | Specialist/Technologist | 7812 Edinger Ave. #400, Huntington Beach, CA 92647 | 2017-01-10 |
| 1245773050 | Sherika Benjamin | Technician, Pathology | 8211 San Angelo Drive Suit #f2, Huntington Beach, CA 92647 | 2016-11-28 |
| 1306389440 | Nhi Pham Nguyen | Behavioral Analyst | 17732 Beach Blvd., Suite G, Huntington Beach, CA 92647 | 2016-11-21 |
| 1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
| 1699148494 | Daniel Bui | Dentist | 16900-a Goldenwest St, Huntington Beach, CA 92647 | 2015-11-03 |
| 1598132359 | Hayley Patricia Buchanan | Specialist/Technologist | 23441 S. Pointe Drive, Suite 245, Laguna Hills, ORANGE COUNTY 92647 | 2015-08-27 |
| Find all providers in zip 92647 | ||||
| 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 |
|---|---|---|---|---|
| 1023582772 | Stanley Wayne Combs | Emergency Medicine | 16761 Edgewater Lane, Huntington Beach, CA 92649 | 2019-01-16 |
| 1477903243 | Continuum Geriatric Specialists Professional Medical Corporation | Emergency Medicine | 900 Pacific Coast Hwy Apt 105, Huntington Beach, CA 92648-4859 | 2016-06-13 |
| 1972706083 | Robert Amster | Emergency Medicine | 5355 Warner Ave., Suite 102, Huntington Beach, CA 92649-6030 | 2007-06-06 |
| 1376761767 | Calvin C. Ly | Emergency Medicine | 606 Amber Dr, Huntington Beach, CA 92648-3717 | 2007-04-23 |
| 1851454987 | Richard B Mantell | Emergency Medicine | 618 22nd St, Huntington Beach, CA 92648-3311 | 2006-12-19 |
| 1437266335 | Gary M Flashner | Emergency Medicine | 6232 Briarcliff Dr, Huntington Beach, CA 92647-2208 | 2006-08-24 |
| 1144259854 | Patrick D Cichon | Emergency Medicine | 8252 Lambert Dr, Huntington Beach, CA 92647-4843 | 2006-07-03 |
| 1770519449 | Luchia R Storing | Emergency Medicine | 17772 Beach, Huntington Beach, CA 92647 | 2006-06-24 |
| 1053357137 | Charles B Obrien | Emergency Medicine | 21391 Pinetree Ln, Huntington Beach, CA 92646-7558 | 2006-06-20 |
| 1144265364 | Vince Truong | Emergency Medicine | 7834 Glencoe Ave, Huntington Beach, CA 92647-4170 | 2006-06-19 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92647 |
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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.