BK SURGICAL INC (NPI# 1609417930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609417930 |
| Entity Type | Organization |
| Organization Name | BK SURGICAL INC |
| Other Organization Name | BK SURGICAL INC |
| Practice Address |
41870 Garstin Drive Big Bear Lake CA 92315-1649 |
| Mailing Address |
5400 Kodiak Mountain Dr Yorba Linda CA 92887-4258 |
| Practice Telephone | 9132094619 |
| Mailing Telephone | 9132094619 |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | DR. BHANI KAUR CHAWLA KONDAL (CEO) |
| Authorized Official Telephone | 9132094619 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| BK SURGICAL INC | Doing Business As Name - Organization |
| Street Address |
41870 GARSTIN DRIVE |
| City | BIG BEAR LAKE |
| State | CA |
| Zip Code | 92315-1649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780637173 | Peter S. Boss | Emergency Medicine | 41870 Garstin Drive, Big Bear Lake, CA 92315-1649 | 2006-05-18 |
| 1457719320 | Tasha Nicole Lowery | Nurse Practitioner | 41870 Garstin Drive, Box 1649, Big Bear Lake, CA 92315-1649 | 2016-02-05 |
| 1235514894 | Colin Campbell | Pharmacist | 41870 Garstin Drive, Big Bear Lake, CA 92315-1649 | 2015-07-24 |
| 1225443773 | California Em-i Medical Services, A Medical Corporation | Physician Assistant | 41870 Garstin Drive, Big Bear Lake, CA 92315 | 2014-06-24 |
| 1316352867 | Bear Mountain Medical Services, A Medical Corporation | Emergency Medicine | 41870 Garstin Drive, Big Bear Lake, CA 92315 | 2014-06-24 |
| 1992032643 | Susan M Mccabe | Physician Assistant | 41870 Garstin Drive, Big Bear Lake, CA 92315-1649 | 2009-11-17 |
| 1346411261 | Orion Radiology, Inc | Radiology | 41870 Garstin Drive, Big Bear Lake, CA 92315-0000 | 2008-03-19 |
| 1932281813 | Delbert Dean Critel | Nurse Anesthetist, Certified Registered | 41870 Garstin Drive, Box 1649, Big Bear Lake, CA 92315-1649 | 2006-10-19 |
| 1073553756 | Bear Valley Community Healthcare District | Clinic/Center | 41870 Garstin Drive, Big Bear Lake, CA 92315 | 2006-06-08 |
| 1376598516 | Michael P. Hartstein | Emergency Medicine | 41870 Garstin Drive, Big Bear Lake, CA 92315-1649 | 2006-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265912711 | Kimberly Hurtarte | Case Manager/Care Coordinator | 41945 Big Bear Blvd Suite 221, 222, 223, Big Bear Lake, CA 92315 | 2018-08-15 |
| 1225522667 | Dalilah Narda Hernandez | Counselor | 41945 Big Bear Blvd Ste 221, Big Bear Lake, CA 92315 | 2018-06-19 |
| 1871001453 | Tyne Kay Henry | Case Manager/Care Coordinator | 41945 Big Bear Blvd Suites 221, 222,223, Big Bear Lake, CA 92315 | 2018-01-17 |
| 1396255212 | Tonya R. Schour | Marriage & Family Therapist | 41943 Big Bear Blvd, Big Bear Lake, CA 92315 | 2017-10-05 |
| 1639539026 | Maria Negrete | Counselor | 41945 Big Bear Blvd 222, Big Bear Lake, CA 92315 | 2016-02-29 |
| 1568827459 | Robert Miko | Acupuncturist | 42184 Moonridge Rd #4, Big Bear Lake, CA 92315 | 2015-12-21 |
| 1710359856 | Katheryn Poole | Dentist | 41628 Big Bear Blvd., Big Bear Lake, CA 92315 | 2015-10-28 |
| 1437556362 | Deanna Marina Almaguer Flores | Counselor | 41945 Big Bear Blvd. Suit #221 #222, Big Bear Lake, CA 92315 | 2014-11-20 |
| 1417372186 | Kelli Gora | Nurse Practitioner | 41870 Garstin Rd., Big Bear Lake, CA 92315 | 2014-03-04 |
| 1770922817 | Atomic Shrink Psychology, Inc | Psychologist | 40585 Big Bear Blvd, Suite 2, Big Bear Lake, CA 92315 | 2013-06-21 |
| Find all providers in zip 92315 | ||||
| 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. |
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| 1619584497 | Prohealth Partners A Medical Group | Surgery | 3628 E Imperial Hwy Ste 303, Lynwood, CA 90262-2646 | 2020-09-25 |
| 1235744004 | Yvette Speight Md Inc | Surgery | 433 N Doheny Dr, Beverly Hills, CA 90210-5734 | 2020-09-09 |
| 1538786900 | Tdwo Inc | Surgery | 57445 29 Palms Hwy Ste 301, Yucca Valley, CA 92284-2947 | 2020-07-01 |
| 1003439746 | Howard Takiff | Surgery | 760 La Canada St, La Jolla, CA 92037-6724 | 2020-05-27 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1811517667 | John K Colwell | Surgery | 222 Hollywood Ave, Los Gatos, CA 95030 | 2020-04-22 |
| 1295361772 | William Robert Berry | Surgery | 5775 Del Cerro Blvd, San Diego, CA 92120-4513 | 2020-03-17 |
| 1497380638 | Bay Area Medical and Surgical Group, Inc. | Surgery | 490 Post St Ste 530, San Francisco, CA 94102-1412 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
| City | BIG BEAR LAKE |
| Zip Code | 92315 |
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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.