GRANT R GWINUP (NPI# 1669463964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669463964 |
| Entity Type | Individual |
| Full Name | GRANT R GWINUP |
| Credential | MD |
| Practice Address |
1095 Marshall Way Ste 203 Placerville CA 95667-5722 |
| Mailing Address |
Po Box 45680 San Francisco CA 94145-0680 |
| Practice Telephone | 5303445496 |
| Mailing Telephone | (530) 344-5496 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | G57154 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | G57154 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 Marshall Way, Placerville, CA 956676533 | 5306221441 | |
| 825 Delbon Ave, Turlock, CA 953822016 | 2093422300 | 2095244240 |
| Street Address |
1095 MARSHALL WAY STE 203 |
| City | PLACERVILLE |
| State | CA |
| Zip Code | 95667-5722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1497390041 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3025 Glee Ln, Placerville, CA 95667 | 2019-11-07 |
| 1225694474 | Camille Borba | Doula | 1212 Lotus Rd, Placerville, CA 95667 | 2019-05-14 |
| 1033610399 | Julie Marie Halsall | Counselor | 2844 Coloma Street, Placerville, CA 95667 | 2018-02-22 |
| 1053839092 | County of El Dorado | Community/Behavioral Health | 3057 Briw Road, Suite A, Placerville, CA 95667 | 2017-08-30 |
| 1982129508 | Brent Charles Ulrici | Counselor | 2986 Colma St, Placerville, CA 95667 | 2017-08-04 |
| 1629464326 | Crystal Coury | Counselor | 5607 Mount Murphy Roas, Garden Valley, CA 95667 | 2015-04-09 |
| 1396141750 | Brown and Ghazal Dental Corporation | Dentist | 3967 Missouri Flat Road, Suite 120, Placerville, CA 95667 | 2014-11-13 |
| 1962808402 | Laura Ann Curry | Counselor | 6765 Green Valley Road, Placerville, CA 95667 | 2014-11-11 |
| 1518374453 | Kelly Lynn Carson | Counselor | 2844 Colona St., Placerville, CA 95667 | 2014-07-11 |
| Find all providers in zip 95667 | ||||
| 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 |
|---|---|---|---|---|
| 1649469263 | David Hellerstein | Emergency Medicine | 1417 Tanglewood Dr, Placerville, CA 95667-8931 | 2007-10-19 |
| 1588704498 | Michael Dorso | Emergency Medicine | Marshall Way, Placerville, CA 95667 | 2007-02-08 |
| 1134530108 | Rochelle Jagdeo | Emergency Medicine | 1100 Marshall Way, Placerville, CA 95667-6533 | 2014-05-13 |
| 1265791743 | Shane Luke Torgerson | Emergency Medicine | 1100 Marshall Way, Placerville, CA 95667-6533 | 2012-05-03 |
| 1619278660 | Emergency Medicine Physician Partners of El Dorado County, Inc | Emergency Medicine | 1100 Marshall Way, Placerville, CA 95667-6533 | 2010-11-08 |
| 1689975914 | Emergency Medicine Physicians of El Dorado County, Inc. | Emergency Medicine | 1100 Marshall Way, Placerville, CA 95667-6533 | 2010-11-03 |
| 1033430582 | Michael M Ward | Emergency Medicine | 1100 Marshall Way, Placerville, CA 95667 | 2010-06-18 |
| 1831426345 | Alexis F Long | Emergency Medicine | 1100 Marshall Way, Placerville, CA 95667-6533 | 2009-11-05 |
| 1144359100 | Vyas Ballal | Emergency Medicine | 1100 Marshall Way, Placerville, CA 95667-6533 | 2007-03-05 |
| 1073657367 | Juliet La Mers | Emergency Medicine | 1045 Marshall Way, Placerville, CA 95667-5721 | 2007-02-19 |
| Find all providers in PLACERVILLE | ||||
| City | PLACERVILLE |
| Zip Code | 95667 |
Please comment or provide details below to improve the information on GRANT R GWINUP.
| 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.