DR. GEORGE O DETARNOWSKY JR. (NPI# 1669544961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669544961 |
| Entity Type | Individual |
| Full Name | DR. GEORGE O DETARNOWSKY JR. |
| Credential | MD |
| Practice Address |
355 Placentia #300 Newport Beach CA 92663 |
| Mailing Address |
1525 Superior Ave #104 Newport Beach CA 92663 |
| Practice Telephone | 9495745026 |
| Practice Fax Number | 9495488893 |
| Mailing Telephone | 9496312670 |
| Mailing Fax Number | 9496317137 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
G41113 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
355 PLACENTIA #300 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366631525 | Peter Broekelschen | Internal Medicine | 1441 Avocado Ave Ste 607, Newport Beach, CA 92660-7707 | 2007-10-23 |
| 1538211917 | Angizeh Sadeghi | Internal Medicine | 17 Corporate Plaza Dr Ste 110, Newport Beach, CA 92660-7925 | 2007-01-17 |
| 1215022405 | Donald Robert Abrahm | Internal Medicine | 1525 Superior Avenue, Suite 104, Newport Beach, CA 92663-3639 | 2006-10-04 |
| 1881608149 | Phuong Nguyen Md PC | Internal Medicine | 351 Hospital Road, Suite 209, Newport Beach, CA 92663-3504 | 2006-07-29 |
| 1356370209 | Shahla P Rah | Internal Medicine | 1441 Avocado Ave Ste 309, Newport Beach, CA 92660-7704 | 2006-07-02 |
| 1801838750 | Phuong T Nguyen | Internal Medicine | 1 Hoag Dr Bl41-107, Newport Beach, CA 92663-4162 | 2006-06-12 |
| 1770958845 | Angizeh Sadeghi Md Inc | Internal Medicine | 17 Corporate Plaza Dr Ste 110, Newport Beach, CA 92660-7925 | 2015-12-01 |
| 1104197706 | Surinder Saini Md Inc | Internal Medicine | 1441 Avocado Ave, Suite 807, Newport Beach, CA 92660-7721 | 2012-01-13 |
| 1710282546 | Homeira Mehrabian Md Inc | Internal Medicine | 361 Hospital Rd, Suite 331, Newport Beach, CA 92663-3522 | 2011-01-26 |
| 1477708766 | Kathryn A Ross, Md Inc | Internal Medicine | 901 Dover Dr, Suite 122, Newport Beach, CA 92660-5538 | 2008-12-01 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
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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.