ENLOE MEDICAL CENTER (NPI# 1770905994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770905994 |
| Entity Type | Organization |
| Organization Name | ENLOE MEDICAL CENTER |
| Other Organization Name | ENLOE ORTHOPEDIC TRAUMA CLINIC |
| Practice Address |
1600 Esplanade Suite C Chico CA 95926-3369 |
| Mailing Address |
1531 Esplanade Attn: Finance Chico CA 95926-3310 |
| Practice Telephone | 5303327300 |
| Practice Fax Number | 5308936885 |
| Mailing Telephone | 5303327300 |
| Mailing Fax Number | 5308936853 |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-05-28 |
| Authorized Official Name | MYRON MACHULA (VP/CFO) |
| Authorized Official Telephone | 5303327357 |
| Is Organization Subpart | Y |
| Parent Organization Name | ENLOE MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 230000027 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Enloe Orthopedic Trauma Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932750957 | Enloe Medical Center | Internal Medicine | 1430 Esplanade Ste 6, Chico, CA 95926-3366 | 2019-09-20 |
| 1255812780 | Enloe Medical Center | Obstetrics & Gynecology | 1425 Magnolia Ave, Chico, CA 95926-3226 | 2018-08-23 |
| 1073696100 | Enloe Medical Center | Psychiatric Unit | 560 Cohasset Rd, Chico, CA 95926-2212 | 2006-10-23 |
| 1225125602 | Enloe Medical Center | General Acute Care Hospital | 1390 E Lassen Ave, Chico, CA 95973-7823 | 2006-10-06 |
| 1720099328 | Enloe Medical Center | Internal Medicine | 185 E 7th Ave Ste A, Chico, CA 95926-3356 | 2006-08-10 |
| 1245240654 | Enloe Medical Center | General Acute Care Hospital | 7883 State Highway 99e, Los Molinos, CA 96055-9782 | 2006-08-08 |
| 1902459829 | Enloe Medical Center | Skilled Nursing Facility | 340 W East Ave, Chico, CA 95926-7238 | 2019-07-19 |
| 1164885604 | Enloe Medical Center | Surgery | 1026 Mangrove Ave Ste 10, Chico, CA 95926-3556 | 2016-04-01 |
| 1366830507 | Enloe Medical Center | Psychiatry & Neurology | 1421 Magnolia Ave, Chico, CA 95926-3226 | 2014-12-22 |
| 1972905503 | Enloe Medical Center | Physical Medicine & Rehabilitation | 340 W East Ave, Chico, CA 95926-7238 | 2014-09-26 |
| Street Address |
1600 ESPLANADE SUITE C |
| City | CHICO |
| State | CA |
| Zip Code | 95926-3369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316904428 | Loren Glen Ott | Physician Assistant | 1600 Esplanade, Suite C, Chico, CA 95926-3369 | 2006-05-01 |
| 1477975613 | Enloe Medical Center | Surgery | 1600 Esplanade, Suite C, Chico, CA 95926-3369 | 2014-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306001078 | Brock S Cummings Md Inc | Orthopaedic Surgery | 251 Cohasset Rd Ste 130, Chico, CA 95926-2235 | 2008-07-22 |
| 1114126158 | Ethan Lichtblau | Orthopaedic Surgery | 1531 The Esplanade, Chico, CA 95926-3310 | 2007-07-11 |
| 1922204494 | Phillip Jones | Orthopaedic Surgery | 131 Raley Blvd Ste 200, Chico, CA 95928-8347 | 2007-06-22 |
| 1063481893 | Kirk Fredrick Granlund | Orthopaedic Surgery | 131 Raley Blvd, Chico, CA 95928-8347 | 2006-03-15 |
| 1982696571 | Edgar Otto Vyhmeister | Orthopaedic Surgery | 1531 Esplanade, Chico, CA 95926-3310 | 2005-08-19 |
| 1023325347 | Chico Orthopaedic Surgery and Sports Medical Associates | Orthopaedic Surgery | 111 Raley Blvd, Suite 160, Chico, CA 95928-8351 | 2010-09-08 |
| 1336302991 | Douglas W Benson | Orthopaedic Surgery | 1531 Esplanade, Chico, CA 95926-3310 | 2008-07-03 |
| 1356519193 | Sidney Georg Jones | Orthopaedic Surgery | 131 Raley Blvd, Chico, CA 95928-8347 | 2008-02-14 |
| 1235347873 | Bruce H Gallaway | Orthopaedic Surgery | 680 Cohasset Rd, Chico, CA 95926-2213 | 2007-05-18 |
| 1386783884 | Taylor A Konkin | Orthopaedic Surgery | 131 Raley Blvd, Chico, CA 95928-8347 | 2007-02-05 |
| Find all providers in CHICO | ||||
Please comment or provide details below to improve the information on ENLOE MEDICAL CENTER.
| 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.