DR. JOSEPH E SUDOLCAN (NPI# 1811954332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811954332 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH E SUDOLCAN |
| Credential | MD |
| Practice Address |
800 N Main Ave Ste 3 Big Lake TX 76932-3900 |
| Mailing Address |
3555 Knickerbocker Rd San Angelo TX 76904-7610 |
| Practice Telephone | 3258843743 |
| Mailing Telephone | 3259499555 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2012-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | H0859 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 138407509 | 05 | |
| TX | BLUE CROSS/BLUE SHIELD TX | 83X714 | 01 |
| Street Address |
800 N MAIN AVE STE 3 |
| City | BIG LAKE |
| State | TX |
| Zip Code | 76932-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932443835 | Ethel Olivia King | Nurse Practitioner | 1300 N Main, Big Lake, TX 76932 | 2012-11-15 |
| 1740219427 | County of Reagan | Ambulance | 207 N. Plaza, Big Lake, TX 76932 | 2006-07-03 |
| 1881697316 | Reagan Hospital District | General Acute Care Hospital | 1300 N Main Ave, Big Lake, TX 76932 | 2005-05-30 |
| 1689030454 | David Bushnell | Nurse Practitioner | 1300 N Main, Big Lake, TX 76932 | 2016-01-11 |
| 1477930121 | Reagan Hospital District | Clinic/Center | 1300 N Main Ave, Big Lake, TX 76932 | 2015-05-01 |
| 1487786232 | Reagan Hospital District | General Acute Care Hospital | 1300 N Main Ave, Big Lake, TX 76932 | 2007-03-09 |
| 1659336840 | Reagan Hospital District | Nursing Facility/Intermediate Care Facility | 1300 N Main Ave, Big Lake, TX 76932 | 2006-04-19 |
| 1376654673 | Tony Roy Smith | Chiropractor | 905 N Main Ave, Big Lake, TX 76932-3201 | 2006-08-31 |
| 1528060563 | Bruce D Hagmann | Pharmacist | 903 N Main Ave, Big Lake, TX 76932-3201 | 2005-08-10 |
| 1386831303 | Reagan County Home Delivered Meals | Home Delivered Meals | 1205 N Montana Ave, Big Lake, TX 76932-3400 | 2007-10-03 |
| Find all providers in zip 76932 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942438270 | Jessica L Hodson | Family Medicine | 16830 198th Ave Nw, Centracare Clinic Big Lake, Big Lake, MN 55309-4860 | 2009-06-25 |
| 1043479876 | Nabeel Bishara Ailabouni | Family Medicine | 16830 198th Ave Nw, Big Lake Clinic, Big Lake, MN 55309 | 2008-06-06 |
| 1417924994 | Lola B Sutherland | Family Medicine | 16830 198th Ave Nw, Big Lake Clinic, Big Lake, MN 55309 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073599 | Julie Suzanne Rodriguez | Family Medicine | 421 W Wadley Ave Ste B, Midland, TX 79705-5368 | 2020-11-06 |
| 1871194670 | Priscilla Tehrani | Family Medicine | 615 North Loop E Unit 100, Houston, TX 77022-5934 | 2020-11-06 |
| 1821699976 | Dr. G Medical Solutions | Family Medicine | 4840 W Panther Creek Dr Ste 211, The Woodlands, TX 77381-3542 | 2020-11-05 |
| 1124629522 | Jose Reynaldo Carcamo Jr. | Family Medicine | 18568 Texas 46, Suite 1001, Spring Branch, TX 78070 | 2020-11-03 |
| 1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
| 1770184020 | Kara Fenceroy | Family Medicine | 5425 Rolling Meadows Dr, Fort Worth, TX 76123-2836 | 2020-11-03 |
| 1881295327 | Courtney L Buchmeier | Family Medicine | 16620 San Pedro Ave, San Antonio, TX 78232-2327 | 2020-11-02 |
| 1003416207 | Adeline Galvez | Family Medicine | 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104-2820 | 2020-10-27 |
| 1710585229 | Megan Alyse Loyd | Family Medicine | 2101 Kingsley Dr Apt 3106, Pearland, TX 77584-4118 | 2020-10-16 |
| 1104424795 | Rachel Elizabeth Whitten | Family Medicine | 614 S Business Ih 35 Ste A, New Braunfels, TX 78130-4748 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
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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.