JUDITH A MIKACICH MD INC (NPI# 1831423359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831423359 |
| Entity Type | Organization |
| Organization Name | JUDITH A MIKACICH MD INC |
| Practice Address |
2277 Fair Oaks Blvd 355 Sacramento CA 95825-5500 |
| Mailing Address |
2277 Fair Oaks Blvd 355 Sacramento CA 95825-5533 |
| Practice Telephone | 9169273178 |
| Practice Fax Number | 9169271488 |
| Mailing Telephone | 9169273178 |
| Mailing Fax Number | 9169271488 |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-12-22 |
| Authorized Official Name | DR. JUDITH A MIKACICH (PRESIDENT) |
| Authorized Official Telephone | 9169273178 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A73791 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2277 FAIR OAKS BLVD 355 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689640179 | Laurie C Gregg | Obstetrics & Gynecology | 2277 Fair Oaks Blvd, Suite 355, Sacramento, CA 95825-5533 | 2006-02-24 |
| 1750790549 | Curtes Mcpherson | Case Manager/Care Coordinator | 2277 Fair Oaks Blvd, Sacramento, CA 95825-5533 | 2014-08-06 |
| 1053744896 | Andrea Willey Md A Professional Medical Corporation | Dermatology | 2277 Fair Oaks Blvd, Suite 402, Sacramento, CA 95825-5533 | 2013-08-15 |
| 1366788531 | Rosa Leticia Fernandez | Case Manager/Care Coordinator | 2277 Fair Oaks Blvd, 440, Sacramento, CA 95825-5533 | 2012-12-17 |
| 1679884589 | Rose Alice Sipes | Case Manager/Care Coordinator | 2277 Fair Oaks Blvd, Suite 440, Sacramento, CA 95825-1310 | 2010-06-24 |
| 1669622486 | Armando Galvez | Case Management | 2277 Fair Oaks Blvd, Suite 440, Sacramento, CA 95825-5533 | 2008-09-29 |
| 1730348616 | Erwin A. Eichhorn, M.d., Inc. | Obstetrics & Gynecology | 2277 Fair Oaks Blvd, Suite 355, Sacramento, CA 95825-5533 | 2008-06-05 |
| 1346409224 | Stephen G. Hiuga, M.d., Inc. | Obstetrics & Gynecology | 2277 Fair Oaks Blvd, Suite 355, Sacramento, CA 95825-5533 | 2008-06-05 |
| 1629276530 | Maria Virginia Vilimek | Rehabilitation Practitioner | 2277 Fair Oaks Blvd, Ste. 440, Sacramento, CA 95825-5533 | 2007-07-03 |
| 1407051394 | Kathy Vernon Gunz | Psychologist | 2277 Fair Oaks Blvd, Suite 190a, Sacramento, CA 95825-5533 | 2007-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841713732 | Wellspace Health Professional Health Center for Women | Obstetrics & Gynecology | 4150 Truxel Rd Ste C, Sacramento, CA 95834-3761 | 2017-07-21 |
| 1548716020 | Nicole Gabrielle Gomez | Obstetrics & Gynecology | 2610 O St, Apt A, Sacramento, CA 95816-6368 | 2016-08-25 |
| 1568758472 | Kathleen Ann Rooney | Obstetrics & Gynecology | 2277 Fair Oaks Blvd 355, Sacramento, CA 95825-5595 | 2011-06-20 |
| 1972814671 | Laura Elizabeth Watters | Obstetrics & Gynecology | 77 Cadillac Dr Ste 230, Sacramento, CA 95825-5480 | 2010-06-28 |
| 1285963843 | Amanda L Shepherd | Obstetrics & Gynecology | 5320 N St, Sacramento, CA 95819-4132 | 2009-12-10 |
| 1003048786 | Hailey Rose Macnear | Obstetrics & Gynecology | 2277 Fair Oaks Blvd Ste 355, Sacramento, CA 95825-5595 | 2009-08-14 |
| 1578744454 | Mala Ashok Medical Corporation | Obstetrics & Gynecology | 112 Fountain Oaks Cir, 250, Sacramento, CA 95831-3967 | 2007-11-19 |
| 1144422056 | Akiba Edo Green | Obstetrics & Gynecology | 3201 S St, 188, Sacramento, CA 95816-7078 | 2007-06-03 |
| 1801005970 | Carolyn Cupps Davis | Obstetrics & Gynecology | 2864 El Prado Way, Sacramento, CA 95825-1835 | 2007-05-22 |
| 1164643896 | Kristina Milan | Obstetrics & Gynecology | 1625 Stockton Blvd Ste 20, Sacramento, CA 95816-7097 | 2007-05-01 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
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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.