PATRICK TEDFORD, MD (NPI# 1841376464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841376464 |
| Entity Type | Organization |
| Organization Name | PATRICK TEDFORD, MD |
| Practice Address |
643 W East Ave Chico CA 95926-7201 |
| Practice Telephone | 5303420502 |
| Practice Fax Number | 5303422978 |
| Mailing Telephone | 5303420502 |
| Mailing Fax Number | 5303422978 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2009-04-17 |
| Authorized Official Name | PATRICK TEDFORD (CEO, MD) |
| Authorized Official Telephone | 5303420502 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A24629 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A246290 | 05 |
| Street Address |
643 W EAST AVE |
| City | CHICO |
| State | CA |
| Zip Code | 95926-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346245214 | Daniela Morcos-gannon | Pediatrics | 643 W East Ave, Chico, CA 95926-7201 | 2005-06-16 |
| 1316585565 | Diona Ronae Wikum | Occupational Therapist | 643 W East Ave, Chico, CA 95926-7201 | 2019-12-18 |
| 1538472857 | Elizabeth Jean Vichi | Speech-Language Pathologist | 643 W East Ave, Chico, CA 95926 | 2010-07-15 |
| 1639254915 | Daniela Morcos-gannon, Md | Pediatrics | 643 W East Ave, Chico, CA 95926-7201 | 2006-10-26 |
| 1861428781 | Alyssa Chaplin | Nurse Practitioner | 643 W East Ave, Chico, CA 95926-7201 | 2006-06-23 |
| 1700821295 | Betsy Mott | Nurse Practitioner | 643 W East Ave, Chico, CA 95926-7201 | 2006-06-18 |
| 1770589517 | Patrick Tedford | Pediatrics | 643 W East Ave, Chico, CA 95926-7201 | 2005-06-27 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225568645 | Tai Minh Pham | Pediatrics | 1531 Esplanade # Ca95926, Chico, CA 95926-3310 | 2017-06-18 |
| 1912394735 | Kirk Bjella | Pediatrics | 1515 Springfield Dr, Children's Health Center, Chico, CA 95928 | 2015-04-20 |
| 1659714400 | Evbusogie Ogbeide | Pediatrics | 670 Rio Lindo Avenue, Suite #300, Chico, CA 95926-3310 | 2013-04-11 |
| 1699775734 | Ejaz Ahmed | Pediatrics | 680 Cohasset Rd, Chico, CA 95926-2213 | 2005-07-29 |
| 1427054279 | Paul Wassermann | Pediatrics | 1430 Esplanade, Ste 5, Chico, CA 95926-3366 | 2005-06-27 |
| 1336145184 | James B Wood | Pediatrics | 572 Rio Lindo Ave, Ste 203, Chico, CA 95926 | 2005-06-27 |
| 1306842265 | Lourdes M Valdez | Pediatrics | 277 Cohasset Rd, Chico, CA 95926-2242 | 2005-06-24 |
| 1346245214 | Daniela Morcos-gannon | Pediatrics | 643 W East Ave, Chico, CA 95926-7201 | 2005-06-16 |
| 1689677221 | John Asarian | Pediatrics | 10 Governors Ln, Chico, CA 95926-1991 | 2005-05-27 |
| 1376546846 | Elisa Brown | Pediatrics | 194 Cohasset Rd, Chico, CA 95926-2202 | 2005-05-27 |
| Find all providers in CHICO | ||||
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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.