DR. ERIC L PAGENKOPF (NPI# 1881762896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881762896 |
| Entity Type | Individual |
| Full Name | DR. ERIC L PAGENKOPF |
| Credential | M.D. |
| Practice Address |
729 N Medical Center Dr W Suite 111 Clovis CA 93611-6879 |
| Mailing Address |
2625 E Divisadero St Fresno CA 93721-1431 |
| Practice Telephone | 5593200531 |
| Practice Fax Number | 5593200539 |
| Mailing Telephone | 5594432682 |
| Mailing Fax Number | 5594432681 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2014-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | C54558 | CA | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
C54558 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
729 N MEDICAL CENTER DR W SUITE 111 |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-6879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841727658 | Sirvard M Kaptryan | Nurse Practitioner | 729 N Medical Center Dr W, 101, Clovis, CA 93611-6879 | 2017-05-11 |
| 1598155202 | Elizabeth Aurea May | Physician Assistant | 729 N Medical Center Dr W, Suite 111, Clovis, CA 93611-6879 | 2015-02-02 |
| 1528468501 | Tawne Fishback | Nurse Practitioner | 729 N Medical Center Dr W, Clovis, CA 93611-6879 | 2014-08-27 |
| 1538574660 | Clovis Pediatric Group | Pediatrics | 729 N Medical Center Dr W, 201, Clovis, CA 93611-6879 | 2014-06-26 |
| 1740613041 | Joshua Paul Lazarus | Physician Assistant | 729 N Medical Center Dr W, Clovis, CA 93611-6879 | 2013-08-10 |
| 1184885519 | John Edward Tidwell | Orthopaedic Surgery | 729 N Medical Center Dr W, Suite 111, Clovis, CA 93611-6879 | 2008-06-18 |
| 1326237629 | Christine Marie Card | Nurse Practitioner | 729 N Medical Center Dr W, Suite 205, Clovis, CA 93611-6879 | 2007-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| 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 |
|---|---|---|---|---|
| 1649220435 | Jacob George | Orthopaedic Surgery | 2421 W. 21st Street, Clovis, NM 88101 | 2006-05-11 |
| 1942262555 | Simonian Sports Medicine Clinic A Medical Corporation | Orthopaedic Surgery | 729 North Medical Center Drive West, Suite 101, Clovis, CA 93611-6880 | 2006-04-06 |
| 1124025325 | Eric Michael Lindvall | Orthopaedic Surgery | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2005-07-01 |
| 1962813741 | Lucas Seiler | Orthopaedic Surgery | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2014-05-14 |
| 1689096786 | Michael Charles | Orthopaedic Surgery | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2014-01-09 |
| 1528402179 | Arbi Nazarian | Orthopaedic Surgery | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2013-04-25 |
| 1689961310 | Mark Ayoub | Orthopaedic Surgery | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2011-07-01 |
| 1780976902 | Motasem Refaat | Orthopaedic Surgery | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2011-05-05 |
| 1053600940 | Jason Aaron Davis | Orthopaedic Surgery | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2011-03-31 |
| 1760621759 | Robert Charles Kollmorgen | Orthopaedic Surgery | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2009-02-13 |
| Find all providers in CLOVIS | ||||
Please comment or provide details below to improve the information on DR. ERIC L PAGENKOPF.
| 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.