DR. THOMAS MICHAEL GUDEWICZ (NPI# 1912908096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912908096 |
| Entity Type | Individual |
| Full Name | DR. THOMAS MICHAEL GUDEWICZ |
| Credential | MD |
| Practice Address |
Naval Hospital, Camp Pendleton Bldg H100, Santa Margarita Road Attention: Code Cs-pa Camp Pendleton CA 92055 |
| Mailing Address |
4679 Telescope Ave Carlsbad CA 92008-3766 |
| Practice Telephone | 7607250074 |
| Practice Fax Number | 7607251190 |
| Mailing Telephone | 7607201878 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
A44176 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
NAVAL HOSPITAL, CAMP PENDLETON BLDG H100, SANTA MARGARITA ROAD ATTENTION: CODE CS-PA |
| City | CAMP PENDLETON |
| State | CA |
| Zip Code | 92055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790013449 | Phillip Timmons | Dentist | Naval Hospital, Camp Pendleton, H100 Santa Margarita Rd, Attn: Code 094, Camp Pendleton, CA 92055-5191 | 2009-11-18 |
| 1376725580 | Christy L Mantanona Lee | Student in an Organized Health Care Education/Training Program | Naval Hospital, Camp Pendleton, Santa Margarita Road, Bldg H100, Attention: Code 094, Camp Pendleton, CA 92055-5191 | 2007-11-29 |
| 1770764953 | Jon M Montgomery | Student in an Organized Health Care Education/Training Program | Naval Hospital, Camp Pendleton, H100 Santa Margarita Road/ Attention: Code 094, Camp Pendleton, CA 92055-5191 | 2007-11-16 |
| 1013196427 | Scott Rexford Roney | Student in an Organized Health Care Education/Training Program | Naval Hospital, Camp Pendleton, Santa Margarita Road, Bldg H100 Code 094, Camp Pendleton, CA 92055-5191 | 2007-11-01 |
| 1760505853 | Cari Jo Knudson | Dietitian, Registered | Naval Hospital, Camp Pendleton, H100 Santa Margarita Road, Camp Pendleton, CA 92055-5191 | 2007-04-06 |
| 1932264652 | Alane Perrigo | Registered Nurse | Naval Hospital, Camp Pendleton, Attention Code 094 Bldg H100, Camp Pendleton, CA 92055-5191 | 2006-12-22 |
| 1497831531 | William Edward Schalck | Physician Assistant | Naval Hospital, Camp Pendleton, Santa Margarita Road, Bldg H100 Attn: Code 094, Camp Pendleton, CA 92055-5191 | 2006-10-31 |
| 1811009079 | Charles Derrick Farwell | General Practice | Naval Hospital, Camp Pendleton, Sant Margarita Rd, Bldg H100; Attention: Code 094, Camp Pendleton, CA 92055-5191 | 2006-08-31 |
| 1053322768 | Teresa Maria Klyszejko | Family Medicine | Naval Hospital, Camp Pendleton, Santa Margarita Road, Bldg H100 Attn: Code 094, Camp Pendleton, CA 92055-5191 | 2006-08-10 |
| 1962430017 | Jason Patrick Palmer | Family Medicine | Naval Hospital, Camp Pendleton, Family Practice Clinic Bldg H100 Attn:code 094, Camp Pendleton, CA 92055-5191 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730755 | Zaccary Griffin | Military Health Care Provider | Building 4101 Stuart Mesa Rd, Camp Pendleton, CA 92055 | 2020-11-02 |
| 1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
| 1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1548869571 | Joshua Watersjackson | Specialist/Technologist | 430406 Las Pulgas, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1235737164 | Tynesha Felice Calimquim | Dental Hygienist | Naval Hospital Camp Pendleton, Dental Department, 200 Mercy Circle, Oceanside, CA 92055 | 2020-10-13 |
| 1801494182 | Luis Alberto Necoechea | Military Health Care Provider | 1st Recon Bn Bas, Oceanside, CA 92055 | 2020-10-09 |
| 1689271603 | Lorena Santodomingo | Dental Hygienist | Bldg 210735 C Street, Camp Pendleton, CA 92055 | 2020-10-02 |
| 1720695984 | Douglas Thomas Duncan | Dental Assistant | 92055- 14th Strret, Oceanside, CA 92055 | 2020-09-30 |
| 1528675980 | Dora Louise Young | Dental Assistant | 92055 14th Street, Camp Pendleton, CA 92055 | 2020-09-29 |
| 1306453956 | Lynne Marie Reardon | Dental Hygienist | Bldg 310515, Camp Pendleton, CA 92055 | 2020-09-28 |
| Find all providers in zip 92055 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
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| 1063058170 | Paragon Diagnostics San Francisco | Pathology | 900 Hyde St Fl 1, San Francisco, CA 94109-4806 | 2019-11-24 |
| 1669034518 | Diagnostic Pathology Medical Group Inc | Pathology | 2801 K St Ste 235, Sacramento, CA 95816-5170 | 2019-07-01 |
| 1093277956 | Shajia Rahman Ansari | Pathology | 38558 Vancouver Cmn, Fremont, CA 94536-4056 | 2019-04-01 |
| 1831655158 | Rana Richeh | Pathology | 12 Spectrum Pointe Dr, Lake Forest, CA 92630-2242 | 2019-02-11 |
| 1710457510 | University of California Sfgh Medical Group | Pathology | 1001 Potrero Ave Rm 2m14, San Francisco, CA 94110-3518 | 2018-12-05 |
| 1770053233 | Samuel Jason Guzman | Pathology | 10026 Karmont Ave, South Gate, CA 90280-5417 | 2018-11-27 |
| 1144799750 | Penguin Medical Group, Inc | Pathology | 11 W Del Mar Blvd Ste 201, Pasadena, CA 91105-2593 | 2018-11-13 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
| Find all providers with the same taxonomy | ||||
| City | CAMP PENDLETON |
| Zip Code | 92055 |
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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.