ENLOE MEDICAL CENTER (NPI# 1992117592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992117592 |
| Entity Type | Organization |
| Organization Name | ENLOE MEDICAL CENTER |
| Other Organization Name | ENLOE GENERAL & COLORECTAL SURGERY CLINIC |
| Practice Address |
2 Governors Ln Chico CA 95926-6300 |
| Mailing Address |
1531 Esplanade Attn: Finance Chico CA 95926-3310 |
| Practice Telephone | 5308914523 |
| Mailing Telephone | 5303327479 |
| Mailing Fax Number | 5308936853 |
| Enumeration Date | 2014-05-30 |
| Last Update Date | 2014-05-30 |
| Authorized Official Name | MYRON EUGENE MACHULA (VP/CFO) |
| Authorized Official Telephone | 5303327357 |
| Is Organization Subpart | Y |
| Parent Organization Name | ENLOE MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208C00000X | Colon & Rectal Surgery | 230000027 | CA | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 230000027 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Enloe General & Colorectal Surgery Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932750957 | Enloe Medical Center | Internal Medicine | 1430 Esplanade Ste 6, Chico, CA 95926-3366 | 2019-09-20 |
| 1255812780 | Enloe Medical Center | Obstetrics & Gynecology | 1425 Magnolia Ave, Chico, CA 95926-3226 | 2018-08-23 |
| 1073696100 | Enloe Medical Center | Psychiatric Unit | 560 Cohasset Rd, Chico, CA 95926-2212 | 2006-10-23 |
| 1225125602 | Enloe Medical Center | General Acute Care Hospital | 1390 E Lassen Ave, Chico, CA 95973-7823 | 2006-10-06 |
| 1720099328 | Enloe Medical Center | Internal Medicine | 185 E 7th Ave Ste A, Chico, CA 95926-3356 | 2006-08-10 |
| 1245240654 | Enloe Medical Center | General Acute Care Hospital | 7883 State Highway 99e, Los Molinos, CA 96055-9782 | 2006-08-08 |
| 1902459829 | Enloe Medical Center | Skilled Nursing Facility | 340 W East Ave, Chico, CA 95926-7238 | 2019-07-19 |
| 1164885604 | Enloe Medical Center | Surgery | 1026 Mangrove Ave Ste 10, Chico, CA 95926-3556 | 2016-04-01 |
| 1366830507 | Enloe Medical Center | Psychiatry & Neurology | 1421 Magnolia Ave, Chico, CA 95926-3226 | 2014-12-22 |
| 1972905503 | Enloe Medical Center | Physical Medicine & Rehabilitation | 340 W East Ave, Chico, CA 95926-7238 | 2014-09-26 |
| Street Address |
2 GOVERNORS LN |
| City | CHICO |
| State | CA |
| Zip Code | 95926-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366541849 | Kevin Richard Dorsey-tyler | Surgery | 2 Governors Ln, Suite A, Chico, CA 95926-1988 | 2006-09-21 |
| 1396381463 | Caitlin Collins | Physician Assistant | 2 Governors Ln, Chico, CA 95926-6300 | 2019-11-22 |
| 1801307335 | Joseph Weber | Physician Assistant | 2 Governors Ln, Chico, CA 95926-6300 | 2017-10-24 |
| 1417267766 | Joseph M Matthews Md Inc | Colon & Rectal Surgery | 2 Governors Ln, Ste A, Chico, CA 95926-1988 | 2010-10-19 |
| 1841450145 | Richard Douglas Matthews | Surgery | 2 Governors Ln, Suite A, Chico, CA 95926-1988 | 2008-06-11 |
| 1578769923 | Michael Harold Fealk | Colon & Rectal Surgery | 2 Governors Ln, Suite A, Chico, CA 95926-6300 | 2007-06-22 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811167182 | North Valley Surgical Associates | Surgery | 251 Cohasset Rd Ste 120, Chico, CA 95926-2274 | 2008-03-03 |
| 1548454259 | Karen Beatrice Salud Ching-tismal | Surgery | 251 Cohasset Rd., Suite 330, Chico, CA 95926 | 2007-09-05 |
| 1750461661 | Joseph Moore Matthews | Surgery | 2 Governors Lane, Suite A, Chico, CA 95926 | 2006-10-16 |
| 1245310200 | Deron Ludwig | Surgery | 251 Cohasset Rd Ste 310, Chico, CA 95926-2239 | 2006-10-16 |
| 1366541849 | Kevin Richard Dorsey-tyler | Surgery | 2 Governors Ln, Suite A, Chico, CA 95926-1988 | 2006-09-21 |
| 1598778128 | Robert S Johnson Md Inc | Surgery | 1517 Manchester Road, Chico, CA 95926-2434 | 2006-08-14 |
| 1831158799 | Erik J Simchuk | Surgery | 251 Cohasset Rd, Ste 310, Chico, CA 95926-2241 | 2006-03-20 |
| 1477975613 | Enloe Medical Center | Surgery | 1600 Esplanade, Suite C, Chico, CA 95926-3369 | 2014-01-07 |
| 1053601633 | Steven Perrins Jr. | Surgery | 1600 Esplanade Ste C, Chico, CA 95926-3369 | 2011-04-15 |
| 1174759955 | John K Lam | Surgery | 1531 Esplanade, Chico, CA 95926-3310 | 2009-06-07 |
| 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.