JUSTIN RECKARD MD INC (NPI# 1033471115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033471115 |
| Entity Type | Organization |
| Organization Name | JUSTIN RECKARD MD INC |
| Practice Address |
71943 Highway 111 Rancho Mirage CA 92270-4848 |
| Practice Telephone | 7607767600 |
| Practice Fax Number | 7607767640 |
| Mailing Telephone | 7607767600 |
| Mailing Fax Number | 7607767640 |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | JUSTIN MICHAEL RECKARD (PROVIDER) |
| Authorized Official Telephone | 7607767600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A120374 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 39000 Bob Hope Dr Ste K403, Rancho Mirage, CA 922707077 | 7603465551 |
| Street Address |
71943 HIGHWAY 111 |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-4848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679564561 | Canh-nhat Minh Nguyen | Surgery | 71943 Highway 111, Rancho Mirage, CA 92270 | 2005-10-31 |
| 1245894153 | United Surgical Associates | Surgery | 71943 Highway 111, Rancho Mirage, CA 92270-4848 | 2019-04-25 |
| 1144474297 | Nhat Canh Nguyen-minh Md Inc | Surgery | 71943 Highway 111, Rancho Mirage, CA 92270-4848 | 2008-11-14 |
| 1164470480 | Justin Michael Reckard | Surgery | 71943 Highway 111, Rancho Mirage, CA 92270-4848 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| 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 |
|---|---|---|---|---|
| 1851809495 | Synergy Surgery Center. LLC | Surgery | 71511 Highway 111 Ste E, Rancho Mirage, CA 92270-4465 | 2018-01-17 |
| 1639514185 | James Michael Caterine | Surgery | 14 Mount Holyoke, Rancho Mirage, CA 92270-3666 | 2013-05-09 |
| 1255605960 | Lombardo Surgical, Inc. | Surgery | 72027 Highway 111 Ste A, Rancho Mirage, CA 92270-4961 | 2012-02-27 |
| 1700050689 | Reza Khodaverdian | Surgery | 39000 Bob Hope Dr Ste K108, Rancho Mirage, CA 92270-7001 | 2008-04-22 |
| 1679564561 | Canh-nhat Minh Nguyen | Surgery | 71943 Highway 111, Rancho Mirage, CA 92270 | 2005-10-31 |
| 1295391712 | Bagherpour Inc | Surgery | 70077 Ramon Rd Ste 1, Rancho Mirage, CA 92270-5201 | 2019-05-10 |
| 1245894153 | United Surgical Associates | Surgery | 71943 Highway 111, Rancho Mirage, CA 92270-4848 | 2019-04-25 |
| 1376925206 | Robotic Surgical Solutions | Surgery | 35900 Bob Hope Dr, Suite 205, Rancho Mirage, CA 92270-1766 | 2015-06-27 |
| 1225448053 | Jorge Almodovar | Surgery | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2014-05-01 |
| 1306074034 | Steve Choe | Surgery | 39000 Bob Hope Drive, Uihlein Bldg. 2nd Floor Ste A, Rancho Mirage, CA 92270-3221 | 2009-07-01 |
| Find all providers in RANCHO MIRAGE | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
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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.