DR. ARDATH WIGHTMAN JR. (NPI# 1104161751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104161751 |
| Entity Type | Individual |
| Full Name | DR. ARDATH WIGHTMAN JR. |
| Credential | MD |
| Practice Address |
700 Harmony Ln Fullerton CA 92831-1801 |
| Practice Telephone | 7147383434 |
| Mailing Telephone | 7147383434 |
| Enumeration Date | 2012-12-09 |
| Last Update Date | 2012-12-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A19559 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
700 HARMONY LN |
| City | FULLERTON |
| State | CA |
| Zip Code | 92831-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
| 1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
| 1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
| 1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
| 1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
| Find all providers in zip 92831 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396084422 | William Franklin Hohn | Urology | 423 Pebble Beach Pl, Fullerton, CA 92835-2702 | 2013-02-08 |
| 1851498133 | Marinelli & Feldman Mds | Urology | 1915 Sunny Crest Dr, Fullerton, CA 92835-3626 | 2006-09-20 |
| 1134223126 | Gordon C Gunn Md Inc | Urology | 150 Laguna Rd, Fullerton, CA 92835-3614 | 2006-09-11 |
| 1396858163 | Michael Scott Gazzaniga | Urology | 301 W Bastanchury Rd #180, Fullerton, CA 92835 | 2006-08-16 |
| 1720042336 | Manmohan Gursahani | Urology | 1024 Ferndale Ave, Fullerton, CA 92831 | 2006-04-12 |
| 1851398382 | Alan C Weinberg | Urology | 301 W Bastanchury Rd, #180, Fullerton, CA 92835-3427 | 2005-06-30 |
| 1285921882 | Scott Matthew Hughes | Urology | 1915 Sunny Crest Dr, Fullerton, CA 92835 | 2011-07-01 |
| 1437451820 | Eric Brendan Tygenhof | Urology | 301 W Bastanchury Rd, Suite 180, Fullerton, CA 92835-3419 | 2010-11-17 |
| 1508089707 | Stuart L Feldman | Urology | 1950 Sunnycrest Dr, #3400, Fullerton, CA 92835-3638 | 2007-04-10 |
| 1689897761 | Derrick V Marinelli | Urology | 1950 Sunnycrest Dr, #3400, Fullerton, CA 92835-3638 | 2007-04-10 |
| Find all providers in FULLERTON | ||||
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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.