MR. MARION RAY WINDHAM (NPI# 1144214636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144214636 |
| Entity Type | Individual |
| Full Name | MR. MARION RAY WINDHAM |
| Credential | M.D. |
| Practice Address |
74990 Country Club Dr Suite 310 Palm Desert CA 92260-1991 |
| Mailing Address |
81767 Dr Carreon Blvd Ste 201 Indio CA 92201-5597 |
| Practice Telephone | 7603418800 |
| Practice Fax Number | 7607754818 |
| Mailing Telephone | 7607754181 |
| Mailing Fax Number | 7607754818 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2017-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | C34630 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
74990 COUNTRY CLUB DR SUITE 310 |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92260-1991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144472010 | Steven S. Fountain | Orthopaedic Surgery | 74990 Country Club Dr, Palm Desert, CA 92260-1991 | 2008-10-22 |
| 1376766808 | Indio Emergency Medical Group Inc | Emergency Medicine | 74990 Country Club Dr, Suite 310, Palm Desert, CA 92260-1991 | 2007-04-11 |
| 1508893322 | Thomas Mcmillan | Emergency Medicine | 74990 Country Club Dr, Suite # 310, Palm Desert, CA 92260-1991 | 2006-06-27 |
| 1235166059 | Michael Mostyn | Internal Medicine | 74990 Country Club Dr, Suite # 310, Palm Desert, CA 92260-1991 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414202 | Arianna D Aguilar | Behavioral Analyst | 7410 Highway 111 Suite 102, Palm Desert, CA 92260 | 2020-10-12 |
| 1063053098 | Sylvia Ann Trapuzzano | Marriage & Family Therapist | 74-040 Highway IIi, Suite L-202, Palm Desert, CA 92260 | 2019-10-01 |
| 1477011153 | Alexis Ivonne Corrales | Behavior Technician | 74-710 Ca-111, Ste #102, Palm Desert, CA 92260 | 2019-03-12 |
| 1992272421 | Sarah Baik | Pharmacist | 72314 Ca-111, Palm Desert, CA 92260 | 2018-11-02 |
| 1104329820 | Oz Med, Inc. | Pharmacy | 44150 Town Center Way, Ste B4, Palm Desert, CA 92260 | 2018-03-09 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1225540180 | Dr Fatemeh Hadjian D.d.s. P.a. | Dentist | 74000 Country Club Ste B1, Palm Desert, CA 92260 | 2017-11-01 |
| 1871032185 | Brianne Lee Stoddard | Behavioral Analyst | 41555 Cook Street, Suite 100, Palm Desert, CA 92260 | 2017-02-20 |
| 1275072720 | Michael Giordano Jerez | Chiropractor | 72840 Ca - 111 Suite 2, Palm Desert, CA 92260 | 2017-02-16 |
| 1982150785 | Joshua W Cartter Dds Inc | Dentist | 72415 Park View, Palm Desert, CA 92260 | 2016-08-31 |
| Find all providers in zip 92260 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1831623339 | World Gym of Palm Desert LLC | General Practice | 41651 Corporate Way, Suite 1, Palm Desert, CA 92260-1987 | 2017-04-12 |
| 1053670372 | H David Sacks Do A Professional Medical Corporation | General Practice | 44751 Village Ct, Suite 300, Palm Desert, CA 92260-3815 | 2012-05-07 |
| 1720394067 | Randy James Fedorchuk | General Practice | 74130 Country Club Dr Ste 103, Palm Desert, CA 92260-1687 | 2010-08-24 |
| 1174155386 | Circe Healthcare Solutions, Inc. | General Practice | 74000 Country Club Dr Ste G2, Palm Desert, CA 92260-1679 | 2020-02-05 |
| 1063959187 | Medical Wellness Group, Inc. | General Practice | 42575 Washington St Fl 2, Palm Desert, CA 92211-8850 | 2017-01-26 |
| 1477971125 | Homayoun Siman | General Practice | 73211 Fred Waring Dr Ste 101, Palm Desert, CA 92260-2888 | 2014-03-31 |
| 1023282134 | Gilbert Mintz | General Practice | 74040 Highway 111, Ste 208, Palm Desert, CA 92260-4134 | 2008-04-18 |
| 1770752560 | Michael R Solomon | General Practice | 36923 Cook St, Suite 102, Palm Desert, CA 92211-6073 | 2008-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1851992986 | Lindsay Fry | General Practice | 375 Bonair St Apt 1, La Jolla, CA 92037-5911 | 2020-11-04 |
| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| 1851913917 | St Bishoy Medical Group | General Practice | 8545 Saturn St Apt 103, Los Angeles, CA 90035-3658 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
| City | PALM DESERT |
| Zip Code | 92260 |
Please comment or provide details below to improve the information on MR. MARION RAY WINDHAM.
| 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.