JASON EDWARD POPE (NPI# 1215078647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215078647 |
| Entity Type | Individual |
| Full Name | JASON EDWARD POPE |
| Credential | MD |
| Practice Address |
416 Aviation Blvd Ste B Santa Rosa CA 95403 |
| Mailing Address |
416 Aviation Blvd Ste B Santa Rosa CA 95403-1032 |
| Practice Telephone | 8445277369 |
| Practice Fax Number | 8444490750 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2018-10-17 |
| NPI Deactivation Date | 10/08/2018 |
| NPI Reactivation Date | 2018-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 41564 | TN | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
114663 | CA | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
25047 | WV | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
A114663 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1821509T | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 392 Tesconi Ct, Santa Rosa, CA 954014653 | 7076239803 | 7078433257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558869909 | Jason Kendall Pope | Social Worker | 4825 Alder Creek Rd, Saint Maries, ID 83861-9765 | 2018-01-30 |
| 1235303090 | Jason Taylor Pope | Emergency Medicine | 1008 Mullis St, Roswell, NM 88201-1157 | 2008-04-14 |
| 1124081583 | Jason S Pope | Emergency Medicine | 4700 Waters Ave, C/o Holli Morgan, Savannah, GA 31404 | 2006-04-07 |
| Street Address |
416 AVIATION BLVD STE B |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417594318 | Jane Elizabeth Hartigan | Physician Assistant | 416 Aviation Blvd Ste B, Santa Rosa, CA 95403-1032 | 2019-12-10 |
| 1215437249 | Jason Edward Pope Md Inc | Pain Medicine | 416 Aviation Blvd Ste B, Santa Rosa, CA 95403-1032 | 2018-02-16 |
| 1245611250 | Harjot Singh Bhandal | Pain Medicine | 416 Aviation Blvd Ste B, Santa Rosa, CA 95403-1032 | 2015-06-16 |
| 1538508841 | Chau My Vu | Anesthesiology | 416 Aviation Blvd Ste B, Santa Rosa, CA 95403-1032 | 2013-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912935966 | Norman Pang Md | Anesthesiology | 3325 Chanate Road, Santa Rosa, CA 95404 | 2006-06-29 |
| 1821026873 | Norman Pang Md | Anesthesiology | 2465 Summerfield Rd, Santa Rosa, CA 95405 | 2006-06-29 |
| 1538508841 | Chau My Vu | Anesthesiology | 416 Aviation Blvd Ste B, Santa Rosa, CA 95403-1032 | 2013-06-19 |
| 1154630044 | Acadia Pain Management Group, Inc. | Anesthesiology | 4704 Hoen Ave, Santa Rosa, CA 95405-7824 | 2010-09-27 |
| 1336471085 | Ronald J. Botelho, Md, Ltd | Anesthesiology | 1221 Farmers Ln, Suite 500, Santa Rosa, CA 95405-6712 | 2010-02-05 |
| 1063665438 | Michael Ishu Yang | Anesthesiology | 392 Tesconi Ct, Santa Rosa, CA 95401-4653 | 2008-10-29 |
| 1679744429 | North Bay Pain Care | Anesthesiology | 2135 Armory Dr, Suite 100, Santa Rosa, CA 95401-3610 | 2008-03-20 |
| 1326236449 | New Directions Medical Center Inc | Anesthesiology | 2135 Armory Dr, Suite 100, Santa Rosa, CA 95401-3610 | 2007-10-15 |
| 1689747602 | Allen George Gruber | Anesthesiology | 4720 Hoen Ave, Santa Rosa, CA 95405-7867 | 2006-11-16 |
| 1407966369 | David Neil Calkins | Anesthesiology | 117 Camino De Vida, Santa Rosa, NM 88435-2267 | 2006-08-30 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on JASON EDWARD POPE.
| 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.