DR. JEFFREY STEVEN FOUNTAIN (NPI# 1245420447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245420447 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY STEVEN FOUNTAIN |
| Credential | D.O. |
| Practice Address |
816 D St Apt 13 Sacramento CA 95814-0719 |
| Mailing Address |
11995 Singletree Ln Ste 500 Eden Prairie MN 55344-5347 |
| Practice Telephone | 9525951100 |
| Practice Fax Number | 6122944903 |
| Mailing Telephone | 9525951301 |
| Mailing Fax Number | 6122944903 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2014-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
12177 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
5101017332 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
816 D ST APT 13 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95814-0719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435631 | County of Sacramento | Clinic/Center | 651 I Street, Sacramento, CA 95814 | 2019-12-26 |
| 1376033746 | Jenna Pettus | Nurse Practitioner | 711 14th St, Apt 11, Sacramento, CA 95814 | 2018-05-11 |
| 1306269667 | First Advocate Home Care | In Home Supportive Care | 1215 K Street, 17th Floor, Sacramento, CA 95814 | 2014-01-22 |
| 1063752350 | Brian C. Steele Dds A Professional Corporation | Dentist | 1105 E Street, Sacramento, CA 95814 | 2013-02-22 |
| 1265777692 | Wellspace Health | Clinic/Center | 631 H St, Sacramento, CA 95814 | 2012-12-12 |
| 1407117823 | Richard Lee Bauer | Internal Medicine | 651 I St., Sacramento, CA 95814 | 2012-06-01 |
| 1851669949 | Heaaring Healthcare Provider of California | Audiologist | One Capitol Mall, Suite 320, Sacramento, CA 95814 | 2011-12-05 |
| 1114254935 | Robert D Canning | Psychologist | 501 J Street, Suite 530, California Department of Corrections & Rehabilitation, Sacramento, CA 95814 | 2009-11-16 |
| 1407035488 | Donald Herbert Hodges | Case Manager/Care Coordinator | 1420 E Street Apt # B, Sacramento, CA 95814 | 2007-10-26 |
| 1255537536 | River Oak Center for Children | Clinic/Center | 1238 S Street, Sacramento, CA 95814 | 2007-06-25 |
| Find all providers in zip 95814 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598246209 | Solano Diagnostics Partners, A Calif Limited Partnership | Radiology | 3111 S St Apt 307, Sacramento, CA 95816-7065 | 2018-08-22 |
| 1992210850 | Jessica Deyanira Izquierdo | Radiology | 8233 Scottsdale Dr, Sacramento, CA 95828-4530 | 2017-12-13 |
| 1184153629 | Iv Radiology Medical Group | Radiology | 4608 T St, Sacramento, CA 95819-4744 | 2017-06-08 |
| 1396086443 | Vincent L Quilici | Radiology | 3601 Meadow Ln, Sacramento, CA 95864-1522 | 2013-03-13 |
| 1740416544 | Himaja Peddi | Radiology | 2800 L Street, Suite 610, Sutter Medical Foundation, Sacramento, CA 95816-5616 | 2009-06-08 |
| 1679735666 | Kathleen Khong | Radiology | 4860 Y St # 3100, Sacramento, CA 95817-2307 | 2008-06-30 |
| 1548443807 | Alexander M Kane | Radiology | 509 21st St, Sacramento, CA 95811-1118 | 2007-12-10 |
| 1487856704 | Kamran Ahmed | Radiology | 2800 L Street Suite 610, Sacramento, CA 95816 | 2007-06-01 |
| 1548485733 | Tien Hong Tran | Radiology | 2800 L St Ste 610, Sacramento, CA 95816-5616 | 2007-04-14 |
| 1629168000 | Stan Zipser | Radiology | 3161 L St Ste 502, Sacramento, CA 95816-5234 | 2006-10-13 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95814 |
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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.