DR. JEFFREY LYNN WISWELL JR.


Address: 4150 V Street, Pssb Suite 2100, Dept of Emergency Medicine, Uc Davis Medical Center, Sacramento, CA 95817
Phone: 9167348249

DR. JEFFREY LYNN WISWELL JR. (NPI# 1245551001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245551001
Entity Type Individual
Full Name DR. JEFFREY LYNN WISWELL JR.
Credential MD
Practice Address 4150 V Street, Pssb Suite 2100
Dept of Emergency Medicine, Uc Davis Medical Center
Sacramento
CA 95817
Practice Telephone 9167348249
Practice Fax Number 9167347950
Mailing Telephone 9167348249
Mailing Fax Number 9167347950
Enumeration Date 2010-06-16
Last Update Date 2020-10-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine A125105 CA Allopathic & Osteopathic Physicians
N 207P00000X Emergency Medicine 54320 MN Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
700 West Ave S, La Crosse, WI 546014783 6087850940

Office Location

Street Address 4150 V STREET, PSSB SUITE 2100
DEPT OF EMERGENCY MEDICINE, UC DAVIS MEDICAL CENTER
City SACRAMENTO
State CA
Zip Code 95817

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346855103 Quintin Kuse Student in an Organized Health Care Education/Training Program 4610 X Street, Sacramento, Sacramento, CA 95817 2020-09-09
1285259283 Uc Davis Health Dietitian, Registered 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 2020-06-15
1942840558 Michael Marchand-gareau Ophthalmology Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 2020-01-11
1467010728 Jiunn Liang Jonathan Yap Student in an Organized Health Care Education/Training Program 4860 Y Str, Ste. 2820, Sacramento, CA 95817 2019-06-03
1083176614 Kevin Lee Student in an Organized Health Care Education/Training Program 2315 Stockton Blvd, Op512, Sacramento, CA 95817 2019-04-02
1508326703 Ritika Johal Student in an Organized Health Care Education/Training Program 4150 V Street, Pssb 1200, Sacramento, CA 95817 2019-03-22
1811468838 Paige Palsgaard Behavior Technician 6730 4th Ave Apt 1731d, Sacramento, CA 95817 2018-12-17
1922503408 Marie Rossi Student in an Organized Health Care Education/Training Program 4150 V Street #1100, Sacramento, CA 95817 2018-03-27
1639673791 Sean Lam Student in an Organized Health Care Education/Training Program 4150 V Street #1200, Sacramento, CA 95817 2018-03-22
1124555388 Tatyana Polyak Surgery 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 2017-05-18
Find all providers in zip 95817

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568850709 Jessica Paz Emergency Medicine 4610 X Street, Apt 154, Sacramento, CA 95817 2014-12-22
1215221635 Alison Barrow Emergency Medicine 4100 Folsom Blvd, Unit 1b, Sacramento, CA 95819-4055 2011-06-02
1538458351 Boomer Medical Clinic Emergency Medicine 3525 Watt Ave, Sacramento, CA 95821 2011-04-01
1114246287 Julianne Marie Awrey Emergency Medicine 2315 Stockton Blvd., Pssb 2100, Sacramento, CA 95817 2010-05-27
1629394036 Ryan Joseph Ribeira Emergency Medicine 3126 W St Apt 2, Sacramento, CA 95817-1273 2010-04-09
1427371087 Omar R Washington Emergency Medicine 3424 52nd St, Sacramento, CA 95820 2010-03-10
1255654570 Jamal Rahman Rahimi Emergency Medicine 4870 T St., Sacramento, CA 95819 2010-03-02
1508197591 Seyun Kim Emergency Medicine 1501 16th St Apt 205, Sacramento, CA 95814-6075 2010-01-15
1205164050 Sage Wexner Emergency Medicine 4510 V St, Suite 2100, Sacramento, CA 95817 2009-12-04
1366777195 Daniel Quesada Emergency Medicine 510 Pine Garden Ln Apt A, Sacramento, CA 95825-5514 2009-10-13
Find all providers in SACRAMENTO

Competitor

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City SACRAMENTO
Zip Code 95817

Improve Information

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Dataset Information

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.

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