ENLOE SPECIALTY PHYSICIANS, INC (NPI# 1306105721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306105721 |
| Entity Type | Organization |
| Organization Name | ENLOE SPECIALTY PHYSICIANS, INC |
| Practice Address |
1531 Esplanade Attn: Michael Baird Chico CA 95926-3310 |
| Practice Telephone | 5308988088 |
| Practice Fax Number | 5308988087 |
| Mailing Telephone | 5308988088 |
| Mailing Fax Number | 5308988087 |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2012-05-04 |
| Authorized Official Name | MICHAEL BAIRD (PRESIDENT) |
| Authorized Official Telephone | 5308988088 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
1531 ESPLANADE ATTN: MICHAEL BAIRD |
| City | CHICO |
| State | CA |
| Zip Code | 95926-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982696571 | Edgar Otto Vyhmeister | Orthopaedic Surgery | 1531 Esplanade, Chico, CA 95926-3310 | 2005-08-19 |
| 1174120836 | Alexandra Lynn Watts | Nurse Practitioner | 1531 Esplanade, Chico, CA 95926-3310 | 2020-10-06 |
| 1336785096 | Jeannette Marian Mutch Teesdale | Physician Assistant | 1531 Esplanade, Chico, CA 95926-3310 | 2019-11-18 |
| 1205480639 | Shannon Marie Haller-baker | Physician Assistant | 1531 Esplanade, Chico, CA 95926-3310 | 2019-07-24 |
| 1386297331 | Andrew Adam Lee | Clinical Nurse Specialist | 1531 Esplanade, Chico, CA 95926-3310 | 2019-07-18 |
| 1710539333 | Elizabeth Joanne Seaman | Nurse Practitioner | 1531 Esplanade, Chico, CA 95926-3310 | 2019-07-13 |
| 1265094684 | Patricia Carol Paddock | Nurse Practitioner | 1531 Esplanade, Chico, CA 95926-3310 | 2019-07-05 |
| 1518439553 | Kelsey Lynn Micone | Nurse Practitioner | 1531 Esplanade, Chico, CA 95926-3310 | 2018-12-31 |
| 1417448838 | Richelle Candace Wildey | Physician Assistant | 1531 Esplanade, Chico, CA 95926-3310 | 2018-05-21 |
| 1972022465 | Amber Rose Keenan | Nurse Practitioner | 1531 Esplanade, Chico, CA 95926 | 2017-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942294202 | Harry Lomas Iv | Radiology | 1700 Esplanade, Chico, CA 95926-3315 | 2005-09-01 |
| 1528527181 | Paragon Chico Medical Group, Inc | Radiology | 1700 Esplanade, Chico, CA 95926-3315 | 2019-03-13 |
| 1912466574 | Paragon Medical Management Group, LLC | Radiology | 1700 Esplanade, Chico, CA 95926-3315 | 2019-03-13 |
| 1689617045 | North Valley Radiation Oncology Medical Group Inc | Radiology | 265 Cohasset Rd, Suite # 140, Chico, CA 95926-2273 | 2006-06-14 |
| 1902847981 | Anne K Dawson | Radiology | 265 Cohasset Rd, Chico, CA 95926-2273 | 2006-06-09 |
| 1093753055 | North Valley Radiation Medical Group Inc | Radiology | 1531 Esplanade, Chico, CA 95926-3310 | 2006-06-03 |
| 1457308769 | Steven A Wahlen | Radiology | 265 Cohasset Rd, Suite 140, Chico, CA 95926-2273 | 2006-05-30 |
| 1619937984 | Erik Dwight Stickney | Radiology | 1700 Esplanade, Chico, CA 95926-3315 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933034 | Andrew Lim | Radiology | 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 | 2020-08-20 |
| 1083275200 | Centerpoint Radiation Oncology, Inc. | Radiology | 8929 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1950 | 2019-06-27 |
| 1922450840 | Cynthia Bajada Chasan | Radiology | 7401 Vista Del Mar Ave, La Jolla, CA 92037-4954 | 2016-07-02 |
| 1871906396 | Sammy Mohamed Ashouri | Radiology | 300 Pasteur Dr Rm H1330, Stanford, CA 94305 | 2014-06-03 |
| 1235540469 | Julian C Hong | Radiology | 1825 4th St Rm M2260, San Francisco, CA 94143-2350 | 2014-05-09 |
| 1295155422 | Rishabh Chaudhari | Radiology | 880 E Tuolumne Rd Ste 101, Turlock, CA 95382-1549 | 2014-04-28 |
| 1407278211 | Vincent S. T. Cheng | Radiology | 6022 W Sweet Dr, Visalia, CA 93291-8924 | 2014-01-13 |
| 1487085221 | Peter Allison Austin | Radiology | 1655 Aspen Grove Ln, Diamond Bar, CA 91765-2953 | 2013-12-04 |
| 1760820666 | Sandra Birdwell | Radiology | 1865 Camino De Los Robles, Menlo Park, CA 94025-5912 | 2013-06-13 |
| 1063859874 | John Vidyadhar Hegde | Radiology | Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 | 2013-06-03 |
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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.