ERIC JON HEALY (NPI# 1346620887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346620887 |
| Entity Type | Individual |
| Full Name | ERIC JON HEALY |
| Practice Address |
350 S Oak Ave Oakdale CA 95361-3519 |
| Mailing Address |
2360 Tori Way Oakdale CA 95361-8925 |
| Practice Telephone | 2098484165 |
| Mailing Telephone | 8017124255 |
| Enumeration Date | 2015-05-30 |
| Last Update Date | 2015-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 5250158-1701 | UT | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 60291 | CA | Pharmacy Service Providers |
| Street Address |
350 S OAK AVE |
| City | OAKDALE |
| State | CA |
| Zip Code | 95361-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184612483 | Brian Karl O'bannon | Physician Assistant | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2005-10-11 |
| 1730567108 | Mabrook L. Shehata Md Medical Corporation | Specialist | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2015-05-18 |
| 1669883278 | Geanny Ryan | Nurse Practitioner | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2014-05-16 |
| 1417102716 | Oak Valley Hospital District | Ambulance | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2008-12-01 |
| 1942475900 | Yosemite Pathology Medical Group,inc | Clinical Medical Laboratory | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2008-04-29 |
| 1346381415 | Oak Valley Hospital District | Ambulance | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2007-02-09 |
| 1003954694 | Max Mehrdad Maude | Physician Assistant | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2007-02-03 |
| 1649317793 | Hong Kee Kim | Anesthesiology | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2007-01-30 |
| 1598862054 | Oakdale Medical Group Inc | Emergency Medicine | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2006-09-19 |
| 1750300372 | Bruce Baysin Chou | Anesthesiology | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2006-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427453190 | Janet Kennedy Barretta | Marriage & Family Therapist | 210 South Sierra Suite 209 Serenity Heart Counseling Se, Oakdale, CA 95361 | 2014-10-23 |
| 1629483946 | Gina Maria Womack | Physical Therapy Assistant | 1570 E. F Street # N, Oakdale, CA 95361 | 2014-06-25 |
| 1457636946 | Eugene Awuah | Pharmacist | 2048 Royal Ascot Way, Oakdale, CA 95361 | 2011-10-15 |
| 1679852669 | Shiow-yan Chen | Pharmacist | 1449 East F Street Suite 102, Oakdale, CA 95361 | 2011-08-09 |
| 1659592475 | David Michael Meyers | Chiropractor | 715 West F Street, Oakdale, CA 95361 | 2007-05-01 |
| 1043372691 | Joanne Mccartney | Nurse Practitioner | 700 Laurel Avenue, Oakdale, CA 95361 | 2006-12-13 |
| 1457445587 | Suzanne Streater | Marriage & Family Therapist | 145 North Second Avenue, Suite 8, Oakdale, CA 95361 | 2006-10-03 |
| 1689786972 | Christina Louise Tourtlotte | Dentist | 1473 East G St, Ste C, Oakdale, CA 95361 | 2006-08-31 |
| 1750395042 | Janet R Busic | Psychologist | 7248 Gold Run Dr, Oakdale, CA 95361 | 2006-07-29 |
| 1609807346 | Consuelos S. Dizon | Anesthesiology | Oak Valley Hospital, 350 South Oak Ave., Oakdale, CA 95361 | 2006-07-05 |
| Find all providers in zip 95361 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578174181 | James Albert Nguyen | Pharmacist | 985 Geneva Ave, Oakdale, MN 55128 | 2020-08-17 |
| 1083174437 | Whitney Wong | Pharmacist | 1900 Us-165, Oakdale, LA 71463 | 2019-03-21 |
| 1881161610 | Larry Robert Reis | Pharmacist | 551 Wrangler St, Oakdale, CA 95361-8252 | 2018-10-30 |
| 1356837561 | Michael Mark Piskuric IIi | Pharmacist | 134 Saddle Ridge Dr, Oakdale, PA 15071-3726 | 2018-07-11 |
| 1245749944 | Michelle Morales Espinosa | Pharmacist | 1449 E F St Ste 102, Oakdale, CA 95361-9266 | 2017-09-25 |
| 1619408085 | Joseph Ezhil Rajan Picha Muthu | Pharmacist | 206 Springhill Dr, Oakdale, PA 15071-3712 | 2017-03-27 |
| 1336691120 | Denise Wisely | Pharmacist | 4260 Polk Rd, Oakdale, IL 62268-2104 | 2016-10-27 |
| 1952785891 | Karl Joseph Granskog | Pharmacist | 31 Hunters Run, Oakdale, CT 06370-2601 | 2015-07-09 |
| 1134501570 | Alison Leigh Gordon | Pharmacist | 149 Hospital Drive, Oakdale, LA 71463 | 2015-06-22 |
| 1962838839 | Raymond William Hines | Pharmacist | 7191 10th St N, Oakdale, MN 55128-5943 | 2013-09-23 |
| Find all providers in OAKDALE | ||||
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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.