STEFANIE NANETTE WINDER


Address: 4987 Golden Foothill Pkwy, Suite 200, El Dorado Hills, CA 95762-9364
Phone: 9169417362

STEFANIE NANETTE WINDER (NPI# 1366719080) 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) 1366719080
Entity Type Individual
Full Name STEFANIE NANETTE WINDER
Credential PAC
Practice Address 4987 Golden Foothill Pkwy
Suite 200
El Dorado Hills
CA 95762-9364
Practice Telephone 9169417362
Mailing Telephone 9169417362
Enumeration Date 2011-11-23
Last Update Date 2013-04-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA22003 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA CALIFORNIA PA LICENSE PA22003 01

Office Location

Street Address 4987 GOLDEN FOOTHILL PKWY
SUITE 200
City EL DORADO HILLS
State CA
Zip Code 95762-9364

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750487310 Lisa Diane Chodak Obstetrics & Gynecology 4987 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9364 2006-09-14
1023384526 Freshta Kakar Obstetrics & Gynecology 4987 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9364 2012-03-28
1366718165 Neurocare Electrodiagnostics A Physical Therapist 4987 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9364 2012-03-26
1942575675 Lisa Michelle Melody Physician Assistant 4987 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9364 2012-03-13
1225319486 Sharon Rose Perez Physician Assistant 4987 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9364 2011-09-01
1982932992 Stacie Nicole Thum Nurse Practitioner 4987 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9364 2009-12-02
1942430566 Chw Medical Foundation Clinic/Center 4987 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9636 2009-07-16
1740379072 Cheryl Ann Matossian Emergency Medicine 4987 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9636 2006-10-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720611163 Melanie Kim Dental Corporation Dentist 3381 Bass Lake Rd, Suite 140, El Dorado Hills, CA 95762 2020-02-13
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1427557230 California Joint & Spine, LLC Clinic/Center 8135 Saratoga Way, El Dorado Hills, CA 95762 2018-02-07
1871008433 Claire Maurenn Goss Psychologist 5406 Da Vinci Drive, El Dorado Hills, CA 95762 2017-12-05
1275063000 Melinda Diane Keeler Marriage & Family Therapist 1150 Sunfast Lane, 2, El Dorado Hills, CA 95762 2017-06-14
1205379021 Lauren Marie Shanks Rigsbee Physical Therapist 4990 Hillsdale Circle # 100, El Dorado Hills, CA 95762 2016-11-28
1962825935 Wendy Pickren Psychologist 1150 Suncast Lane, Suite 2, El Dorado Hills, CA 95762 2014-01-28
1588087597 Edwards Everhart Dental Dentist 1192 Suncast Lane, Suite 3, El Dorado Hills, CA 95762 2014-01-27
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1205188471 Pirasteh Guity Shafe Pediatrics 5001 Gresham Dr, El Dorado Hills, CA 95762 2012-10-11
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225469380 Jessica Sawyer Physician Assistant 3919 Park Dr, #80, El Dorado Hills, CA 95762-4562 2013-11-27
1558514281 Kylie Elizabeth Campbell Physician Assistant 4921 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9632 2008-10-26
1912324468 Melanie Ariana Rincon Physician Assistant 5137 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9670 2014-03-22
1942575675 Lisa Michelle Melody Physician Assistant 4987 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9364 2012-03-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1437756228 Kale Burket Physician Assistant Bldg 523, S 8th St, El Centro, CA 92243 2020-10-05
1548867666 Heba Marzouk Al-shoubaki Physician Assistant 633 S Pepper St, Anaheim, CA 92802-1459 2020-10-01
1275140550 Lisa Lynn Passalacqua Physician Assistant 431 7th St, Norco, CA 92860-1671 2020-09-30
1144833989 Trisha Taylor Physician Assistant 10399 Tivoli Way, Yucaipa, CA 92399-6017 2020-08-30
1457963944 Harlan William Monahan Physician Assistant 5210 Del Rio Rd, Sacramento, CA 95822-2519 2020-08-18
1275144313 Sofia Carmen Bustillo Physician Assistant 1709 Coral Pl, Seal Beach, CA 90740-5712 2020-08-12
1124638663 Gayaneh Gharakhani Physician Assistant 1323 E Broadway Apt 110, Glendale, CA 91205-4018 2020-08-07
1144830183 Loc Bao Tran Physician Assistant 8937 Emerson Pl, Rosemead, CA 91770-2813 2020-08-04
1558997957 Sarah Lubinsky Physician Assistant 1511 Montana Ave, Santa Monica, CA 90403-1891 2020-03-17
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Competitor

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City EL DORADO HILLS
Zip Code 95762

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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