BENJAMIN RICHARD OLDACH (NPI# 1366930893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366930893 |
| Entity Type | Individual |
| Full Name | BENJAMIN RICHARD OLDACH |
| Other Name | BENJAMIN RICHARD BRODER-OLDACH |
| Credential | DO |
| Practice Address |
11670 Atwood Rd Auburn CA 95603-9522 |
| Practice Telephone | 5308872800 |
| Mailing Telephone | 5308872800 |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2020-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A16668 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
11670 ATWOOD RD |
| City | AUBURN |
| State | CA |
| Zip Code | 95603-9522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639172190 | Blair Lynn Romer | Psychiatry & Neurology | 11670 Atwood Rd, Auburn, CA 95603-9522 | 2005-05-27 |
| 1568000115 | Michelle Valentine | Registered Nurse | 11670 Atwood Rd, Auburn, CA 95603-9522 | 2019-12-13 |
| 1285272005 | Marci Torrez | Case Manager/Care Coordinator | 11670 Atwood Rd, Auburn, CA 95603-9522 | 2019-12-11 |
| 1982184693 | Deborah L Sweeney | Dental Hygienist | 11670 Atwood Rd, Auburn, CA 95603-9522 | 2018-08-21 |
| 1265922710 | Maria Susana Mendez Rodriguez | Nurse Practitioner | 11670 Atwood Rd, Auburn, CA 95603-9522 | 2018-05-10 |
| 1184120487 | Maryna Kozyryev | Dentist | 11670 Atwood Rd, Auburn, CA 95603-9522 | 2018-04-04 |
| 1801315676 | Cynthia R Martinez | Lactation Consultant, Non-RN | 11670 Atwood Rd, Auburn, CA 95603 | 2017-09-13 |
| 1669995890 | Miranda Kore | Dentist | 11670 Atwood Rd, Auburn, CA 95603-9522 | 2017-07-19 |
| 1619335254 | Deanna Suyoung Lee | Dentist | 11670 Atwood Rd, Auburn, CA 95603-9522 | 2016-02-09 |
| 1417336835 | Tina Lee Everhart | Social Worker | 11670 Atwood Rd, Auburn, CA 95603-9522 | 2015-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
| 1437713674 | June Meja Razzano | Psychoanalyst | 265 Nevada Station, Auburn, CA 95603 | 2019-04-23 |
| 1689175366 | Georgia Lee Bates | Speech-Language Pathologist | 2145 Bell Road, 215, Auburn, CA 95603 | 2018-02-27 |
| 1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
| 1043733777 | Ken Rescate | Physical Therapist | 2145 Bell Road, #215, Auburn, CA 95603 | 2017-07-25 |
| 1730534975 | Juanita Carey | Counselor | 1190 Heritage Oak Place, Auburn, CA 95603 | 2016-04-25 |
| 1255747010 | Cara Wilber | Marriage & Family Therapist | 11512 B Avenure, Auburn, CA 95603 | 2014-07-01 |
| 1538572094 | Mark Garrison | Pharmacist | 13386 Lincoln Way, Auburn, CA 95603 | 2014-06-03 |
| 1427460583 | Tessa Jacques | Marriage & Family Therapist | 263 Nevada Station, Auburn, CA 95603 | 2014-05-23 |
| 1629497359 | Elisabeth Ann Neubert-cook | Registered Nurse | 11484 B. Avenue, Auburn, CA 95603 | 2014-04-09 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1780117200 | Dekalb Memorial Hospital Inc | Family Medicine | 1061 Smaltz Way, Auburn, IN 46706-9599 | 2017-04-11 |
| 1235492182 | Mark D Garcia | Family Medicine | 205 10th St Ne Ste 200, Auburn, WA 98002 | 2012-06-15 |
| 1508127796 | Family Health Clinic, Inc | Family Medicine | 1456 Opelika Rd, Auburn, AL 36830-3318 | 2012-06-04 |
| 1194052506 | Access Healthcare, Pllc | Family Medicine | 1402 Lake Tapps Parkway East, Suite F 106, Auburn, WA 98092-8157 | 2009-11-05 |
| 1407099286 | Primary Medicine Associates, LLC | Family Medicine | 890 N Dean Rd, Suite 500, Auburn, AL 36830-9440 | 2009-04-09 |
| 1952560765 | Sarat Meka | Family Medicine | 1518 Professional Parkway, Suite A, Auburn, AL 36830 | 2008-06-06 |
| 1952569626 | Johnny Dale Stackhouse | Family Medicine | 910 S Donahue Dr, Auburn, AL 36832-2975 | 2008-05-29 |
| 1831306000 | Louis James Fisher Jr. | Family Medicine | 8436 Wise Rd, Auburn, CA 95603-9734 | 2007-05-17 |
| 1255547352 | Armstrong Family Medicine PC | Family Medicine | 1310 E 7th St Ste G, Auburn, IN 46706-2518 | 2007-05-15 |
| 1205056587 | Auburn Primary Care PC | Family Medicine | 12 7th Street, Auburn, GA 30011 | 2007-04-27 |
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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.