TAYLOR A KONKIN (NPI# 1386783884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386783884 |
| Entity Type | Individual |
| Full Name | TAYLOR A KONKIN |
| Credential | MD |
| Practice Address |
131 Raley Blvd Chico CA 95928-8347 |
| Practice Telephone | 5308974500 |
| Practice Fax Number | 5308974544 |
| Mailing Telephone | 5308974500 |
| Mailing Fax Number | 5308974544 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | A97741 | CA | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
A97741 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A977410 | 05 |
| Street Address |
131 RALEY BLVD |
| City | CHICO |
| State | CA |
| Zip Code | 95928-8347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063481893 | Kirk Fredrick Granlund | Orthopaedic Surgery | 131 Raley Blvd, Chico, CA 95928-8347 | 2006-03-15 |
| 1356519193 | Sidney Georg Jones | Orthopaedic Surgery | 131 Raley Blvd, Chico, CA 95928-8347 | 2008-02-14 |
| 1093724635 | Calvin T Hu | Orthopaedic Surgery | 131 Raley Blvd, Chico, CA 95928-8347 | 2006-08-05 |
| 1629082136 | Charles E Wilhite | Orthopaedic Surgery | 131 Raley Blvd, Chico, CA 95928-8347 | 2006-07-28 |
| 1831123967 | Helmuth G Jones | Orthopaedic Surgery | 131 Raley Blvd, Chico, CA 95928-8347 | 2006-07-11 |
| 1457384075 | Nicholas Michael Komas | Orthopaedic Surgery | 131 Raley Blvd, Chico, CA 95928-8347 | 2006-07-08 |
| 1689643876 | Stephen Gilbert Morris | Orthopaedic Surgery | 131 Raley Blvd, Chico, CA 95928-8347 | 2006-03-17 |
| 1184693376 | Leonard Joseph Brazil | Orthopaedic Surgery | 131 Raley Blvd, Chico, CA 95928-8347 | 2006-03-17 |
| 1215996491 | Alan John Azevedo | Orthopaedic Surgery | 131 Raley Blvd, Chico, CA 95928-8347 | 2006-03-17 |
| 1578522751 | Bill Parker Watson | Orthopaedic Surgery | 131 Raley Blvd, Chico, CA 95928-8347 | 2006-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232672 | Mary Ester Potts | Behavior Technician | 1611 Chico River Road, Chico, CA 95928 | 2020-07-09 |
| 1679105605 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1910 E. 20th Street, Chico, CA 95928 | 2020-02-07 |
| 1790250306 | Amy Groven | Counselor | 7 Williamsburg Lane, Chico, CA 95928 | 2018-10-10 |
| 1093217424 | Bonnie Jo Nelson | Registered Nurse | 91 Elderberry Court, Chico, CA 95928 | 2018-03-01 |
| 1174039036 | Deer Creek Surgery Center LLC | Clinic/Center | 127 Raley Blvd., Chico, CA 95928 | 2017-12-14 |
| 1174063606 | Erika Beteran | Counselor | 344 W 8th St, Chico, CA 95928 | 2017-03-02 |
| 1356723266 | Arjun S Sandhu | Podiatrist | 1806 Foundation Lane, Chico, CA 95928 | 2015-06-26 |
| 1912394735 | Kirk Bjella | Pediatrics | 1515 Springfield Dr, Children's Health Center, Chico, CA 95928 | 2015-04-20 |
| 1215346309 | Kathleen Renee Dahlstrom | Marriage & Family Therapist | 315 Wall St Ste 5, Chico, CA 95928 | 2014-08-04 |
| 1740696574 | Northern Valley Catholic Social Service, Inc. | Case Management | 1297 Park Avenue, Chico, CA 95928 | 2014-07-01 |
| Find all providers in zip 95928 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790341618 | Casey S Revenko | Orthopaedic Surgery | 2999 Regent St Ste 225, Berkeley, CA 94705-2117 | 2019-05-15 |
| 1225504301 | Amgad Alfred | Orthopaedic Surgery | 18145 Us Highway 18 Ste D, Apple Valley, CA 92307-2210 | 2018-10-16 |
| 1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
| 1073026696 | Optimal Physician Surgical Group | Orthopaedic Surgery | 25067 Jim Bridger Rd, Hidden Hills, CA 91302-1128 | 2017-11-06 |
| 1336669456 | Beach Cities Orthopedics Surgery Center, LLC | Orthopaedic Surgery | 400 S Sepulveda Blvd Ste 110, Manhattan Beach, CA 90266-6814 | 2017-06-20 |
| 1750818860 | Health Link Medical Group Inc | Orthopaedic Surgery | 899 Northgate Dr Ste 400, San Rafael, CA 94903-3667 | 2017-05-19 |
| 1962861476 | Mehta Orthopedics | Orthopaedic Surgery | 32145 Alvarado Niles Rd Ste 209, Union City, CA 94587-2930 | 2016-02-12 |
| 1649646282 | Bay Area Surgical Specialists, Inc. A Medical Corporation | Orthopaedic Surgery | 5924 Stoneridge Dr Ste 202, Pleasanton, CA 94588-5400 | 2015-08-18 |
| 1114346111 | Sean Robinson | Orthopaedic Surgery | 7551 Timberlake Way Ste 200, Sacramento, CA 95823-5422 | 2014-04-08 |
| 1851717938 | William R Campbell Do Prof Corp | Orthopaedic Surgery | 1 Daniel Burnham Ct Ste 365c, San Francisco, CA 94109-5490 | 2014-03-12 |
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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.