DR. GORDON G WISBACH III


Address: 34800 Bob Wilson Drive, Nmcsd, San Diego, CA 92134
Phone: 6195327579

DR. GORDON G WISBACH III (NPI# 1528000783) 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) 1528000783
Entity Type Individual
Full Name DR. GORDON G WISBACH III
Credential M.D
Practice Address 34800 Bob Wilson Drive
Nmcsd
San Diego
CA 92134
Mailing Address 4442 Vereda Luna Llena
San Diego
CA 92130-2666
Practice Telephone 6195327579
Mailing Telephone 6198239678
Enumeration Date 2006-06-12
Last Update Date 2014-10-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery A75212 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 34800 BOB WILSON DRIVE
NMCSD
City SAN DIEGO
State CA
Zip Code 92134

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730167917 Charles F Jackson Audiologist 34800 Bob Wilson Drive, Naval Medical Center, San Diego, San Diego, CA 92134-5000 2006-01-06
1801406731 Calvin Tyler Skinner Dentist 34800 Bob Wilson Drive, Building 2, Ground Floor/quality Management Suite, San Diego, CA 92134 2020-08-05
1245714476 Rebekah Elaine Glennnorris Social Worker 34800 Bob Wilson Drive, Bldg 1, Floor 2, Suite 208, San Diego, CA 92134 2018-09-24
1942799440 Jodi Watson Midwife 34800 Bob Wilson Drive, San Diego, CA 92134-5000 2018-05-09
1821585332 Dejanae Hairston Military Health Care Provider 34800 Bob Wilson Drive, San Diego, CA 92134 2018-04-19
1124577911 Lisa Tang Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Drive, Naval Medical Ctr, San Diego, CA 92134-5000 2016-09-22
1891241451 Sterling Thompson Dentist 34800 Bob Wilson Drive, Naval Medical Ctr, San Diego, CA 92134-5000 2016-09-01
1851845242 Oanh Pham Hutson Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Drive, Naval Medical Center San Diego, San Diego, CA 92134-5000 2016-08-15
1033560354 Andrew James Medenbach Military Health Care Provider 34800 Bob Wilson Drive, Naval Med Center, San Diego, CA 92134 2016-06-28
1104277953 Jaydeep Raval Military Health Care Provider 34800 Bob Wilson Drive, Al Medical Center, San Diego, CA 92134-5000 2016-06-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477178457 Joseph Hunter Sampson Military Health Care Provider 34101 Farenholt Ave #14, San Diego, CA 92134 2020-06-15
1508495201 Benjamin Michael Taylor Military Health Care Provider Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 2020-04-04
1255870333 Dosh Page Physician Assistant Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 2017-02-22
1417328063 Noem Clay Gallego Military Health Care Provider 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 2015-10-08
1972999183 Justin Paul Lachney Military Health Care Provider 34101 Farenholt Avenue, San Diego, CA 92134 2015-04-14
1174963532 Ryan Anders Crane Otolaryngology Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 2013-07-01
1447591268 Amy B. Cornell Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 2013-03-04
1841562956 Christopher Patrick Androski Jr. Emergency Medical Technician, Basic Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 2012-02-04
1164717740 Jason James Weiner Internal Medicine Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 2011-06-13
1225320237 Kimberly Ann Thompson Student in an Organized Health Care Education/Training Program Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 2011-05-09
Find all providers in zip 92134

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295361772 William Robert Berry Surgery 5775 Del Cerro Blvd, San Diego, CA 92120-4513 2020-03-17
1376185116 Charles Theuer Surgery 4350 La Jolla Village Dr Ste 800, San Diego, CA 92122-1247 2019-10-14
1538656202 Stewart Reese Logan Surgery 200 W Arbor Dr # Mc7220, San Diego, CA 92103-1911 2018-04-18
1447773114 R R Gohil Md Apc Surgery 6386 Alvarado Ct Ste 330, San Diego, CA 92120-4908 2017-07-25
1720475148 Advanced Wound Care, Inc Surgery 5124 Bloch St, San Diego, CA 92122-4005 2015-04-23
1841532843 San Diego Emergency Physician Services, Inc. Surgery 6487 Dwane Ave, San Diego, CA 92120-3924 2013-03-18
1336488485 Victor Herbert Lidner Surgery 809 Deal Ct, San Diego, CA 92109-8131 2013-02-10
1588909097 San Diego Advanced Surgery P.C. Surgery 3245 University Ave # 501, San Diego, CA 92104-2009 2012-12-10
1700121472 Vadim Avulov Surgery 6699 Alvarado Rd Ste 2309, San Diego, CA 92120-5241 2012-12-06
1194075861 Rachel Kaye Voss Surgery 3146 Cowley Way, Apt 4, San Diego, CA 92117-6519 2012-09-10
Find all providers in SAN DIEGO

Competitor

Search similar providers

City SAN DIEGO
Zip Code 92134

Improve Information

Please comment or provide details below to improve the information on DR. GORDON G WISBACH III.

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.

Trending Searches