MR. STEVEN THOMAS KMUCHA (NPI# 1568411429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568411429 |
| Entity Type | Individual |
| Full Name | MR. STEVEN THOMAS KMUCHA |
| Credential | MD, JD |
| Practice Address |
2545 W Hammer Ln Stockton CA 95209-2839 |
| Mailing Address |
600 Coffee Rd Modesto CA 95355-4201 |
| Practice Telephone | 2098304062 |
| Mailing Telephone | 2095216097 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | G065391 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1800 Sullivan Ave, Suite 604, Daly City, CA 940152228 | 6507562900 | 6507563441 |
| Street Address |
2545 W HAMMER LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95209-2839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720085921 | Victor William Macko | Orthopaedic Surgery | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2005-07-01 |
| 1720602709 | Helena Astani | Physician Assistant | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2020-06-04 |
| 1881143832 | Stephanie Borja-johnson | Audiologist | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2016-09-30 |
| 1063887883 | Sutter Valley Medical Foundation | Dermatology | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2015-12-04 |
| 1740690718 | Nataliya Vang | Obstetrics & Gynecology | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2014-04-30 |
| 1811317241 | Lee Mullen | Nurse Practitioner | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2014-04-24 |
| 1194147645 | Sandar Linn | Internal Medicine | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2014-01-16 |
| 1225476500 | Bayan Aghdasi | Orthopaedic Surgery | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2013-06-10 |
| 1669817011 | Lauren Henderson Lomax | Dermatology | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2013-04-29 |
| 1548525967 | Hazel-kay Yurong | Nurse Practitioner | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2012-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104272954 | William Luther Bennett | Pharmacist | 1131 Sunnyoak Way, Stockton, CA 95209 | 2016-05-11 |
| 1548686769 | Roland Rillamas Lagpacan | Pharmacist | 3131 West Hammer Lane, Stockton, CA 95209 | 2014-03-12 |
| 1346599677 | Luis Leyva Garcia | Marriage & Family Therapist | 1755 West Hammer Lane, Stockton, CA 95209 | 2012-08-31 |
| 1942506233 | Donna Lynn Peterson | Dentist | 9409 Thornton Rd, Stockton, CA 95209 | 2011-02-03 |
| 1386969798 | Miusotic Zaragoza | Social Worker | 1755 W. Hammer Lane Suite 8, Latino Behavioral Health, Stockton, CA 95209 | 2010-03-30 |
| 1497988844 | Marissa Elizabeth Preciado | Counselor | 10147 River Falls Cir, Stockton, CA 95209 | 2009-09-02 |
| 1316190796 | Sutter Gould Medical Foundation | Clinic/Center | 8011 Don Ave, Stockton, CA 95209 | 2008-10-29 |
| 1881845790 | Gary Earl Fiscus | Dentist | 4565 Quail Lakes Drive, Suite A-2, Stockton, CA 95209 | 2008-10-09 |
| 1326225665 | Shirley's Care Home Inc | Intermediate Care Facility, Mentally Retarded | 2330 Shropshire Dr, Stockton, CA 95209 | 2008-01-29 |
| 1134272727 | Joanie Mc Culloch | Homeopath | 8807 Thornton Rd, Ste. P, Stockton, CA 95209 | 2007-01-19 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194764472 | Ronald George Dong | Otolaryngology | 10200 Trinity Pkwy Ste 201, Stockton, CA 95219-7288 | 2006-06-05 |
| 1972836104 | Kristin M Bennett Md Inc | Otolaryngology | 3132 W March Ln, 2, Stockton, CA 95219-2354 | 2009-09-04 |
| 1932288479 | Morris Allen Balfour | Otolaryngology | 10200 Trinity Pkwy, Stockton, CA 95219-7286 | 2006-11-03 |
| 1841377405 | Denise Valerie Guendert | Otolaryngology | 10200 Trinity Pkwy Ste 201, Stockton, CA 95219-7288 | 2006-11-01 |
| 1952488512 | Andrew Jungwook Limb | Otolaryngology | 10200 Trinity Pkwy Ste 201, Stockton, CA 95219-7288 | 2006-11-01 |
| 1467530378 | Donald G. Battaglia | Otolaryngology | 7373 West Ln, Stockton, CA 95210-3377 | 2006-11-01 |
| 1417035312 | Sanjay Marwaha | Otolaryngology | 7373 West Ln, Stockton, CA 95210-3377 | 2006-11-01 |
| 1407934227 | Brett L. Adams | Otolaryngology | 7373 West Ln, Stockton, CA 95210-3377 | 2006-11-01 |
| 1932201589 | Spencer L. Lowe | Otolaryngology | 10200 Trinity Pkwy Ste 201, Stockton, CA 95219-7288 | 2006-09-03 |
| 1285668707 | Susan R Cordes | Otolaryngology | 10200 Trinity Pkwy Ste 201, Stockton, CA 95219-7288 | 2006-07-10 |
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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.