GARY MARVIN WILLARD


Address: 2588f El Camino Real Ste 127, Carlsbad, CA 92008-1201
Phone: 6195644644

GARY MARVIN WILLARD (NPI# 1588780373) 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) 1588780373
Entity Type Individual
Full Name GARY MARVIN WILLARD
Credential M.D.
Practice Address 2588f El Camino Real Ste 127
Carlsbad
CA 92008-1201
Practice Telephone 6195644644
Practice Fax Number 6198102430
Mailing Telephone 6195644644
Mailing Fax Number 6198102430
Enumeration Date 2007-03-22
Last Update Date 2019-10-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist A34995 CA Other Service Providers
Y 207PE0005X Emergency Medicine
Specialization: Undersea and Hyperbaric Medicine
254000 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 03132152 05
CA MEDICARE ID FE799Z 01

Office Location

Street Address 2588F EL CAMINO REAL STE 127
City CARLSBAD
State CA
Zip Code 92008-1201

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760029706 Todd F Ovokaitys Internal Medicine 2260 Rutherford Road, Suite 101, C/o Gematria, Carlsbad, CA 92008 2019-12-10
1710548375 San Diego Dental Anesthesia Dentist 1287 Carlsbad Village Drive, Carlsbad, CA 92008 2019-06-25
1972096717 Toshiya Kawano Chiropractor 5650 El Camino Real Ste 285, Carlsbad, CA 92008 2018-06-06
1184111684 Brittany Lauren Cheatham Nurse Practitioner 345 Walnut Ave, Carlsbad, CA 92008 2018-04-19
1770092843 Michele Laporte Downey Counselor 2910 Jefferson St, Suite 100, Carsbad, CA 92008 2017-09-21
1225567142 Shana Smith Occupational Therapy Assistant 5870 El Camino Real, Carlsbad, CA 92008 2017-06-05
1336690395 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 2559 Camino Real Rd, Carlsbad, CA 92008 2016-10-14
1093174849 Nhi Thi Diem Nguyen Pharmacist 6850 Avenida Encinas, Carlsbad, CA 92008 2016-02-22
1912362112 Brooke Ann Bellomio Psychologist 2558 Roosevelt St. Suite 203, Carlsbad, CA 92008 2015-12-15
1285005660 Thanh-trinh Doan Optometrist 2322 Rutherford Rd., Carlsbad, CA 92008 2015-10-12
Find all providers in zip 92008

Taxonomy Information

Taxonomy Code 207PE0005X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Undersea and Hyperbaric Medicine

Taxonomy Definition

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
Notes: Source: American Board of Emergency Medicine [7/1/2008: source added, additional resources added] Additional Resources: Additional Resources: www.abem.org & American Board of Preventive Medicine www.abprevmed.org

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023553633 Tri-city Health Services Group, Inc Emergency Medicine 6260 El Camino Real, Carlsbad, CA 92009-1609 2017-01-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407464654 Ronald Gordon Medical Corporation Emergency Medicine 80729 Via Savona, La Quinta, CA 92253-7550 2020-07-14
1689214611 Aalto Hyperbaric Oxygen Woodland Hills, Inc. Emergency Medicine 23164 Ventura Blvd Ste C, Woodland Hills, CA 91364-1101 2020-01-07
1780152413 Beverly Hills Hyperbarics, LLC Emergency Medicine 1125 S Beverly Dr Ste 405, Los Angeles, CA 90035-1152 2018-11-12
1629582176 Hyperbaric Centers of California, Inc. Emergency Medicine 801 S Victoria Ave Ste 103, Ventura, CA 93003-5360 2017-11-20
1811289317 Boxidara, Inc. Emergency Medicine 38660 Medical Center Dr Ste A150, C/o Palmdale Med. Ctr. Wound Care Clinic, Palmdale, CA 93551-4385 2011-05-03
1790085223 Manish Mehta Emergency Medicine 39297 Sierra La Vida, Murrieta, CA 92563-3802 2010-11-01
1124332754 Nirvana Hyperbaric Institute Inc Emergency Medicine 2028 Village Ln, Suite 104, Solvang, CA 93463-3221 2010-08-06
1063518967 Kenneth Paul Stoller Emergency Medicine 1545 Broadway Ste. 1a, San Francisco, CA 94109 2006-09-16
1649298852 Thomas Joseph Asciuto Emergency Medicine 18111 Brookhurst St 4600, Fountain Valley, CA 92708-6728 2006-07-17
1659317915 Franklin Allen Rutledge II Emergency Medicine 12637 Hesperia Rd, Ste B, Victorville, CA 92395-7774 2006-06-22
Find all providers with the same taxonomy

Competitor

Search similar providers

City CARLSBAD
Zip Code 92008

Improve Information

Please comment or provide details below to improve the information on GARY MARVIN WILLARD.

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