JESSICA SHERIDAN-BABARE (NPI# 1609100817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609100817 |
| Entity Type | Individual |
| Full Name | JESSICA SHERIDAN-BABARE |
| Credential | DO |
| Practice Address |
185 E 7th Ave Chico CA 95926 |
| Mailing Address |
1531 Esplanade Chico CA 95926-3310 |
| Practice Telephone | 5303324400 |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2018-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
14042 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FREEDOM MEDICARE HMO ONLY NOT MEDICAID | P983970 | 01 |
| FL | BCBS OF FL | 0033U | 01 |
| FL | CAQH | 12100939 | 01 |
| FL | 0023200 | 05 | |
| FL | OPTIMUM HEALTHCARE/MCR HMO | P930341 | 01 |
| FL | WELLCARE/MEDICARE HMO ONLY | 22578 | 01 |
| Street Address |
185 E 7TH AVE |
| City | CHICO |
| State | CA |
| Zip Code | 95926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720071061 | Eugene Victor Moffett | Internal Medicine | 185 E 7th Ave, Suite A, Chico, CA 95926-3356 | 2005-08-23 |
| 1356647044 | Prajapathi Reddy Lakireddy | Internal Medicine | 185 E 7th Ave, Chico, CA 95926-3356 | 2011-01-28 |
| 1295728392 | Christopher Scott Massa | Internal Medicine | 185 E 7th Ave, Suite B, Chico, CA 95926-3356 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932750957 | Enloe Medical Center | Internal Medicine | 1430 Esplanade Ste 6, Chico, CA 95926-3366 | 2019-09-20 |
| 1164595914 | Peter Tod Magnusson | Internal Medicine | 185 E 7th Ave Ste C, Suite C, Chico, CA 95926-3356 | 2006-11-16 |
| 1679561286 | Peter J Wolk | Internal Medicine | 198 Cohasset Rd, Chico, CA 95926-2202 | 2005-10-07 |
| 1952754673 | Arrhythmia Center of Northern California, Inc. | Internal Medicine | 1645 Esplanade, Ste 3, Chico, CA 95926-3367 | 2016-07-18 |
| 1861425993 | Northstate Cardiology Consultants | Internal Medicine | 198 Cohasset Rd, Chico, CA 95926-2202 | 2006-07-09 |
| 1013949601 | James P.a. Yhip | Internal Medicine | 198 Cohasset Rd, Chico, CA 95926-2202 | 2006-07-06 |
| 1104875269 | Marcia Ann Moore | Internal Medicine | 1601 Esplanade, Suite 3, Chico, CA 95926 | 2006-05-08 |
| 1619935079 | Walter Takeshi Kusumoto | Internal Medicine | 1645 Esplanade, Suite 3, Chico, CA 95926-3367 | 2006-05-03 |
| 1104814722 | Darrel Lary | Internal Medicine | 198 Cohasset Rd, Chico, CA 95926-2202 | 2005-10-07 |
| 1467440081 | Janet S Wright | Internal Medicine | 198 Cohasset Rd, Chico, CA 95926-2202 | 2005-10-07 |
| Find all providers in CHICO | ||||
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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.