KURT B. POPKE (NPI# 1700999463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700999463 |
| Entity Type | Individual |
| Full Name | KURT B. POPKE |
| Credential | MD |
| Practice Address |
200 Mission Boulevard Jackson CA 95642-2564 |
| Mailing Address |
P.o. Box 11949 Westminster CA 92685-1949 |
| Practice Telephone | 2092237500 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2008-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | G78879 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G788790 | 05 |
| Street Address |
200 MISSION BOULEVARD |
| City | JACKSON |
| State | CA |
| Zip Code | 95642-2564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093828758 | Gerard V. Bland | Emergency Medicine | 200 Mission Boulevard, Jackson, CA 95642-2564 | 2006-08-16 |
| 1417040619 | Amador Emergency Physicians Medical Group, Inc. | Emergency Medicine | 200 Mission Boulevard, Jackson, CA 95642-2564 | 2006-10-02 |
| 1811000573 | Shawn K. Brady | Emergency Medicine | 200 Mission Boulevard, Jackson, CA 95642-2564 | 2006-08-16 |
| 1720191489 | Bradford J. Chew | Emergency Medicine | 200 Mission Boulevard, Jackson, CA 95642-2564 | 2006-08-16 |
| 1639282395 | Steven C. Gabaeff | Emergency Medicine | 200 Mission Boulevard, Jackson, CA 95642-2564 | 2006-08-16 |
| 1548373202 | Drew D. Hood | Emergency Medicine | 200 Mission Boulevard, Jackson, CA 95642-2564 | 2006-08-16 |
| 1528171287 | Jennifer L. Ruckelshaus | Physician Assistant | 200 Mission Boulevard, Jackson, CA 95642-2564 | 2006-08-16 |
| 1699888263 | Michael W. Juby | Emergency Medicine | 200 Mission Boulevard, Jackson, CA 95642-2564 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932666575 | Gold Country Health Initiative, LLC | Family Medicine | 820/830 State Highway 88, Jackson, CA 95642 | 2019-03-01 |
| 1053844902 | Kathryn Erosa | Pharmacist | 515 Highway 49 South, Jackson, CA 95642 | 2017-04-07 |
| 1356882039 | Thomas Alan Bowhay | Clinic/Center | 820 Highway 88, Jackson, CA 95642 | 2017-03-15 |
| 1710130141 | Roland E Womack | Dentist | 511 Sutter St, Jackson, CA 95642 | 2008-10-29 |
| 1508929522 | Stanley M Ordonez | Dentist | 645 New York Ranch Rd, Jackson, CA 95642 | 2006-12-19 |
| 1942374996 | Thomas W Zeiler | Chiropractor | 665 New York Ranch Rd Suite 2, Jackson, CA 95642 | 2006-11-20 |
| 1023188968 | Cordelia Rose Slayter | Physical Therapist | 711 S State Hwy 49, Jackson, CA 95642 | 2006-11-08 |
| 1285744946 | Raleys | Pharmacy | 781 South Highway 49, Jackson, CA 95642 | 2006-08-30 |
| 1316996747 | Robert R. Bussell X | Physical Therapist | 813 Court Street, Ste 2, Jackon, CA 95642 | 2006-05-10 |
| 1861953135 | Chelsea Yule Solutions | Clinic/Center | 230 N Main St, Jackson, CA 95642 | 2019-03-28 |
| Find all providers in zip 95642 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891141032 | Tobin S Dennis | Emergency Medicine | 625 East Broadway Ave, Jackson, WY 83001-8642 | 2016-05-06 |
| 1902270093 | Steven Pirtle French | Emergency Medicine | 6605 N Snake River Woods Dr, Jackson, WY 83001-8491 | 2015-11-30 |
| 1942612015 | Emergency Associates Pllc | Emergency Medicine | 2660 Ridgewood Rd, Suite 100, Jackson, MS 39216-4921 | 2014-05-23 |
| 1083995674 | Obhg Mississippi, P.C. | Emergency Medicine | 1225 N State St Ste B1, Jackson, MS 39202-2072 | 2011-09-09 |
| 1508180183 | Jon Edward Zamber | Emergency Medicine | 361 Willie Adams Rd, Jackson, TN 38305-7223 | 2010-03-25 |
| 1750510962 | Jason Robert Schwanebeck | Emergency Medicine | University of Missisippi Medical Center, 2500 North State Street, Jackson, MS 39216-4505 | 2009-07-09 |
| 1366629214 | Joseph Scott Savage | Emergency Medicine | 400 N Alpine Lake Dr, Suite F, Jackson, MI 49203-6334 | 2008-01-23 |
| 1689709610 | Dawn Nicole Laws | Emergency Medicine | 1325 N West Ave, Jackson, MI 49202-2050 | 2007-02-22 |
| 1194834747 | Joseph W Blackston | Emergency Medicine | 1900 Petit Bois St N, Jackson, MS 39211-6707 | 2006-08-29 |
| 1174637318 | Kaushal Patel | Emergency Medicine | 205 Trace Dr, Jackson, TN 38305-1580 | 2006-08-17 |
| Find all providers in JACKSON | ||||
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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.