DR. JERRY SHERMAN POWELL (NPI# 1780666198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780666198 |
| Entity Type | Individual |
| Full Name | DR. JERRY SHERMAN POWELL |
| Credential | M.D. |
| Practice Address |
4501 X St Sacramento CA 95817-2229 |
| Mailing Address |
611 Cleveland St Davis CA 95616-3127 |
| Practice Telephone | 9167343772 |
| Practice Fax Number | 9167343772 |
| Mailing Telephone | 9167343772 |
| Enumeration Date | 2005-11-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
G068766 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769054 | Jerry Richard Powell | Pharmacist | 3595 N State Route 560, Urbana, OH 43078-9367 | 2020-10-26 |
| 1740376409 | Jerry Dean Powell | Counselor | 916 Arsenal Ave, Fayetteville, NC 28305-5328 | 2006-10-04 |
| 1801896543 | Jerry Allen Powell | Radiology | 5323 Harry Hines Blvd., Dallas, TX 75390 | 2005-07-22 |
| 1669405536 | Jerry Lamon Powell | Internal Medicine | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2006-07-07 |
| 1619958378 | Jerry R Powell II | Emergency Medicine | 1400 E 9th St, Rochester, IN 46975 | 2005-11-09 |
| Street Address |
4501 X ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801889068 | Regents of The Univ of Ca | Surgery | 4501 X St, Sacramento, CA 95817-2229 | 2005-08-23 |
| 1588289250 | Kathryn Laura Gayhart | Nurse Practitioner | 4501 X St, Sacramento, CA 95817-2229 | 2020-06-09 |
| 1043789159 | Laura Galindo | Nurse Practitioner | 4501 X St, Sacramento, CA 95817-2229 | 2018-11-19 |
| 1427533249 | Danielle L Baham | Dietitian, Registered | 4501 X St, Sacramento, CA 95817-2229 | 2018-09-27 |
| 1811444961 | Alana Laraine Rothman | Nurse Practitioner | 4501 X St, Sacramento, CA 95817-2229 | 2016-09-07 |
| 1700257672 | Tara Martinez | Nurse Practitioner | 4501 X St, 2nd Floor, Sacramento, CA 95817-2229 | 2015-10-16 |
| 1982086567 | Kristine Ahlberg | Registered Nurse | 4501 X St, Sacramento, CA 95817-2229 | 2015-06-19 |
| 1811377963 | Brian Pham | Internal Medicine | 4501 X St, Sacramento, CA 95817-2229 | 2015-06-04 |
| 1285011254 | Ky Nam Bao Nguyen | Radiology | 4501 X St, G140, Sacramento, CA 95817-2229 | 2015-04-29 |
| 1366849929 | Iris Chen Zhao | Pharmacist | 4501 X St, Room 2054, Sacramento, CA 95817-2229 | 2014-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831374644 | Adam Giermasz | Internal Medicine | 2000 Stockton Blvd, Suite 202, Sacramento, CA 95817-2227 | 2007-12-31 |
| 1548454713 | Uc Davis Hemophilia Program | Internal Medicine | 2360 Stockton Blvd Ste 1100, Sacramento, CA 95817-2283 | 2007-08-30 |
| 1588744072 | Tianhong Li | Internal Medicine | 2278 45th Street, Sacramento, CA 95817-2229 | 2006-10-17 |
| 1528051679 | Regents of The University of Ca | Internal Medicine | 1508 Alhambra Blvd, Sacramento, CA 95816-6510 | 2005-08-24 |
| 1164043709 | Pat Carinugan | Internal Medicine | 4501 X St Fl 2, Sacramento, CA 95817-2229 | 2020-05-06 |
| 1568016897 | Ashley Yuan | Internal Medicine | 4501 X St Ste 3016, Sacramento, CA 95817-2229 | 2019-07-25 |
| 1780167643 | Megan Ann Yankee | Internal Medicine | 4501 X Street, Suite 3016, Sacramento, CA 95817-2229 | 2018-09-07 |
| 1316471980 | Tamer Adel Othman | Internal Medicine | 4501 X St Ste 3016, Sacramento, CA 95817-2229 | 2017-04-20 |
| 1134513187 | Tatini Datta | Internal Medicine | 4150 V St # 1110, Sacramento, CA 95817-1460 | 2015-03-26 |
| 1992199558 | Matthew Tenold | Internal Medicine | 4150 V St # 1110, Sacramento, CA 95817-1460 | 2015-03-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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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.