JERRY P ARNOLD (NPI# 1811984859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811984859 |
Entity Type | Individual |
Full Name | JERRY P ARNOLD |
Credential | M.D. |
Practice Address |
1100 Marshall Way Placerville CA 95667 |
Mailing Address |
681 Main Street Ste 105 Placerville CA 95667 |
Practice Telephone | 5306221441 |
Practice Fax Number | 5306263826 |
Mailing Telephone | 5306261166 |
Mailing Fax Number | 5306263826 |
Enumeration Date | 2005-10-04 |
Last Update Date | 2017-02-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085B0100X |
Radiology Specialization: Body Imaging |
C35233 | CA | Allopathic & Osteopathic Physicians |
N | 2085N0700X |
Radiology Specialization: Neuroradiology |
C35233 | CA | Allopathic & Osteopathic Physicians |
N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
C35233 | CA | Allopathic & Osteopathic Physicians |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
C35233 | CA | Allopathic & Osteopathic Physicians |
N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
C35233 | CA | Allopathic & Osteopathic Physicians |
N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
C35233 | CA | Allopathic & Osteopathic Physicians |
N | 2085R0205X |
Radiology Specialization: Radiological Physics |
C35233 | CA | Allopathic & Osteopathic Physicians |
N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
C35233 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GR0053460 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750904181 | Jerry Ray Arnold | Psychologist | 1300 Western Blvd, Raleigh, NC 27606-2148 | 2020-05-20 |
1700043114 | Jerry Gray Arnold Jr. | Internal Medicine | 101 Memorial Hospital Dr, Suite 200, Mobile, AL 36608-1786 | 2008-05-22 |
Street Address |
1100 MARSHALL WAY |
City | PLACERVILLE |
State | CA |
Zip Code | 95667 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477553279 | Gerald Young Choi | Specialist | 1100 Marshall Way, Anesthesia Dept., Placerville, CA 95667-6533 | 2005-07-22 |
1215556725 | Andrei Ivanovich Kononovich | Registered Nurse | 1100 Marshall Way, Placerville, CA 95667-6533 | 2020-04-14 |
1063981959 | Zubair M Amin | Pharmacist | 1100 Marshall Way, Placerville, CA 95667-6533 | 2018-11-20 |
1649704388 | Joshua David Seastrand | Internal Medicine | 1100 Marshall Way, Placerville, CA 95667-6533 | 2017-04-19 |
1033560784 | Christopher Chad Norton | Physician Assistant | 1100 Marshall Way, Placerville, CA 95667-6533 | 2016-06-23 |
1487009171 | Katrinia Rose Lemons | Nurse Practitioner | 1100 Marshall Way, Placerville, CA 95667-6533 | 2016-04-29 |
1366817330 | William Abraham Jr. | Specialist | 1100 Marshall Way, Placerville, CA 95667-6533 | 2015-12-02 |
1053799874 | Leighton E Belden | Surgery | 1100 Marshall Way, Placerville, CA 95667-6533 | 2015-05-13 |
1679976062 | Rikki D House | Counselor | 1100 Marshall Way, Placerville, CA 95667-6533 | 2014-09-30 |
1134530108 | Rochelle Jagdeo | Emergency Medicine | 1100 Marshall Way, Placerville, CA 95667-6533 | 2014-05-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
1497390041 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3025 Glee Ln, Placerville, CA 95667 | 2019-11-07 |
1225694474 | Camille Borba | Doula | 1212 Lotus Rd, Placerville, CA 95667 | 2019-05-14 |
1033610399 | Julie Marie Halsall | Counselor | 2844 Coloma Street, Placerville, CA 95667 | 2018-02-22 |
1053839092 | County of El Dorado | Community/Behavioral Health | 3057 Briw Road, Suite A, Placerville, CA 95667 | 2017-08-30 |
1982129508 | Brent Charles Ulrici | Counselor | 2986 Colma St, Placerville, CA 95667 | 2017-08-04 |
1629464326 | Crystal Coury | Counselor | 5607 Mount Murphy Roas, Garden Valley, CA 95667 | 2015-04-09 |
1396141750 | Brown and Ghazal Dental Corporation | Dentist | 3967 Missouri Flat Road, Suite 120, Placerville, CA 95667 | 2014-11-13 |
1962808402 | Laura Ann Curry | Counselor | 6765 Green Valley Road, Placerville, CA 95667 | 2014-11-11 |
1518374453 | Kelly Lynn Carson | Counselor | 2844 Colona St., Placerville, CA 95667 | 2014-07-11 |
Find all providers in zip 95667 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
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Find all providers with the same taxonomy |
City | PLACERVILLE |
Zip Code | 95667 |
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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.