GILLIAN WACKOWSKI


Address: 937 Franklin Blvd, Lemoore, CA 93246
Phone: 5599980889

GILLIAN WACKOWSKI (NPI# 1841610953) 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) 1841610953
Entity Type Individual
Full Name GILLIAN WACKOWSKI
Other Name GILLIAN ROSALYN HOLLAND
Credential D.O.
Practice Address 937 Franklin Blvd
Lemoore
CA 93246
Mailing Address 937 Franklin Blvd
Lemoore
CA 93246-4700
Practice Telephone 5599980889
Mailing Telephone 5599980889
Enumeration Date 2014-04-16
Last Update Date 2019-05-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 02004734A IN Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
937 Franklin Blvd, Lemoore, CA 93246 5599980889

Office Location

Street Address 937 FRANKLIN BLVD
City LEMOORE
State CA
Zip Code 93246

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578559571 Diane Noelani Kiilehua Registered Nurse 937 Franklin Blvd, Lemoore, CA 93246-4908 2005-09-25
1588264923 Ying Payton Registered Nurse 937 Franklin Blvd, Lemoore, CA 93246-4700 2020-10-26
1508369521 Krista Moore Student in an Organized Health Care Education/Training Program 937 Franklin Blvd, Lemoore, CA 93246-5004 2018-03-15
1639602774 Guy Hamilton Family Medicine 937 Franklin Blvd, Lemoore, CA 93246-1820 2017-04-05
1659810307 Katherine Bell Student in an Organized Health Care Education/Training Program 937 Franklin Blvd, Lemoore, CA 93246-4700 2017-02-14
1164965109 Nicholas Richards Physician Assistant 937 Franklin Blvd, Lemoore, CA 93246-4700 2016-11-23
1508309501 Taylor Adams Nurse Practitioner 937 Franklin Blvd, Lemoore, CA 93246-4700 2016-11-22
1891148847 Robert James Armstrong Military Health Care Provider 937 Franklin Blvd, Lemoore, CA 93246-4700 2016-07-14
1871957415 Brian Templet Family Medicine 937 Franklin Blvd, Lemoore, CA 93246-3000 2016-04-10
1235596701 Eric Earnshaw General Practice 937 Franklin Blvd, Lemoore, CA 93246 2016-01-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497152045 Naval Hospital Lemoore Military Hospital 937 Franklin Avenue, Fpo, AA 93246 2014-11-25
1285861393 Michael Martin Lee Family Medicine 937 Franklin Ave, Naval Health Clinic Lemoore, Lemoore, CA 93246 2009-06-16
1639149875 Eilene R. Herrera Nurse Anesthetist, Certified Registered 937 Franklin Ave, Naval Hospital Lemoore, Lemoore, CA 93246 2006-01-23
1831689793 Gerald Patrick Durkan IIi General Practice Carrier Air Wing Nine 30 Skytrain Ave Unit 9, Lemoore, CA 93246-0001 2018-05-16
1790878270 George Sargeits Chiropractor Naval Air Station Lemore Hospital, 937 Franklin Avenue, Lemoore, CA 93246-0001 2006-10-02
1356300263 Naval Health Clinic Lemoore Clinic/Center 937 Franklin Avenue, Lemoore, CA 93246-0001 2006-03-20
1962475970 James C Dunn II Preventive Medicine Naval Hospital Lemoore 937 Franklin Ave, Attn: Physician Credentialing/staff Services, Lemoore, CA 93246-0001 2006-02-09
1134199797 James Thomas Stasiak Internal Medicine Naval Hospital, Lemoore, 937 Franklin Avenue, Nas Lemoore, CA 93246-0001 2006-01-25
1962482125 Yasir F Bahrani Dentist 926 Franklin Ave, Lemoore, CA 93246-0001 2006-01-21
1730168253 Candace Ann Cornett Physical Therapist 937 Franklin Ave, Lemoore, CA 93246-0001 2006-01-12
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912264433 Marie Elizabeth Sharp Flores Family Medicine 1270 N Lemoore Ave, Lemoore, CA 93245-2350 2012-04-22
1689834889 Stephanie Elenbaum Family Medicine 937 Franklin Blvd # 2, Lemoore, CA 93246-2538 2008-06-11
1265649396 Robert G Guion Family Medicine 16835 Alkali Dr Ste M, Lemoore, CA 93245-9463 2007-05-17
1912954835 Willie B Ewing Family Medicine 784 N Lemoore Ave, Lemoore, CA 93245-2329 2006-05-27
1265493936 Jesse R Liscomb Jr. Family Medicine 95c W Hanford Armona Rd, Lemoore, CA 93245-2319 2006-03-31
1568469138 Marland Abe Hansen Family Medicine 812 E D St, Lemoore, CA 93245-9545 2005-06-28
1639602774 Guy Hamilton Family Medicine 937 Franklin Blvd, Lemoore, CA 93246-1820 2017-04-05
1871957415 Brian Templet Family Medicine 937 Franklin Blvd, Lemoore, CA 93246-3000 2016-04-10
1902287089 Daphine Kaniaru Family Medicine 209 C St, Lemoore, CA 93245-2930 2015-06-15
1720410582 Dustin Raber Md Inc Family Medicine 810 E D St, Lemoore, CA 93245-9545 2013-08-04
Find all providers in LEMOORE

Competitor

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City LEMOORE
Zip Code 93246

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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.

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