JASON KEVIN DEITCHMAN (NPI# 1861712739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861712739 |
| Entity Type | Individual |
| Full Name | JASON KEVIN DEITCHMAN |
| Credential | M.D. |
| Practice Address |
1264 Hawks Flight Ct Suite 100 El Dorado Hills CA 95762-9348 |
| Mailing Address |
3400 Data Dr Physician Support Services Rancho Cordova CA 95670-7956 |
| Practice Telephone | 9169334222 |
| Practice Fax Number | 9169335574 |
| Mailing Telephone | 9163792948 |
| Mailing Fax Number | 9168587065 |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2013-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A118590 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1264 HAWKS FLIGHT CT SUITE 100 |
| City | EL DORADO HILLS |
| State | CA |
| Zip Code | 95762-9348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912963331 | Christopher Ryan Olson | Family Medicine | 1264 Hawks Flight Ct, Suite 100, El Dorado Hills, CA 95762-9348 | 2006-04-25 |
| 1497180632 | Dignity Health Medical Foundation | Non-Pharmacy Dispensing Site | 1264 Hawks Flight Ct, Suite 100, El Dorado Hills, CA 95762-9348 | 2013-09-06 |
| 1508177163 | Mary Ann Nau Johnson | Dermatology | 1264 Hawks Flight Ct, Suite 100, El Dorado Hills, CA 95762-9348 | 2010-06-29 |
| 1871804864 | Wing-yan Cindy Yuen | Family Medicine | 1264 Hawks Flight Ct, El Dorado Hills, CA 95762-9348 | 2010-06-24 |
| 1619168424 | Teresa Ann Cuthbertson | Nurse Practitioner | 1264 Hawks Flight Ct, Suite 100, El Dorado Hills, CA 95762-9348 | 2007-08-06 |
| 1083626931 | Elyn V Bowers | Dermatology | 1264 Hawks Flight Ct, Suie 100, El Dorado Hills, CA 95762-9348 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611163 | Melanie Kim Dental Corporation | Dentist | 3381 Bass Lake Rd, Suite 140, El Dorado Hills, CA 95762 | 2020-02-13 |
| 1063042083 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3383 Bass Lake Rd, El Dorado Hills, CA 95762 | 2020-01-17 |
| 1427557230 | California Joint & Spine, LLC | Clinic/Center | 8135 Saratoga Way, El Dorado Hills, CA 95762 | 2018-02-07 |
| 1871008433 | Claire Maurenn Goss | Psychologist | 5406 Da Vinci Drive, El Dorado Hills, CA 95762 | 2017-12-05 |
| 1275063000 | Melinda Diane Keeler | Marriage & Family Therapist | 1150 Sunfast Lane, 2, El Dorado Hills, CA 95762 | 2017-06-14 |
| 1205379021 | Lauren Marie Shanks Rigsbee | Physical Therapist | 4990 Hillsdale Circle # 100, El Dorado Hills, CA 95762 | 2016-11-28 |
| 1962825935 | Wendy Pickren | Psychologist | 1150 Suncast Lane, Suite 2, El Dorado Hills, CA 95762 | 2014-01-28 |
| 1588087597 | Edwards Everhart Dental | Dentist | 1192 Suncast Lane, Suite 3, El Dorado Hills, CA 95762 | 2014-01-27 |
| 1447694542 | Ksenia Voronina | Psychiatry & Neurology | 1020 Suncast Lane, St 108, El Dorado Hills, CA 95762 | 2013-04-19 |
| 1205188471 | Pirasteh Guity Shafe | Pediatrics | 5001 Gresham Dr, El Dorado Hills, CA 95762 | 2012-10-11 |
| Find all providers in zip 95762 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386012888 | Shideh Chinichian | Family Medicine | 1264 Hawks Flight Ct Ste 100, El Dorado Hills, CA 95762-9354 | 2015-09-14 |
| 1629372073 | Folsom Family and Sports Medical Group Inc. | Family Medicine | 4989 Golden Foothill Pkwy, Suite 5, El Dorado Hills, CA 95762-9639 | 2010-12-28 |
| 1881786309 | Steven C Mills | Family Medicine | 5137 Golden Foothill Pkwy Ste 120, El Dorado Hills, CA 95762-9671 | 2006-09-29 |
| 1932148178 | Michael Salvadore Gaddini | Family Medicine | 2019 Outrigger Dr, El Dorado Hills, CA 95762-3756 | 2006-06-05 |
| 1912963331 | Christopher Ryan Olson | Family Medicine | 1264 Hawks Flight Ct, Suite 100, El Dorado Hills, CA 95762-9348 | 2006-04-25 |
| 1104814037 | Lance D. Holtry | Family Medicine | 5137 Golden Foothill Pkwy, Suite 120, El Dorado Hills, CA 95762-9670 | 2005-10-13 |
| 1801891197 | Terence Degan | Family Medicine | 1216 Suncast Ln, Ste 1, El Dorado Hills, CA 95762-9668 | 2005-06-14 |
| 1871835785 | Terence Degan, Md, Inc | Family Medicine | 1216 Suncast Ln, Suite 1, El Dorado Hills, CA 95762-9668 | 2013-03-19 |
| 1871804864 | Wing-yan Cindy Yuen | Family Medicine | 1264 Hawks Flight Ct, El Dorado Hills, CA 95762-9348 | 2010-06-24 |
| 1023203080 | Tarandeep Kaur | Family Medicine | 5137 Golden Foothill Pkwy Ste 120, El Dorado Hills, CA 95762-9671 | 2007-09-12 |
| Find all providers in EL DORADO HILLS | ||||
| City | EL DORADO HILLS |
| Zip Code | 95762 |
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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.