DR. ROGER ANDREW CHEITLIN (NPI# 1881643732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881643732 |
| Entity Type | Individual |
| Full Name | DR. ROGER ANDREW CHEITLIN |
| Credential | MD |
| Practice Address |
275 Hospital Dr Ukiah CA 95482-4531 |
| Practice Telephone | 7074627900 |
| Practice Fax Number | 7074627947 |
| Mailing Telephone | 7074627900 |
| Mailing Fax Number | 7074627947 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2008-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | G69907 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
275 HOSPITAL DR |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-4531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780678433 | H.w. Gordon, M.d., Medical Corporation | Pathology | 275 Hospital Dr, Dept of Pathology, Ukiah, CA 95482-4531 | 2005-09-08 |
| 1417560194 | Vanessa Renee Fuller | Nurse Practitioner | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2020-08-24 |
| 1134743644 | Hyun Jung Kye | Pharmacist | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2020-06-01 |
| 1003458704 | Anesthesia Management Services of California Inc | Nurse Anesthetist, Certified Registered | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2019-10-14 |
| 1275093197 | Caitlin Marie Raymond | Student in an Organized Health Care Education/Training Program | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2019-03-25 |
| 1265992168 | Joshua Levy | Student in an Organized Health Care Education/Training Program | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2019-03-25 |
| 1851856710 | Ashley Daw | Pharmacist | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2019-02-05 |
| 1184197048 | Ranna Shamiya | Pharmacist | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2019-01-03 |
| 1932671088 | Paulette Dancause | Pharmacist | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2018-12-28 |
| 1356813646 | Brandi Tacdol | Pharmacist | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2018-12-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
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| 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 |
|---|---|---|---|---|
| 1376707919 | Alejandro Saul Casillas | Emergency Medicine | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2008-07-14 |
| 1043335664 | Ronald Landis Gester | Emergency Medicine | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2007-03-20 |
| 1841210093 | Joanne Christin Nelson | Emergency Medicine | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2006-07-20 |
| 1720027436 | Marvin Ghent Trotter | Emergency Medicine | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2006-06-06 |
| 1669422507 | Shawn Pejuta Wanbli Franklin | Emergency Medicine | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2006-05-11 |
| 1558311597 | Jeffrey Alan Rapp | Emergency Medicine | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2006-05-11 |
| 1700836764 | Barry Sheppard | Emergency Medicine | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2006-05-11 |
| 1316997737 | Gary Fausone | Emergency Medicine | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2006-05-10 |
| 1932158854 | Mark Harold Luoto | Emergency Medicine | 275 Hospital Dr, Ukiah Valley Medical Center, Ukiah, CA 95482-4531 | 2006-05-08 |
| 1104875475 | Charlie Edward Evans | Emergency Medicine | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2006-05-06 |
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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.