DR. LINDA JEAN SIDWELL (NPI# 1932181633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932181633 |
| Entity Type | Individual |
| Full Name | DR. LINDA JEAN SIDWELL |
| Credential | M.D. |
| Practice Address |
5342 Dudley Blvd Mcclellan CA 95652-1012 |
| Mailing Address |
11383 Yuba Ridge Dr Nevada City CA 95959-9735 |
| Practice Telephone | 9165617502 |
| Practice Fax Number | 9165617440 |
| Mailing Telephone | 5302720546 |
| Mailing Fax Number | 9165617440 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | C39639 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5342 DUDLEY BLVD |
| City | MCCLELLAN |
| State | CA |
| Zip Code | 95652-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235127457 | James Michael Ward | Internal Medicine | 5342 Dudley Blvd, Mcclellan Satellite Clinic, Mcclellan, CA 95652-1012 | 2005-10-11 |
| 1376182121 | Elena Lanin | Registered Nurse | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2019-12-26 |
| 1538702881 | Tara Ann Miskovich | Psychologist | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2019-10-18 |
| 1437622420 | Dominique Talley | Social Worker | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2019-01-02 |
| 1518489780 | Jane Grabowski | Audiologist | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2017-07-10 |
| 1033528963 | Valerie Christian | Nurse Practitioner | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2014-08-05 |
| 1760812275 | Michelle Stephens | Audiologist | 5342 Dudley Blvd, Va Mcclellan Audiology, Mcclellan, CA 95652-1012 | 2013-11-19 |
| 1780950394 | Kathryn Irene Daniels | Internal Medicine | 5342 Dudley Blvd, Mcclellan, CA 95652 | 2012-03-28 |
| 1104196930 | Mae Ruth Doctor | Nurse Practitioner | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2012-01-11 |
| 1225314503 | Glenda Fe Jimenez | Registered Nurse | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2011-10-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548688955 | Wenxia Han | Registered Nurse | 3401 Beech St, Bldg 949, Mcclellan, CA 95652 | 2014-04-02 |
| 1902231897 | Marisa Salas Silva | Social Worker | 3401 Beech Street, Bldg 949, Mcclellan, CA 95652 | 2013-09-10 |
| 1295070290 | Stephanie Ann Bost | Dietitian, Registered | 3401 Beech St., Mcclellan, CA 95652 | 2012-12-01 |
| 1811276025 | Brian C Choi | Dentist | 5401 Arnold Avenue, Bldg. 88, Sacramento, CA 95652 | 2011-08-05 |
| 1154408391 | California Shock Trauma Air Rescue | Ambulance | 4933 Bailey Loop, Mcclellan, CA 95652 | 2006-11-01 |
| 1083704530 | Gerald Yang | Dentist | 5401 Arnold Avenue, Sacramento, CA 95652 | 2006-10-13 |
| 1104910652 | Ann Marie Mullen | Audiologist | 5342 Dudley Blvd., Sacramento, CA 95652 | 2006-10-02 |
| 1831174556 | Mark A Duckett | Dentist | 4101 Arnold Ave, Va /mcclellan Dental Service, Scramento, CA 95652 | 2005-12-15 |
| 1073596581 | Jane P Addagatla | Internal Medicine | Va Mcclellan Opc, 5342 Dudley Blvd,bldg 98, Mcclellan Park, CA 95652 | 2005-11-29 |
| 1528518321 | Dana Kirkwood Adkins | Social Worker | 3401 Beech Street, Building 949, Room #225, Mcclellan, CA 95652 | 2016-10-05 |
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| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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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.