ISRAEL K BROWN (NPI# 1992024640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992024640 |
| Entity Type | Individual |
| Full Name | ISRAEL K BROWN |
| Other Name | ISRAEL KWAME O.B. BRANTUOH |
| Credential | DO |
| Practice Address |
2137 Herndon Ave Suite 102 Clovis CA 93611-6306 |
| Mailing Address |
1070 N Dewitt Ave Clovis CA 93611-7040 |
| Practice Telephone | 5594667100 |
| Practice Fax Number | 5594667102 |
| Mailing Telephone | 5594667100 |
| Mailing Fax Number | 5594667102 |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2017-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 20A11716 | CA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 2010003179 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1992024640 | 05 | |
| RAILROAD MEDICARE | P00836335 | 01 | |
| MO | TRICARE WEST | 431560263 | 01 |
| Street Address |
2137 HERNDON AVE SUITE 102 |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-6306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760916951 | Pineridge Obstetrix & Gynecology Inc | Obstetrics & Gynecology | 2137 Herndon Ave, Suite 102, Clovis, CA 93611-6306 | 2017-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366752107 | Carolina Sueldo | Obstetrics & Gynecology | 729 N Medical Center Dr W Ste 205, Clovis, CA 93611-6885 | 2010-10-14 |
| 1013235605 | Feei Feei Ung | Obstetrics & Gynecology | 1530 Shaw Ave, Clovis, CA 93611-4028 | 2010-05-07 |
| 1023344991 | Michael L Illingworth, Md Inc | Obstetrics & Gynecology | 681 Medical Center Dr W Ste 101, Clovis, CA 93611-6803 | 2009-10-27 |
| 1134331549 | Trung Tan Nguyen | Obstetrics & Gynecology | 782 Medical Center Dr E # 212, Clovis, CA 93611-6889 | 2007-05-06 |
| 1417011289 | Dan Mason Dorough | Obstetrics & Gynecology | 722 Medical Center Dr E #101, Clovis, CA 93611 | 2006-12-19 |
| 1144384918 | David William Dorough | Obstetrics & Gynecology | 722 Medical Center Dr East # 101, Clovis, CA 93611 | 2006-12-19 |
| 1891873709 | Gilbert K. Moran | Obstetrics & Gynecology | 681 Medical Center Dr. W, #101, Clovis, CA 93611 | 2006-11-01 |
| 1902831274 | H Michael Synn | Obstetrics & Gynecology | 722 Medical Center Dr E, Ste 105, Clovis, CA 93611-6810 | 2006-07-12 |
| 1114981255 | Subhashini J Ladella | Obstetrics & Gynecology | 726 N Medical Center Dr E Ste 223, Clovis, CA 93611-6886 | 2006-04-14 |
| 1780646018 | Roderick Owen Harris | Obstetrics & Gynecology | 681 Medical Center Dr W, Suite #101, Clovis, CA 93611-6803 | 2006-04-03 |
| Find all providers in CLOVIS | ||||
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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.