Northwest Physicians Medical Group

Primary specialty

Legal MedicineTaxonomy code 173000000X

Legal business name

NORTHWEST PHYSICIANS MEDICAL GROUP

Practice address

4770 W Herndon Ave
Fresno, CA 93722-8401

Phone

(559) 271-6365

Fax

(559) 271-6326

NPI assigned

Feb 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lisa E Jelinek

Title

Administrator

Phone

(559) 271-6365

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cecil H Bullard, MD

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1407801046
  NPD
• Nikki A Donaldson, DO

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1316980618
  NPD
• Jack T Patton, MD

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1437192739
  NPD
• Martin T Wenthe, MD

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1063453827
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1013983113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 W HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228401",
            "telephone_number": "559-271-6365",
            "fax_number": "559-271-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 W HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228401",
            "telephone_number": "559-271-6365",
            "fax_number": "559-271-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PHYSICIANS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "JELINEK",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "559-271-6365",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CC6650",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0064290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tom Northey, P.T.
• Ronald Joseph Northrop, DDS MD
• Jessica Marie Northrup
• Northwest Medical Pharmacy
• Northwest Optometry Associates, Inc.
• Northwest Surgical Development of Fresno LLC
• Daniel Proctor Norton
• Matthew Kelly Norton, D.C.
• Norwich Elder Care, LLC
• Paul C Norwood, M.D., F.A.C.P.

• Legal Medicine in Fresno, CA
• Providers in Fresno, CA by specialty
• Legal Medicine in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.