DR. D.O. Edgar Vincent Tabila, NPI 1841528346
Sports Medicine (Family Medicine) Physician in Warren, MI, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1841528346 |
| NPI Entity Type | Individual |
| Provider Name | DR. D.O. Edgar Vincent Tabila |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 27450 Schoenherr Rd, Suite 400, Warren, MI, US |
| Provider Mailing Address | Phr Group Provider Enrollment Unit 3rd Fl, 393 E Walnut St, Pasadena, CA, US, 911880001 |
| Gender | Male |
| Is Sole Proprietor? | Yes |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Sports Medicine (Family Medicine) Physician |
| Classification | |
| Group | |
| License No. | 20A18381 |
| License State | CA |
| Description | A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
Student in an Organized Health Care Education/Training Program |
No |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| SOAP | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Carequality | HIE | OTHER | Yes | 10800 Magnolia Ave, Riverside, CA, US |
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| NPI | Name | Taxonomy | Address |
|---|---|---|---|
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DR. DO, MPH Jimmy Wayne Brandon Individual |
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