Dr. Johanes Martin Ismawan
Anesthesiology

Address: Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134
Phone: 6193853683

Dr. Johanes Martin Ismawan (NPI# 1326275975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1326275975
Entity Type Individual
Full Name Dr. Johanes Martin Ismawan
Credential M.D.
Gender Male
Practice Address Naval Medical Center San Diego 34800 Bob Wilson Dr
San Diego
CA 92134
Practice Telephone 6193853683
Mailing Address Naval Medical Center San Diego 34800 Bob Wilson Dr
San Diego
CA 92134-5000
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2009-06-22
Last Update Date 2018-08-09

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207L00000X Anesthesiology Allopathic & Osteopathic Physicians A113980 CA

Other Provider Identifier

State Identifier Issuer Type Code
CA VAD0000 MEDICAID

Secondary Practice Locations

Address Telephone Number Fax Number
Bldg H 2005 Knight Lane, Navy Medicine Support Command, Attn: Med Staff Services, Jacksonville, FL 322120140 6195328038

Taxonomy Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154815264 Innovative Anesthesia Consultants PC Anesthesiology 8525 Gibbs Dr Ste 208, San Diego, CA 92123-1765 2018-06-21
1720575103 S Michael Millbern Md Medical Corporation Anesthesiology 8929 University Center Ln Ste 103, San Diego, CA 92122-1007 2018-04-20
1073979324 Michael Patrick Keating Anesthesiology 4734 Panorama Dr, San Diego, CA 92116-1239 2016-01-01
1679956031 George Zhu Anesthesiology 15134 Cross Stone Dr, San Diego, CA 92127-4449 2015-07-02
1902283443 Thomas Onyia Anesthesiology 200 W Arbor Dr # Mc8770, San Diego, CA 92103-1911 2015-05-05
1063807154 Peter Wingfield Anesthesiology Uc San Diego Health - Anesthesiology, 200 West Arbor Drive, Mc 8770, San Diego, CA 92103 2015-04-06
1508290586 Jason Alan Kanel Anesthesiology 3626 Ruffin Rd # 604, San Diego, CA 92123-1810 2013-08-27
1104259183 Rajesh Reddy Anesthesiology 200 W Arbor Dr # 801, Ucsd Dept of Anesthesiology, San Diego, CA 92103-1911 2013-08-14
1467795682 Vinod Krishnan Singaram Anesthesiology 200 W Arbor Dr # Mc8829, San Diego, CA 92103-1911 2013-04-05
1013259571 Rosemarie Marshall Johnson Anesthesiology 2919 Brant St, San Diego, CA 92103-5529 2013-03-22
Find all providers in SAN DIEGO

Office Location

Street Address NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DR
City SAN DIEGO
State CA
Zip Code 92134

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942822887 Jonathan Joseph Cho Military Health Care Provider Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-0001 2020-05-14
1790313567 Gregory Schmidt Military Health Care Provider Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-5000 2020-03-29
1124509872 Michelle Dudzik Registered Nurse Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-0001 2018-08-21
1356835839 Ilona Zbirun Nockles Student in an Organized Health Care Education/Training Program Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-0001 2018-06-19
1205332434 Joseph Landon Mckinley Student in an Organized Health Care Education/Training Program Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-0001 2018-04-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477178457 Joseph Hunter Sampson Military Health Care Provider 34101 Farenholt Ave #14, San Diego, CA 92134 2020-06-15
1508495201 Benjamin Michael Taylor Military Health Care Provider Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 2020-04-04
1255870333 Dosh Page Physician Assistant Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 2017-02-22
1417328063 Noem Clay Gallego Military Health Care Provider 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 2015-10-08
1972999183 Justin Paul Lachney Military Health Care Provider 34101 Farenholt Avenue, San Diego, CA 92134 2015-04-14
1174963532 Ryan Anders Crane Otolaryngology Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 2013-07-01
1447591268 Amy B. Cornell Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 2013-03-04
1841562956 Christopher Patrick Androski Jr. Emergency Medical Technician, Basic Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 2012-02-04
1164717740 Jason James Weiner Internal Medicine Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 2011-06-13
1225320237 Kimberly Ann Thompson Student in an Organized Health Care Education/Training Program Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 2011-05-09
Find all providers in zip 92134

Competitor

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City SAN DIEGO
Zip Code 92134

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Dataset Information

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.