DR. MARJORIE FROST MCCRACKEN (NPI# 1043327570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043327570 |
| Entity Type | Individual |
| Full Name | DR. MARJORIE FROST MCCRACKEN |
| Other Name | MISS MARJORIE AUGUSTA FROST |
| Credential | MD PHD |
| Practice Address |
2577 Samaritan Dr Ste 815 San Jose CA 95124 |
| Practice Telephone | 4083583573 |
| Practice Fax Number | 4083562888 |
| Mailing Telephone | 4083583573 |
| Mailing Fax Number | 4083562888 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2011-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
G59536 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G565360 | 05 | |
| CA | FEDERAL TAX ID | 770558210 | 01 |
| Street Address |
2577 SAMARITAN DR STE 815 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588659932 | George H Fish | Specialist | 2577 Samaritan Dr, #858, San Jose, CA 95124-4100 | 2005-09-13 |
| 1518303700 | Medoc Investments, Inc | Clinic/Center | 2577 Samaritan Dr, Suite 732, San Jose, CA 95124-4100 | 2013-05-15 |
| 1891046298 | Spectrum Eye Physicians, A Medical Corporation | Optometrist | 2577 Samaritan Dr, Suite 740, San Jose, CA 95124-4100 | 2012-09-25 |
| 1245589589 | South Bay Brain and Spine | Specialist | 2577 Samaritan Dr, Suite 710, San Jose, CA 95124-4100 | 2012-08-31 |
| 1114272978 | South Bay Brain and Spine | Specialist | 2577 Samaritan Dr, Suite 710, San Jose, CA 95124-4100 | 2012-07-18 |
| 1720358971 | Ali Shirzadi | Neurological Surgery | 2577 Samaritan Dr, Suite 710, San Jose, CA 95124-4100 | 2012-01-05 |
| 1114221512 | Noor Sachdev | Psychiatry & Neurology | 2577 Samaritan Dr, Suite #840, San Jose, CA 95124-4100 | 2010-12-29 |
| 1982912804 | Ali Soozani, D.o., Inc. | Physical Medicine & Rehabilitation | 2577 Samaritan Dr, Suite 855f, San Jose, CA 95124-4100 | 2010-09-14 |
| 1417262676 | Padma Mahajan M.d., Inc | Clinic/Center | 2577 Samaritan Dr, Ste 855, San Jose, CA 95124-4100 | 2010-08-12 |
| 1053551994 | Claudia Reay | Pediatrics | 2577 Samaritan Dr, Suite830, San Jose, CA 95124-4100 | 2009-03-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134531254 | Mary Catherine Sawh | Pediatrics | 1625 Stockton Blvd Ste 105, Sacramento, CA 95816-7098 | 2014-05-22 |
| 1477899474 | Thomas W Self | Pediatrics | 7514 Girard Ave Ste 1, La Jolla, CA 92037-5199 | 2012-12-19 |
| 1174882047 | Marwa Abu El Haija | Pediatrics | 3801 Sacramento St Ste 216, San Francisco, CA 94118 | 2012-05-11 |
| 1518251636 | Travis Loyd Piester | Pediatrics | 4650 W Sunset Blvd # Ms 76, Los Angeles, CA 90027-6062 | 2011-06-06 |
| 1235422197 | Emily Whang | Pediatrics | 10833 Le Conte Ave # 12-383, Los Angeles, CA 90095-2804 | 2011-05-25 |
| 1851616056 | Kelly Beth Haas | Pediatrics | 2516 Stockton Blvd Ste 367, Sacramento, CA 95817-2208 | 2010-03-30 |
| 1538490230 | Pediatric Gastroenterology of Monterey Inc. | Pediatrics | 1900 Garden Road Suite 110, Pediatric Group of Monterey, Monterey, CA 93940 | 2010-01-19 |
| 1750562864 | Fadi G. Haddad, Md, Inc | Pediatrics | 1455 Montego, Suite 101, Walnut Creek, CA 94598 | 2007-11-16 |
| 1558490912 | Khyati Pravin Mehta | Pediatrics | 25845 Barton Rd Ste 101, Loma Linda, CA 92354-5300 | 2007-03-03 |
| 1841341427 | Walter Edward Benkert Sipe | Pediatrics | 500 Parnasus Ave, Box 0136, San Francisco, CA 94143-0136 | 2007-01-12 |
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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.