DR. KENNETH PAUL STOLLER (NPI# 1063518967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063518967 |
| Entity Type | Individual |
| Full Name | DR. KENNETH PAUL STOLLER |
| Credential | MD |
| Practice Address |
1545 Broadway Ste. 1a San Francisco CA 94109 |
| Practice Telephone | 4155633800 |
| Practice Fax Number | 4152927911 |
| Mailing Telephone | 4155633800 |
| Mailing Fax Number | 4152927911 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2016-11-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
A41183 | CA | Allopathic & Osteopathic Physicians |
| N | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
97382 | NM | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | A41183 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 97382 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | Z7406 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326080169 | Kenneth Stuart Stoller | Optometrist | 1755 Dix Hwy, Lincoln Park, MI 48146-1412 | 2006-06-12 |
| 1700811676 | Kenneth Stoller | Psychiatry & Neurology | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2006-07-11 |
| Street Address |
1545 BROADWAY STE. 1A |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169738 | Emmapreet Bal | Social Worker | 750 Post Street, San Francisco, CA 94109 | 2020-09-21 |
| 1801414669 | Hegla Yakeline Fielding | Registered Nurse | Felton Institute, 1500 Franklin St, San Francisco, CA 94109 | 2020-07-08 |
| 1356991350 | Rachel Sit Wong | Technician | 1280 Ellis St. Apt. 12, San Francisco, CA 94109 | 2019-09-12 |
| 1396392502 | Laura Kathryn Strader | Student in an Organized Health Care Education/Training Program | Community Youth Center, 1038 Post Street, San Francisco, CA 94109 | 2019-08-22 |
| 1821650227 | Anita Kathleen O'shea | Community Health Worker | 730 Polk St 4th Floor, San Francisco, CA 94109 | 2019-07-05 |
| 1275015638 | Quenna G Lee | Occupational Therapist | 1948 California Street, San Francisco, CA 94109 | 2018-09-02 |
| 1659857340 | Kaihan Zhong | Marriage & Family Therapist | 1038 Post Street Community Youth Center, San Francisco, CA 94109 | 2018-07-16 |
| 1144716044 | Elaina Barulic | Marriage & Family Therapist | 2040 Gough St, San Francisco, CA 94109 | 2018-07-03 |
| 1447778048 | Yltze Pamela Cubas-moody | Dentist | 2107 Vanness Ave, San Francisco, CA 94109 | 2017-09-03 |
| 1063939387 | Ritu Sen | Counselor | 815 Hyde Street, Suite 100, San Francisco, CA 94109 | 2017-08-28 |
| Find all providers in zip 94109 | ||||
| Taxonomy Code | 207PE0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Emergency Medicine [7/1/2008: source added, additional resources added] Additional Resources: Additional Resources: www.abem.org & American Board of Preventive Medicine www.abprevmed.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164439675 | Andrew Wang | Emergency Medicine | 909 Hyde St Ste 125, San Francisco, CA 94109-4832 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407464654 | Ronald Gordon Medical Corporation | Emergency Medicine | 80729 Via Savona, La Quinta, CA 92253-7550 | 2020-07-14 |
| 1689214611 | Aalto Hyperbaric Oxygen Woodland Hills, Inc. | Emergency Medicine | 23164 Ventura Blvd Ste C, Woodland Hills, CA 91364-1101 | 2020-01-07 |
| 1780152413 | Beverly Hills Hyperbarics, LLC | Emergency Medicine | 1125 S Beverly Dr Ste 405, Los Angeles, CA 90035-1152 | 2018-11-12 |
| 1629582176 | Hyperbaric Centers of California, Inc. | Emergency Medicine | 801 S Victoria Ave Ste 103, Ventura, CA 93003-5360 | 2017-11-20 |
| 1811289317 | Boxidara, Inc. | Emergency Medicine | 38660 Medical Center Dr Ste A150, C/o Palmdale Med. Ctr. Wound Care Clinic, Palmdale, CA 93551-4385 | 2011-05-03 |
| 1790085223 | Manish Mehta | Emergency Medicine | 39297 Sierra La Vida, Murrieta, CA 92563-3802 | 2010-11-01 |
| 1124332754 | Nirvana Hyperbaric Institute Inc | Emergency Medicine | 2028 Village Ln, Suite 104, Solvang, CA 93463-3221 | 2010-08-06 |
| 1649298852 | Thomas Joseph Asciuto | Emergency Medicine | 18111 Brookhurst St 4600, Fountain Valley, CA 92708-6728 | 2006-07-17 |
| 1659317915 | Franklin Allen Rutledge II | Emergency Medicine | 12637 Hesperia Rd, Ste B, Victorville, CA 92395-7774 | 2006-06-22 |
| 1336181700 | Stephen E Lazarus | Emergency Medicine | 2135 Via Teca, San Clemente, CA 92673-5649 | 2006-06-12 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94109 |
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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.