ELIZABETH GRIFFIN HEDELMAN (NPI# 1063632420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063632420 |
| Entity Type | Individual |
| Full Name | ELIZABETH GRIFFIN HEDELMAN |
| Credential | M.D. |
| Practice Address |
2222 Bancroft Way Berkeley CA 94720-4303 |
| Mailing Address |
2222 Bancroft Ext Berkeley CA 94720-4303 |
| Practice Telephone | 5106435625 |
| Practice Fax Number | 5106432997 |
| Mailing Telephone | 5106435625 |
| Mailing Fax Number | 5106432997 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
G078244 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2222 BANCROFT WAY |
| City | BERKELEY |
| State | CA |
| Zip Code | 94720-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821033309 | Anna Ylva Bloxham Harte | Internal Medicine | 2222 Bancroft Way, #4300, Berkeley, CA 94720-4300 | 2006-06-18 |
| 1447869813 | Zdravko Rozic | Counselor | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-07-30 |
| 1518576107 | Joshua Lee | Counselor | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-07-29 |
| 1689283939 | Jazmin Rodriguez-jordan | Dietitian, Registered | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-07-23 |
| 1356976542 | Melissa Lock | Pharmacist | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-03-08 |
| 1508490566 | Samuel Haile Melles | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-02-28 |
| 1568096667 | Camille Burkley | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-02-27 |
| 1053942425 | Xiaoxia Song | Psychologist | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-02-03 |
| 1427697457 | Joni-jay Hayes | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2019-12-20 |
| 1275171175 | Robert Pelletier | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2019-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609352798 | Richard Phan | Optometrist | 200 Minor Ln, Berkeley, CA 94720 | 2018-07-12 |
| 1184082067 | Carmen Lee | Registered Nurse | 2222 Bancroft Way, Mc4300, Berkeley, CA 94720 | 2016-02-05 |
| 1922355148 | Cynthia Medina | Counselor | 2222 Bancroft Way #4300, Berkeley, CA 94720 | 2012-08-07 |
| 1811199615 | Ellen De Neef | Physical Therapist | 2222 Bancroft, Berkeley, CA 94720 | 2007-06-04 |
| 1427185529 | Margaret Anne Fisher | Nurse Practitioner | 2222 Bancroft Ave, Berkeley, CA 94720 | 2007-02-27 |
| 1619049285 | Vikki V. Yu | Optometrist | 230 Minor Hall, Uc Berkeley School of Optometry, Berkeley, CA 94720 | 2006-11-15 |
| 1801992755 | Robert K Osborne Dds & Assoc Inc | Dentist | 1177 South Main St, North Canton, OH 94720 | 2006-09-16 |
| 1154949899 | Thuy-trang Nguyen | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2020-07-09 |
| 1619498656 | Celia R Gong | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2017-06-29 |
| 1790234680 | Kelsey Lindquist | Specialist/Technologist | 185 Haas Pavilion, Berkeley, CA 94720 | 2016-10-03 |
| Find all providers in zip 94720 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720084163 | Lifelong Medical Care | Family Medicine | 2031 6th St, Berkeley, CA 94710-2006 | 2005-06-21 |
| 1689670002 | Lifelong Medical Care | Family Medicine | 3260 Sacramento St, Berkeley, CA 94702-2739 | 2005-06-21 |
| 1124180302 | Feeiwen Amy Hsiao | Family Medicine | 2450 Ashby Ave Rm 5505, Berkeley, CA 94705-2067 | 2006-12-14 |
| 1508952029 | Robert M Kevess | Family Medicine | 2222 Bancroft Way, Berkeley, CA 94720 | 2006-10-04 |
| 1215960430 | Anthony Somkin | Family Medicine | 2500 Milvia St, Suite 228, Berkeley, CA 94704-2636 | 2006-07-09 |
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| 1457995565 | Ucsf Medical Group Business Services | Family Medicine | 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 | 2019-10-31 |
| 1780237313 | Charles Kim Md Inc | Family Medicine | 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 | 2019-07-23 |
| 1083277206 | Baum 5 Star Healthcare | Family Medicine | 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 | 2019-04-15 |
| 1477025278 | Connexus Family Clinic Inc | Family Medicine | 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 | 2018-12-19 |
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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.