DR. ANN HATHAWAY (NPI# 1093893752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093893752 |
| Entity Type | Individual |
| Full Name | DR. ANN HATHAWAY |
| Credential | MD |
| Practice Address |
25 Mitchell Blvd #3 San Rafael CA 94903-2007 |
| Mailing Address |
48 Mahogany Dr San Rafael CA 94903-3132 |
| Practice Telephone | 4154990966 |
| Practice Fax Number | 4154460118 |
| Mailing Telephone | 4154726849 |
| Mailing Fax Number | 4154460118 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G42615 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G426151 | 05 |
| Street Address |
25 MITCHELL BLVD #3 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770537235 | Essential Balance Physical Therapy, Inc | Physical Therapist | 25 Mitchell Blvd, Suite 2, San Rafael, CA 94903-2007 | 2006-05-20 |
| 1801298930 | Lauren Ione Friedeman | Physical Therapist | 25 Mitchell Blvd, Suite 2, San Rafael, CA 94903-2007 | 2014-09-19 |
| 1992990782 | Shirley Elaine Hannah | Nurse Practitioner | 25 Mitchell Blvd, San Rafael, CA 94903-2007 | 2007-09-13 |
| 1215137716 | Seemin Anna Dallenbach | Chiropractor | 25 Mitchell Blvd, Suite 8, San Rafael, CA 94903-2007 | 2007-07-23 |
| 1497959266 | Karilee Halo Shames | Registered Nurse | 25 Mitchell Blvd, Suite 8, San Rafael, CA 94903-2007 | 2007-06-13 |
| 1043420896 | Judy Lane | Nurse Practitioner | 25 Mitchell Blvd, Suite 8, San Rafael, CA 94903-2007 | 2007-05-23 |
| 1679783625 | Richard L. Shames | Preventive Medicine | 25 Mitchell Blvd, #8, San Rafael, CA 94903-2007 | 2007-05-22 |
| 1881722247 | Thomas Reece | Neuromusculoskeletal Medicine, Sports Medicine | 25 Mitchell Blvd, San Rafael, CA 94903-2007 | 2007-02-28 |
| 1740318112 | Elson M Haas | Allergy & Immunology | 25 Mitchell Blvd, Suite 8, San Rafael, CA 94903-2007 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760833834 | Sutter Bay Medical Foundation | Family Medicine | 750 Las Gallinas Ave Ste 210, San Rafael, CA 94903-3432 | 2016-06-29 |
| 1063798940 | Rimon Issac D.o. Inc | Family Medicine | 18 Ninestone Ct, San Rafael, CA 94903 | 2011-10-24 |
| 1316197320 | Georjana Grace Shames | Family Medicine | 25 Mitchell Blvd Ste 8, San Rafael, CA 94903-2013 | 2008-09-25 |
| 1821263492 | Barbara Inwald | Family Medicine | 360 Ellen Dr, San Rafael, CA 94903-1605 | 2008-04-24 |
| 1356564363 | Barbara Newlon | Family Medicine | 818 5th Ave, #202, San Rafael, CA 94901-3262 | 2007-04-10 |
| 1073630141 | Howard Allen Thornton | Family Medicine | 26 Mark Dr, San Rafael, CA 94903-2260 | 2007-03-23 |
| 1891884243 | Kenneth James Lossing | Family Medicine | 909 Irwin St, San Rafael, CA 94901 | 2006-10-12 |
| 1124132394 | Peter Allen Novota | Family Medicine | 3110 Kerner Blvd, San Rafael, CA 94901-5411 | 2006-08-18 |
| 1629081161 | Charles E Calza | Family Medicine | 4174 Redwood Hwy, San Rafael, CA 94903-2618 | 2006-08-14 |
| 1205883121 | Meenal Sunit Lohtia | Family Medicine | 4000 Civic Center Drive, Suite 200, San Rafael, CA 94903 | 2006-05-27 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
Please comment or provide details below to improve the information on DR. ANN HATHAWAY.
| 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.