SCOTT D LEVENSON, MD (NPI# 1114108768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114108768 |
| Entity Type | Organization |
| Organization Name | SCOTT D LEVENSON, MD |
| Practice Address |
1000 Laurel St San Carlos CA 94070-3939 |
| Mailing Address |
Po Box 7625 Menlo Park CA 94026-7625 |
| Practice Telephone | 6505968800 |
| Practice Fax Number | 6505968802 |
| Mailing Telephone | 6505968800 |
| Mailing Fax Number | 6505968802 |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2008-12-22 |
| Authorized Official Name | SCOTT D LEVENSON (PRESIDENT) |
| Authorized Official Telephone | 6505968800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
A98824 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
G71807 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDAVANT SUBMITTER ID | BBB12433B | 01 |
| Street Address |
1000 LAUREL ST |
| City | SAN CARLOS |
| State | CA |
| Zip Code | 94070-3939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578548186 | Scott David Levenson | Internal Medicine | 1000 Laurel St, San Carlos, CA 94070-3919 | 2005-12-07 |
| 1811367006 | Digestive Care Laboratory | Clinical Medical Laboratory | 1000 Laurel St, San Carlos, CA 94070-3939 | 2015-09-30 |
| 1922478569 | Digestive Care Associates Laboratory | Clinical Medical Laboratory | 1000 Laurel St, San Carlos, CA 94070-3939 | 2015-09-25 |
| 1831323575 | Digestive Care Associates, Inc. | Internal Medicine | 1000 Laurel St, San Carlos, CA 94070-3939 | 2009-05-10 |
| 1548407984 | Roger Min Kao, M.d. | Internal Medicine | 1000 Laurel St, San Carlos, CA 94070-3939 | 2009-01-07 |
| 1982786133 | Roger Kao | Internal Medicine | 1000 Laurel St, San Carlos, CA 94070-3939 | 2006-10-19 |
| 1376635219 | Adrienne J Nguyen | Internal Medicine | 1000 Laurel St, San Carlos, CA 94070-3939 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669943189 | Regina Rayz | Community Health Worker | Edgewood Center, 957 Industrial Rd B, San Carlos, CA 94070 | 2018-12-10 |
| 1275026668 | Zhimiao Wang | Acupuncturist | 1608 Laurel St, San Carlos, CA 94070 | 2018-06-11 |
| 1922508324 | Erica Garica Romero | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2018-02-13 |
| 1619482429 | Yicheng Han | Counselor | 527 Hillcrest Rd., San Carlos, CA 94070 | 2017-12-04 |
| 1679082192 | Enrique Francisco Delgado | Counselor | 610 Elm St. #212, San Carlos, CA 94070 | 2017-09-27 |
| 1871011379 | Melanie Schug | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2017-09-05 |
| 1891213393 | Teresa Wace | Counselor | 1303 San Carlos Avenue, San Carlos, CA 94070 | 2017-09-05 |
| 1437671344 | Ana Garcia | Counselor | 957 Industrial Road, Suite B, San Carlos, CA 94070 | 2017-07-12 |
| 1629527825 | Annette Waters | Speech-Language Pathologist | 1017 Cedar St, San Carlos, CA 94070 | 2016-09-28 |
| 1962831297 | Kathleen Lauren Mcspadden | Marriage & Family Therapist | 1303 San Carlos Ave., San Carlos, CA 94070 | 2013-11-07 |
| Find all providers in zip 94070 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578548186 | Scott David Levenson | Internal Medicine | 1000 Laurel St, San Carlos, CA 94070-3919 | 2005-12-07 |
| 1831323575 | Digestive Care Associates, Inc. | Internal Medicine | 1000 Laurel St, San Carlos, CA 94070-3939 | 2009-05-10 |
| 1982786133 | Roger Kao | Internal Medicine | 1000 Laurel St, San Carlos, CA 94070-3939 | 2006-10-19 |
| 1376635219 | Adrienne J Nguyen | Internal Medicine | 1000 Laurel St, San Carlos, CA 94070-3939 | 2006-09-29 |
| 1497847248 | Tohru Sato | Internal Medicine | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2006-09-29 |
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| 1548883622 | Martha Hierro, Md Inc | Internal Medicine | 2021 Santa Monica Blvd Ste 335e, Santa Monica, CA 90404-2146 | 2020-05-22 |
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| 1316581390 | Premier Digestive Health A Medical Corporation | Internal Medicine | 16350 Ventura Blvd # D539, Encino, CA 91436-5300 | 2019-11-01 |
| 1427604834 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave Ste 50, Lodi, CA 95240-5139 | 2019-08-12 |
| 1861045106 | Gary M Van Deventer Md Inc | Internal Medicine | 504 W Pueblo St Ste 201, Santa Barbara, CA 93105-6211 | 2019-07-16 |
| 1689232779 | Zelman Weingarten Md Inc | Internal Medicine | 101 E Beverly Blvd Ste 203, Montebello, CA 90640-4315 | 2019-06-03 |
| Find all providers with the same taxonomy | ||||
| City | SAN CARLOS |
| Zip Code | 94070 |
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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.