MARK S. REISMAN (NPI# 1124106919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124106919 |
| Entity Type | Individual |
| Full Name | MARK S. REISMAN |
| Credential | MD |
| Practice Address |
275 W Macarthur Oakland CA 94611-5641 |
| Practice Telephone | 5107521000 |
| Mailing Telephone | 5107521000 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | G54329 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G543290 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851411631 | Mark Reisman | Counselor | 2261 Elm St, Napa, CA 94559-3721 | 2007-03-29 |
| 1952460826 | Mark Reisman | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2006-12-07 |
| Street Address |
275 W MACARTHUR |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132580 | David Law | Internal Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2005-05-31 |
| 1003247818 | Suzanne P Whitcomb | Physical Therapist | 275 W Macarthur, Oakland, CA 94611-5641 | 2013-12-03 |
| 1629400445 | Jason Villarin | Physical Therapist | 275 W Macarthur, Oakland, CA 94611-5641 | 2013-08-02 |
| 1619311560 | Failin Au | Psychologist | 275 W Macarthur, Oakland, CA 94611-5641 | 2013-04-22 |
| 1447592266 | Kimberly Gail Ernest | Physician Assistant | 275 W Macarthur, Oakland, CA 94611-5641 | 2013-03-19 |
| 1336489657 | Heather L. Tyson | Physical Therapist | 275 W Macarthur, Oakland, CA 94611-5641 | 2013-02-22 |
| 1083966931 | Gregory Miller Barnell | Nurse Practitioner | 275 W Macarthur, Oakland, CA 94611-5641 | 2012-10-02 |
| 1164773594 | Bonnie L Taylor | Physician Assistant | 275 W Macarthur, Oakland, CA 94611-5641 | 2012-09-25 |
| 1073861308 | Heidi Evelynne Meck | Psychologist | 275 W Macarthur, Oakland, CA 94611-5641 | 2012-08-16 |
| 1457607913 | Shilpa V Patel | Internal Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2012-08-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801908579 | Richard S Graham | Dermatology | 460 34th St, Oakland, CA 94609 | 2006-08-31 |
| 1336173822 | Julia Elizabeth Graves | Dermatology | 3300 Webster St Ste 509, Oakland, CA 94609-3149 | 2006-07-10 |
| 1265404719 | Herbert Arthur Holman | Dermatology | 3100 Summit St, Fl 2, Oakland, CA 94609-3412 | 2006-02-07 |
| 1750748562 | Jason F Fung, Md, A Medical Corporation | Dermatology | 3300 Webster St Ste 509, Oakland, CA 94609-3149 | 2016-01-25 |
| 1811354624 | Julia Graves, Md, Inc | Dermatology | 3300 Webster St Ste 509, Oakland, CA 94609-3149 | 2016-01-25 |
| 1427423268 | Lesley Plotke, Md, Inc | Dermatology | 3300 Webster St Ste 509, Oakland, CA 94609-3149 | 2015-12-04 |
| 1629207493 | Lesley Mcmurry Plotke | Dermatology | 3300 Webster St Ste 509, Oakland, CA 94609-3149 | 2009-07-14 |
| 1629270897 | Ani L. Tajirian | Dermatology | 3300 Webster St Ste 509, Oakland, CA 94609-3149 | 2007-06-01 |
| 1972636272 | Ingrid Roseborough | Dermatology | 3300 Webster St, Ste 509, Oakland, CA 94609-3117 | 2007-03-14 |
| 1578609541 | Amy Stevens | Dermatology | 180 Ramapo Valley Rd, Oakland, NJ 07436-2500 | 2007-01-29 |
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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.