DR. JILL DOUGAL MACKINNON (NPI# 1134201627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134201627 |
Entity Type | Individual |
Full Name | DR. JILL DOUGAL MACKINNON |
Credential | M.D. |
Practice Address |
2001 Dwight Way 2nd Floor - Room # 2350 Berkeley CA 94704-2608 |
Practice Telephone | 5102044738 |
Practice Fax Number | 5102045892 |
Mailing Telephone | 5102044738 |
Mailing Fax Number | 5102045892 |
Enumeration Date | 2006-10-20 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | G67976 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDI-CAL | 00G679760 | 01 |
Street Address |
2001 DWIGHT WAY 2ND FLOOR - ROOM # 2350 |
City | BERKELEY |
State | CA |
Zip Code | 94704-2608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295738805 | Bay Area Rehabilitation Medical Group | Physical Medicine & Rehabilitation | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2005-05-27 |
1366083545 | Jamba Dolkar Tenzing | Nurse Practitioner | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2019-09-30 |
1013401983 | Lindsey Olander | Speech-Language Pathologist | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2018-06-14 |
1447604814 | Sutter Bay Hospitals | Psychiatric Unit | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2016-04-21 |
1235583360 | Mariam Kamyab | Registered Nurse | 2001 Dwight Way, Ste 1388, Berkeley, CA 94704-2608 | 2016-04-14 |
1336529106 | Alta Bates Summit Medical Center | Clinic/Center | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2015-06-05 |
1538563614 | Sutter East Bay Hospitals | Pharmacy | 2001 Dwight Way, Suite 2182, Berkeley, CA 94704-2608 | 2014-10-17 |
1821405192 | Altabates Comprehensive Cancer Center | Clinic/Center | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2014-07-17 |
1942624408 | Karri Kennedy | Occupational Therapist | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2014-02-04 |
1740611375 | Rebecca Hummel-moore | Nurse Practitioner | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2013-12-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
1821617168 | Michelle Nagal Hunt | Behavior Technician | 2080 Addison Street, #302, Berkeley, CA 94704 | 2020-04-15 |
1366097081 | Sabrina Barnett | Behavior Technician | 2080 Addison St, #302, Berkeley, CA 94704 | 2019-08-08 |
1811559735 | Bonita House, Inc. | Community/Behavioral Health | 1909 University Ave, Berkeley, CA 94704 | 2019-07-01 |
1376014928 | Justin T Cooke | Specialist/Technologist | 2024 Durant Ave #508, Berkeley, CA 94704 | 2018-12-07 |
1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
1952897332 | Jennifer Henry Henry | Naturopath | 2041 Bancroft Way #303, 2041 Bancroft Way, Berkeley, CA 94704 | 2018-07-09 |
1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
1265951719 | Caitlin Mary Mcdonough | Student in an Organized Health Care Education/Training Program | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-09-15 |
1922525120 | Patrice Werling | Counselor | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-08-28 |
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Taxonomy Code | 204D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neuromusculoskeletal Medicine & OMM |
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
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1144860743 | Roeshan Shadravan | Neuromusculoskeletal Medicine & OMM | 1505 Lomas Santa Fe Dr, Solana Beach, CA 92075-2103 | 2020-01-11 |
1548722416 | R. Mitchell Hiserote Do, Professional Corporation | Neuromusculoskeletal Medicine & OMM | 7064 Corline Ct Ste C1, Sebastopol, CA 95472-4528 | 2019-04-01 |
1851768899 | Petaluma Acupuncture Center | Neuromusculoskeletal Medicine & OMM | 720 Southpoint Blvd Ste 211, Petaluma, CA 94954-7496 | 2015-08-25 |
1063800258 | Kulveen Sachdeva, Md Inc. | Neuromusculoskeletal Medicine & OMM | 5401 Norris Canyon Road, Suite 110, San Ramon, CA 94583-5402 | 2014-12-23 |
1982010559 | Walter Jaye Cohen | Neuromusculoskeletal Medicine & OMM | 3706 Ruffin Rd Ste 129, San Diego, CA 92123-1812 | 2014-07-03 |
1962815068 | Sunil Bhat | Neuromusculoskeletal Medicine & OMM | 2555 Flores St Ste 395, San Mateo, CA 94403-2344 | 2014-06-05 |
1417298811 | Sibyl Knight | Neuromusculoskeletal Medicine & OMM | 199 17th St Ste J, Pacific Grove, CA 93950 | 2013-03-09 |
1447597349 | Lee Ann Marie Cuny | Neuromusculoskeletal Medicine & OMM | 1502 Tennessee St, Vallejo, CA 94590-4627 | 2013-01-11 |
1285985820 | Annette Hulse | Neuromusculoskeletal Medicine & OMM | 1 1st St Ste 3, Los Altos, CA 94022-2753 | 2012-09-23 |
1871853796 | Brian Peternell | Neuromusculoskeletal Medicine & OMM | 584 35th Ave, Santa Cruz, CA 95062-5111 | 2012-05-24 |
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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.