EVAN ROGERS RANSOM


Address: 1000 S Eliseo Dr, Suite 103, Greenbrae, CA 94904-2133
Phone: 2154690927

EVAN ROGERS RANSOM (NPI# 1134285091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134285091
Entity Type Individual
Full Name EVAN ROGERS RANSOM
Credential MD
Practice Address 1000 S Eliseo Dr
Suite 103
Greenbrae
CA 94904-2133
Practice Telephone 2154690927
Mailing Telephone 2154690927
Enumeration Date 2006-12-28
Last Update Date 2012-10-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Y00000X Otolaryngology MD437508 PA Allopathic & Osteopathic Physicians
N 207YX0905X Otolaryngology
Specialization: Otolaryngology/Facial Plastic Surgery
259357 NY Allopathic & Osteopathic Physicians
Y 207YX0905X Otolaryngology
Specialization: Otolaryngology/Facial Plastic Surgery
A117324 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE PTAN A300045054 01
CA MEDICARE PTAN FW557A 01

Office Location

Street Address 1000 S ELISEO DR
SUITE 103
City GREENBRAE
State CA
Zip Code 94904-2133

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346228707 Mei-ling Elizabeth Fong Internal Medicine 1000 S Eliseo Dr, Ste 200, Greenbrae, CA 94904-2107 2006-01-05
1629509708 Eric Zaremski, Dds, Inc. Dentist 1000 S Eliseo Dr, Suite 202, Greenbrae, CA 94904-2133 2017-03-21
1467881201 Marin Healthcare District Urology 1000 S Eliseo Dr, Suite 201, Greenbrae, CA 94904-2133 2013-11-02
1508159344 Matthew Bedell Ophthalmology 1000 S Eliseo Dr, Suite 203, Greenbrae, CA 94904-2133 2011-05-26
1316266042 Daniel William Flis Otolaryngology 1000 S Eliseo Dr, Ste 103, Greenbrae, CA 94904-2150 2010-05-20
1821236993 Thomas R Knez Dentist 1000 S Eliseo Dr, Suite 202, Greenbrae, CA 94904-2133 2009-01-28
1669625729 Michal Joseph Audiologist 1000 S Eliseo Dr, Unit 103, Greenbrae, CA 94904-2133 2008-11-02
1205002763 Bart Gershbein Urology 1000 S Eliseo Dr, Greenbrae, CA 94904-2133 2008-05-05
1013133578 Audiology Services Audiologist-Hearing Aid Fitter 1000 S Eliseo Dr, Greenbrae, CA 94904-2133 2007-04-17
1043378409 Arthur C Fenn Otolaryngology 1000 S Eliseo Dr, #103, Greenbrae, CA 94904-2133 2006-12-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295382372 Stacey Nicole Drew Occupational Therapist 4 Ash Ave, Unit 10, Kentfield, CA 94904 2019-08-22
1154781631 Harvey Sparks Specialist/Technologist, Other 350 Bon Air, Ste 100, Greenbrae, CA 94904 2016-02-26
1396120481 Tamena Potts Counselor 1109 Sir Francis Drake, Kentfield, CA 94904 2015-07-30
1598014763 Rupali Ray Chaudhuri Nurse Practitioner 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 2012-09-04
1326304809 Lucy Yingxin Zhang Ophthalmology 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 2012-04-09
1396073185 Bonnie Louise Hoag Marriage & Family Therapist 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 2009-12-07
1801043880 Alexander Vogel Uihlein Internal Medicine 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 2008-08-21
1649426115 Marilyn Thatcher Psychologist 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 2008-08-14
1205007598 Sir Francis Drake Dental Dentist 919 Sir Francis Drake Blvd, Kentfield, CA 94904 2008-03-14
1841401734 Rishi K Wadhwa Neurological Surgery 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 2007-05-24
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Taxonomy Information

Taxonomy Code 207YX0905X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Otolaryngology/Facial Plastic Surgery

Taxonomy Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073159406 Bh Ent Group Inc Otolaryngology 9033 Wilshire Blvd Ste 409, Beverly Hills, CA 90211-1847 2019-11-20
1942719570 Beverly Hills Head and Neck Associates Otolaryngology 9401 Wilshire Blvd Ste 650, Beverly Hills, CA 90212-2913 2017-09-27
1083135065 Jeffrey Jumaily Md Inc Otolaryngology 8816 Burton Way # 1, Beverly Hills, CA 90211-1715 2017-06-29
1558881771 Bel Air Surgical Institute Otolaryngology 11847 Wilshire Blvd Ste 302, Los Angeles, CA 90025-6634 2017-06-20
1912371352 Ent Surgical Specialists Inc. Otolaryngology 6424 W Olympic Blvd, Los Angeles, CA 90048-5347 2015-11-23
1437536216 Kiersten L. Riedler Otolaryngology 5405 Oberlin Dr Fl 2, San Diego, CA 92121-1700 2015-04-30
1114344025 Ryan M Casserly Otolaryngology 966 Cass St Ste 250, Monterey, CA 93940-4541 2014-03-28
1558798611 Stephen Dow Proffitt Otolaryngology 172 Admiral Way, Costa Mesa, CA 92627-1397 2013-10-03
1447693973 Jacob Lee Wester Otolaryngology 200 Medical Plaza Driveway Ste 550, Ucla Department of Head and Neck Surgery, Los Angeles, CA 90095-0001 2013-04-15
1417294174 Entegrative Otolaryngology PC Otolaryngology 1144 Sonoma Ave Ste 101, Santa Rosa, CA 95405-4812 2013-01-14
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Competitor

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City GREENBRAE
Zip Code 94904

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Dataset Information

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.

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