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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MEDICARE PTAN | A300045054 | 01 | |
CA | MEDICARE PTAN | FW557A | 01 |
Street Address |
1000 S ELISEO DR SUITE 103 |
City | GREENBRAE |
State | CA |
Zip Code | 94904-2133 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 94904 |
Taxonomy Code | 207YX0905X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngology/Facial Plastic Surgery |
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. |
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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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.