ZACHARY THOMAS FELLOWS (NPI# 1154733152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154733152 |
| Entity Type | Individual |
| Full Name | ZACHARY THOMAS FELLOWS |
| Credential | M.D. |
| Practice Address |
120 La Casa Via Ste 204 Walnut Creek CA 94598-3007 |
| Practice Telephone | 9252101050 |
| Practice Fax Number | 8585543232 |
| Mailing Telephone | 9252101050 |
| Enumeration Date | 2014-05-24 |
| Last Update Date | 2020-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A144510 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
A144510 | CA | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
69339-20 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
120 LA CASA VIA STE 204 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1942537618 | Richard D Smith M D Inc. | Internal Medicine | 675 Ygnacio Valley Road, Suite A 102, Walnut Creek, CA 94596 | 2009-11-17 |
| 1679641153 | Ronald G Connolly Md | Internal Medicine | 1776 Ygnacio Valley Road, Suite 106, Walnut Creek, CA 94598 | 2006-12-01 |
| 1962408112 | Raul Romea | Internal Medicine | 1450 Treat Blvd # 200, Walnut Creek, CA 94597 | 2005-06-22 |
| 1396748158 | Rajiv Kumar Dixit | Internal Medicine | 120 La Casa Via, Ste 204, Walnut Creek, CA 94598-3007 | 2005-05-24 |
| 1679649875 | Richard Dean Smith | Internal Medicine | 1981 N Broadway, Suite 180, Walnut Creek, CA 94596-3852 | 2006-11-28 |
| 1316010366 | Midori Jane Nishio | Internal Medicine | 1450 Treat Blvd, Ste 200, Walnut Creek, CA 94597-2168 | 2006-11-16 |
| 1528131588 | Vandana Dutt Sharma | Internal Medicine | 1450 Treat Blvd, Ste 200, Walnut Creek, CA 94597-2168 | 2006-11-16 |
| 1992883094 | Robert L. Wiskocil | Internal Medicine | 1776 Ygnacio Valley Rd, Suite 106, Walnut Creek, CA 94598-3190 | 2006-11-02 |
| 1023015484 | David W Wu | Internal Medicine | 120 La Casa Via, Ste 204, Walnut Creek, CA 94598-3007 | 2005-06-30 |
| 1932106390 | John M Loeb | Internal Medicine | 120 La Casa Via, Ste 204, Walnut Creek, CA 94598-3007 | 2005-06-30 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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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.