COLLEEN MARIE KAVANAGH


Address: 2500 Merced Street, San Leandro, CA 94577-4201
Phone: 5104541000

COLLEEN MARIE KAVANAGH (NPI# 1174608830) 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) 1174608830
Entity Type Individual
Full Name COLLEEN MARIE KAVANAGH
Credential M.D.
Practice Address 2500 Merced Street
San Leandro
CA 94577-4201
Practice Telephone 5104541000
Mailing Telephone 5104541000
Enumeration Date 2006-10-25
Last Update Date 2015-10-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology A73968 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A739680 05

Office Location

Street Address 2500 MERCED STREET
City SAN LEANDRO
State CA
Zip Code 94577-4201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114901667 Kiran Mayi Nandamuri Internal Medicine 2500 Merced Street, San Leandro, CA 94577-4201 2005-11-29
1700299260 Uma Vinayagasundaram Pediatrics 2500 Merced Street, Kaiser Foundation Hospital- San Leandro, San Leandro, CA 94577 2014-06-03
1033539143 Solomon H. Young Dietitian, Registered 2500 Merced Street, San Leandro, CA 94577-4201 2014-04-16
1538407481 Cindy Lee Nurse Anesthetist, Certified Registered 2500 Merced Street, San Leandro, CA 94577-4201 2013-01-28
1780948125 Giselle Del Rosario Tan Physical Therapist 2500 Merced Street, San Leandro, CA 94577-4201 2012-06-29
1760716260 Kyle Andrew Drullinger Student in an Organized Health Care Education/Training Program 2500 Merced Street, San Leandro, CA 94577-4201 2009-09-30
1336383652 Kian Mostafavi Surgery 2500 Merced Street, San Leandro, CA 94577-4201 2009-04-30
1255572780 Jessica Mary Zuraw Emergency Medicine 2500 Merced Street, San Leandro, CA 94577-4201 2009-03-12
1558526624 Michelle Ortega Dimaano Physical Therapist 2500 Merced Street, San Leandro, CA 94577-4201 2008-07-28
1255595393 Michael Thomas Madland Student in an Organized Health Care Education/Training Program 2500 Merced Street, San Leandro, CA 94577-4201 2008-07-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093358574 A Caring Heart Home Health Inc. In Home Supportive Care 215-237 Estudillo Ave, Suite 202, San Leandro, CA 94577 2019-10-28
1871070052 New Connections Neuropsychology, PC Clinical Neuropsychologist 1057 Macarthur Blvd, Ste 214, San Leandro, CA 94577 2018-07-20
1790287266 Jennifer Capilla Behavior Technician 333 Estudillo Ave #204, San Leandro, CA 94577 2018-03-01
1891296760 Maryann Kruse Bens Clinical Neuropsychologist 1057 Macarthur Blvd Ste 214, San Leandro, CA 94577 2018-02-26
1811406721 Brendon Hoang Nguyen Dentist 145 E 14th St, San Leandro, CA 94577 2017-09-22
1801311774 Calvin Walker Counselor 3801 Teagarden Street, San Leandro, CA 94577 2017-08-11
1184154999 Shauntrinae Mason Marriage & Family Therapist 1000 San Leandro Blvd., Suite 300, San Leandro, CA 94577 2017-06-14
1912453135 Dr. Marshea Evans Point of Service 1068 E14th Street, San Leandro, CA 94577 2016-08-28
1902252935 Mobility Express Medical Transportation Non-emergency Medical Transport (VAN) 1695 Abram Ct Ste 202, San Leandro, CA 94577 2016-05-09
1194170381 Girls Incorporated of Alameda County Community/Behavioral Health 2251 Bancroft Ave, San Leandro, CA 94577 2016-04-26
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811330558 Mary Dolan Crisham Janik Obstetrics & Gynecology 2500 Merced St Fl 3, San Leandro, CA 94577-4201 2013-04-11
1679533186 Mark Matthew Jacobs Obstetrics & Gynecology 3553 Whipple Road, San Leandro, CA 94587-1507 2006-03-27
1023367141 Kerry-ann Alyscia Kelly Obstetrics & Gynecology 2500 Merced St, Ob/gyn Department, San Leandro, CA 94577-4201 2012-09-05
1770858904 Kristen Misiak Everett Obstetrics & Gynecology 2500 Merced St Dept Of, San Leandro, CA 94577-4201 2012-03-21
1629372180 Jolyn Chen Obstetrics & Gynecology 2500 Merced St, San Leandro, CA 94577-4201 2010-12-27
1144372947 Marie Louise La Cour Obstetrics & Gynecology 2500 Merced St, San Leandro, CA 94577-4201 2007-01-18
1730255332 Michael Joseph Mcglynn Jr. Obstetrics & Gynecology 433 Estudillo Ave, #303, San Leandro, CA 94577-4915 2006-11-27
1578635397 Linda Catherine Pollack Degusta Obstetrics & Gynecology 2500 Merced St, San Leandro, CA 94577-4201 2006-11-15
1700957610 Sarah Pei-en Mark-drasin Obstetrics & Gynecology 2500 Merced St, San Leandro, CA 94577-4201 2006-11-13
1952489965 John F. Polito Obstetrics & Gynecology 1300 Bancroft Ave, Suite G 4, San Leandro, CA 94577-5147 2006-11-01
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Competitor

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City SAN LEANDRO
Zip Code 94577

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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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