GANNA BAETGE (NPI# 1174883250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174883250 |
| Entity Type | Individual |
| Full Name | GANNA BAETGE |
| Credential | PA-C |
| Practice Address |
1375 Blossom Hill Rd Suite 49 San Jose CA 95118-3806 |
| Practice Telephone | 4084408335 |
| Mailing Telephone | 4084408335 |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2015-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA22115 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1375 BLOSSOM HILL RD SUITE 49 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95118-3806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437252301 | Vladimir G. Skorokhod | Emergency Medicine | 1375 Blossom Hill Rd, Suite 49, San Jose, CA 95118-3806 | 2006-09-06 |
| 1740816552 | Drew Leggett | Physician Assistant | 1375 Blossom Hill Rd, San Jose, CA 95118-3806 | 2020-03-13 |
| 1306378641 | Amanda Waddell | Nurse Practitioner | 1375 Blossom Hill Rd, Suite 49, San Jose, CA 95118-3806 | 2017-03-28 |
| 1871968982 | Sarith Ly | Nurse Practitioner | 1375 Blossom Hill Rd, Suite 49, San Jose, CA 95118-3806 | 2015-12-01 |
| 1871963835 | Rachel Wu | Physician Assistant | 1375 Blossom Hill Rd, Ste. 49, San Jose, CA 95118-3806 | 2015-10-03 |
| 1205186442 | Action Urgent Care Inc | Clinic/Center | 1375 Blossom Hill Rd, San Jose, CA 95118-3806 | 2012-09-14 |
| 1851661276 | Mary Vic Amor Mendija Bustillo | Nurse Practitioner | 1375 Blossom Hill Rd, Suite 49, San Jose, CA 95118-3806 | 2012-01-02 |
| 1710299474 | Jennifer Horton | Nurse Practitioner | 1375 Blossom Hill Rd, San Jose, CA 95118-3806 | 2010-07-10 |
| 1508037573 | In Focus Optometry, Inc | Optometrist | 1375 Blossom Hill Rd, Suite 28, San Jose, CA 95118-3806 | 2008-03-18 |
| 1902981517 | Weyland Dear | Optometrist | 1375 Blossom Hill Rd, Ste 7, San Jose, CA 95118-3806 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235620907 | Misty Henne-bhullar Dmd Inc. | Dentist | 4984 Cherry Ave, San Jose, CA 95118 | 2018-05-29 |
| 1770013096 | Eunju Bang | Acupuncturist | 3315 Almaden Expy Ste 27, San Jose, CA 95118 | 2017-06-19 |
| 1306299391 | Satellite Healthcare Inc | Clinic/Center | 1450 Kooser Road, San Jose, CA 95118 | 2016-07-14 |
| 1881060739 | Brittany Star Curry | Physical Therapist | 3150 Almaden Expy Ste 120, San Jose, CA 95118 | 2015-08-14 |
| 1154690188 | Carrie Herbst | Marriage & Family Therapist | 1390 Dentwood Dr, San Jose, CA 95118 | 2011-12-20 |
| 1104096825 | Cheryl Ann Engelstad | Marriage & Family Therapist | 1455 E Foxworthy Ave, Pmb 159, San Jose, CA 95118 | 2008-03-10 |
| 1427251271 | Eric John Bohl | Marriage & Family Therapist | 4990 Speak Ln., Suite 100, San Jose, CA 95118 | 2007-06-08 |
| 1326249954 | Marcia May Kaufmann | Social Worker | 4990 Speak Lane, Suite 100, San Jose, CA 95118 | 2007-05-30 |
| 1386796498 | Rena Jean Zahorsky | Marriage & Family Therapist | 4990 Speak Lane Suite 100, San Jose, CA 95118 | 2007-01-17 |
| 1992885883 | Minoo Mehdikhan | Psychologist | 1131 Luchessi Dr Suite 2, San Jose, CA 95118 | 2006-10-16 |
| Find all providers in zip 95118 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1881210029 | Jeremy Nathan Birch | Physician Assistant | 1287 San Moritz Dr, San Jose, CA 95132-2754 | 2020-06-23 |
| 1609491158 | Kaitlin Aquino | Physician Assistant | 1382 Bing Dr, San Jose, CA 95129-4703 | 2020-06-10 |
| 1275152282 | Heema K Bhagat | Physician Assistant | 6967 Sessions Dr, San Jose, CA 95119-1335 | 2020-04-09 |
| 1013557925 | Kassaundra Cervantes | Physician Assistant | 2114 Mckee Rd, San Jose, CA 95116-1427 | 2020-01-08 |
| 1508416207 | Shelley Brunkan | Physician Assistant | 227 Giddings Ct, San Jose, CA 95139-1421 | 2019-09-14 |
| 1053960724 | Caroline Luczak | Physician Assistant | 88 E San Fernando St, San Jose, CA 95113-2535 | 2019-09-05 |
| 1336704402 | Irene Rummel | Physician Assistant | 1227 Gehrig Ave, San Jose, CA 95132-2714 | 2019-05-04 |
| 1801350749 | Brenda H.t. Nguyen | Physician Assistant | 1102 Brooks Range Lndg, San Jose, CA 95131-3803 | 2019-01-24 |
| 1477021848 | Christina Ly | Physician Assistant | 1569 Lexann Ave Ste 206, San Jose, CA 95121-1795 | 2018-11-05 |
| Find all providers in SAN JOSE | ||||
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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.