ELEANORE KIM-MOON (NPI# 1225144835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225144835 |
Entity Type | Individual |
Full Name | ELEANORE KIM-MOON |
Credential | M.D. |
Practice Address |
2222 Bancroft Way Spc 4300 University of California, Berkeley - Tang Center Berkeley CA 94720-2528 |
Practice Telephone | 5106422000 |
Practice Fax Number | 5106423520 |
Mailing Telephone | 5106422000 |
Mailing Fax Number | 5106423520 |
Enumeration Date | 2006-08-23 |
Last Update Date | 2009-12-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | A72756 | CA | Allopathic & Osteopathic Physicians |
Street Address |
2222 BANCROFT WAY SPC 4300 UNIVERSITY OF CALIFORNIA, BERKELEY - TANG CENTER |
City | BERKELEY |
State | CA |
Zip Code | 94720-2528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871115600 | Darius L Taylor | Social Worker | 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300 | 2020-05-14 |
1992325096 | Marilyn Chung | Student in an Organized Health Care Education/Training Program | 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300 | 2020-04-20 |
1093349938 | Paul Warren Eastman | Psychologist | 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4304 | 2020-03-01 |
1780249847 | Jason Straussman | Social Worker | 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300 | 2019-05-04 |
1780248138 | Daniel Christopher Meza | Psychologist | 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300 | 2019-04-30 |
1295399038 | Andrea Godinez | Counselor | 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300 | 2019-04-26 |
1447710330 | Sonia Amin | Student in an Organized Health Care Education/Training Program | 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300 | 2019-03-25 |
1740762939 | Samantha Alberto | Counselor | 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300 | 2018-09-04 |
1821574120 | Maidere Sorhondo | Counselor | 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300 | 2018-07-19 |
1073099479 | Jessica Acock Carlisle | Student in an Organized Health Care Education/Training Program | 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300 | 2018-07-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609352798 | Richard Phan | Optometrist | 200 Minor Ln, Berkeley, CA 94720 | 2018-07-12 |
1184082067 | Carmen Lee | Registered Nurse | 2222 Bancroft Way, Mc4300, Berkeley, CA 94720 | 2016-02-05 |
1922355148 | Cynthia Medina | Counselor | 2222 Bancroft Way #4300, Berkeley, CA 94720 | 2012-08-07 |
1811199615 | Ellen De Neef | Physical Therapist | 2222 Bancroft, Berkeley, CA 94720 | 2007-06-04 |
1427185529 | Margaret Anne Fisher | Nurse Practitioner | 2222 Bancroft Ave, Berkeley, CA 94720 | 2007-02-27 |
1619049285 | Vikki V. Yu | Optometrist | 230 Minor Hall, Uc Berkeley School of Optometry, Berkeley, CA 94720 | 2006-11-15 |
1801992755 | Robert K Osborne Dds & Assoc Inc | Dentist | 1177 South Main St, North Canton, OH 94720 | 2006-09-16 |
1154949899 | Thuy-trang Nguyen | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2020-07-09 |
1619498656 | Celia R Gong | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2017-06-29 |
1790234680 | Kelsey Lindquist | Specialist/Technologist | 185 Haas Pavilion, Berkeley, CA 94720 | 2016-10-03 |
Find all providers in zip 94720 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649618976 | Stanley Solomon Wulf | Obstetrics & Gynecology | 1016 Cragmont Ave, Berkeley, CA 94708-1412 | 2013-06-09 |
1457403818 | Marianne Sommerville | Obstetrics & Gynecology | 2450 Ashby Ave Rm 3040, Berkeley, CA 94705-2067 | 2007-01-17 |
1518036714 | Jim Hisao Nishimine | Obstetrics & Gynecology | 2507 Ashby Avenue, Berkeley, CA 94705 | 2006-11-06 |
1306801477 | Carol Livingston | Obstetrics & Gynecology | 2450 Ashby Ave Ste 3040, Berkeley, CA 94705-2067 | 2006-04-19 |
1801898283 | Trissa Baden | Obstetrics & Gynecology | 2450 Ashby Ave Ste 5505, Berkeley, CA 94705-2067 | 2005-08-15 |
1891296497 | Baychildren's Physicians | Obstetrics & Gynecology | 3000 Colby St Ste 301, Berkeley, CA 94705-2058 | 2018-02-28 |
1215391750 | Diane Maria Schneider Speechley | Obstetrics & Gynecology | 2450 Ashby Ave Rm 3040, Berkeley, CA 94705-2067 | 2016-04-11 |
1417351131 | Qinshi Pan | Obstetrics & Gynecology | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2014-10-09 |
1366853871 | University Healthcare Alliance | Obstetrics & Gynecology | 3000 Colby St, Berkeley, CA 94705-2083 | 2014-05-19 |
1619311453 | Rebecca L Taub | Obstetrics & Gynecology | 2500 Milvia St, Berkeley, CA 94704 | 2013-04-23 |
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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.