WEBSTER ORTHOPAEDIC MEDICAL GROUP, A PROFESSIONAL CORPORATION (NPI# 1275564528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275564528 |
| Entity Type | Organization |
| Organization Name | WEBSTER ORTHOPAEDIC MEDICAL GROUP, A PROFESSIONAL CORPORATION |
| Other Organization Name | WEBSTER ORTHOPEDICS |
| Practice Address |
19842 Lake Chabot Rd Castro Valley CA 94546-4002 |
| Mailing Address |
200 Porter Dr Suite 215 San Ramon CA 94583-1587 |
| Practice Telephone | 9255567320 |
| Practice Fax Number | 9254790231 |
| Mailing Telephone | 9253622166 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. JOHN THEODORE SCWARTZ JR. (PRESIDENT) |
| Authorized Official Telephone | 5102381200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | WEBSTER ORTHOPAEDIC MEDICAL GROUP, A PROFESSIONAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ45498Z | 05 |
| Other Name | Type Code |
|---|---|
| Webster Orthopaedic Medical Group | Doing Business As Name - Organization |
| Webster Orthopedics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093783763 | Webster Orthopaedic Medical Group, A Professional Corporation | Orthopaedic Surgery | 5801 Norris Canyon Rd, Suite 210, San Ramon, CA 94583-5440 | 2006-03-09 |
| 1316914385 | Webster Orthopaedic Medical Group, A Professional Corporation | Orthopaedic Surgery | 3315 Broadway, Oakland, CA 94611-5717 | 2006-03-08 |
| 1598732984 | Webster Orthopaedic Medical Group, A Professional Corporation | Orthopaedic Surgery | 200 Porter Dr, Suite 101, San Ramon, CA 94583-1587 | 2006-03-03 |
| Street Address |
19842 LAKE CHABOT RD |
| City | CASTRO VALLEY |
| State | CA |
| Zip Code | 94546-4002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477520096 | Gregg Thomas Pottorff | Orthopaedic Surgery | 19842 Lake Chabot Rd, Castro Valley, CA 94546-4002 | 2006-03-02 |
| 1093181646 | Bay Area Surgical Specialists, Inc. A Medical Corporation | Orthopaedic Surgery | 19842 Lake Chabot Rd, Castro Valley, CA 94546-4002 | 2015-08-18 |
| 1154700169 | Associated Surgeons of Hayward | Orthopaedic Surgery | 19842 Lake Chabot Rd, Castro Valley, CA 94546-4002 | 2015-05-22 |
| 1003883356 | Robert Scott Forster | Orthopaedic Surgery | 19842 Lake Chabot Rd, Castro Valley, CA 94546-4002 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991234 | For Your Eyes Only Ophthalmic Medical Corp. | Optometrist | 2687 Castro Valley Blvd., Castro Valley, CA 94546 | 2018-02-12 |
| 1821536954 | Webster Surgery Center, Lp | Clinic/Center | 20998 Redwood Dr, Castro Valley, CA 94546 | 2017-02-09 |
| 1639506215 | Jennifer Lee | Pharmacist | 20629 Redwood Road, Castro Valley, CA 94546 | 2013-09-27 |
| 1679860506 | Lauren Nicole Hill | Counselor | 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 | 2011-06-29 |
| 1326330952 | Jeannette Villalobos | Counselor | 5248 Crane Avenue, Castro Valley, CA 94546 | 2011-05-16 |
| 1780992560 | Cherie Christine-vivona Clark | Physician Assistant | Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 | 2010-09-15 |
| 1518287218 | Rite Aid Incorporation | Community/Behavioral Health | 3548 Castro Valley Blv, Castro Valley, CA 94546 | 2010-06-03 |
| 1770719940 | Kristina Marie Sotto | Occupational Therapist | 20259 Lake Chabot Road, Castro Valley, CA 94546 | 2009-06-02 |
| 1861664203 | Bannanje R Nayak | Physical Medicine & Rehabilitation | 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 | 2008-03-26 |
| 1205030202 | Yvonne Marie Jones | Social Worker | 2055 Fairmont Dr., San Leandro, CA 94546 | 2007-06-13 |
| Find all providers in zip 94546 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578705000 | Michael Krosin | Orthopaedic Surgery | 19845 Lake Chabot Rd Ste 200, Castro Valley, CA 94546-4055 | 2009-03-30 |
| 1700967239 | Associated Orthopaedic Surgeons of Hayward | Orthopaedic Surgery | 19842 Lake Chabot Road, Castro Valley, CA 94546-4002 | 2006-10-18 |
| 1194757716 | Michael B. Krinsky | Orthopaedic Surgery | 20990 Redwood Rd, Castro Valley, CA 94546-5918 | 2006-07-06 |
| 1356318794 | Robert Edward Martin | Orthopaedic Surgery | 21030 Redwood Rd, Castro Valley, CA 94546-5920 | 2006-03-03 |
| 1477520096 | Gregg Thomas Pottorff | Orthopaedic Surgery | 19842 Lake Chabot Rd, Castro Valley, CA 94546-4002 | 2006-03-02 |
| 1093181646 | Bay Area Surgical Specialists, Inc. A Medical Corporation | Orthopaedic Surgery | 19842 Lake Chabot Rd, Castro Valley, CA 94546-4002 | 2015-08-18 |
| 1154700169 | Associated Surgeons of Hayward | Orthopaedic Surgery | 19842 Lake Chabot Rd, Castro Valley, CA 94546-4002 | 2015-05-22 |
| 1861899981 | Robert Martin Md Inc | Orthopaedic Surgery | 21030 Redwood Rd, Castro Valley, CA 94546-5920 | 2014-12-04 |
| 1306114871 | Jerry L. Rasco | Orthopaedic Surgery | 3056 Castro Valley Blvd, #195, Castro Valley, CA 94546-5510 | 2011-12-12 |
| 1982905030 | Christopher A Walter Do Inc | Orthopaedic Surgery | 20990 Redwood Rd, Castro Valley, CA 94546-5918 | 2010-11-05 |
| Find all providers in CASTRO VALLEY | ||||
| City | CASTRO VALLEY |
| Zip Code | 94546 |
Please comment or provide details below to improve the information on WEBSTER ORTHOPAEDIC MEDICAL GROUP, A PROFESSIONAL CORPORATION.
| 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.