SAN FRANCISCO DIGESTIVE DISEASE MEDICAL GROUP INC A PROF CORP (NPI# 1417017435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417017435 |
| Entity Type | Organization |
| Organization Name | SAN FRANCISCO DIGESTIVE DISEASE MEDICAL GROUP INC A PROF CORP |
| Practice Address |
1 Shrader St Ste 500 San Francisco CA 94117-1044 |
| Practice Telephone | 4153623336 |
| Practice Fax Number | 4153627542 |
| Mailing Telephone | 4153623336 |
| Mailing Fax Number | 4153627542 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2019-05-14 |
| Authorized Official Name | DR. GREGORY FUNG (PRESIDENT) |
| Authorized Official Telephone | 4153623336 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE NPI | 1417017435 | 01 |
| Street Address |
1 SHRADER ST STE 500 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94117-1044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033357033 | Yin Moe Thwe | Family Medicine | 1 Shrader St Ste 500, San Francisco, CA 94117-1044 | 2009-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
| 1124578901 | Michelle Elizabeth Cohen | Nurse Practitioner | 350 Parnassus Ave Ste 908, San Francisco, CA 94117 | 2016-10-05 |
| 1235686346 | Amy Burtelow | Massage Therapist | 425 Divisadero Street Suite 300, San Francisco, CA 94117 | 2016-09-07 |
| 1851790430 | Elissa Stevens | Counselor | 1757 Waller Street, San Francisco, CA 94117 | 2014-08-19 |
| 1831508043 | Colmed Laboratories & Radiology | Clinical Medical Laboratory | 560 Haight Street #104, San Francisco, CA 94117 | 2014-08-13 |
| 1972917847 | Radha Yerneni | Internal Medicine | 450 Stanyan St Fl 6, San Francisco, CA 94117 | 2014-06-18 |
| 1811333594 | Julia Wong | Counselor | 425 Divisadero Street, Suite 300, San Francisco, CA 94117 | 2013-05-21 |
| 1740623529 | Cody Elizabeth Berry | Social Worker | 425 Divisadero, Suite 300, San Francisco, CA 94117 | 2013-04-11 |
| 1235471848 | Steven Ryan Vidrine | Psychiatry & Neurology | 350 Parnassus Ave Ste 201, San Francisco, CA 94117 | 2013-03-21 |
| 1699043810 | Podiatry Plan Inc | Podiatrist | 1353b Haight Street, San Francisco, CA 94117 | 2011-12-02 |
| Find all providers in zip 94117 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1366958662 | Insite Digestive Health Care | Internal Medicine | 2186 Geary Blvd Ste 320, San Francisco, CA 94115-3457 | 2017-12-21 |
| 1194134460 | Jeanne-marie Giard | Internal Medicine | 513 Parnassus Ave Rm S-357, San Francisco, CA 94143-2205 | 2014-08-11 |
| 1396019691 | Mission Gastroenterology and Hepatology Inc | Internal Medicine | 1580 Valencia St Ste 106, San Francisco, CA 94110-4420 | 2012-03-04 |
| 1760751176 | Thomas P Twaddell | Internal Medicine | 600 Duncan St, San Francisco, CA 94131-1841 | 2011-12-14 |
| 1558500603 | Joseph Chen | Internal Medicine | Department of Gastroenterology 513 Parnassus Ave, Room S-357, Box 0538, San Francisco, CA 94143-0001 | 2009-02-12 |
| 1326228487 | Yen N Quang | Internal Medicine | 1199 Bush St Ste 560, San Francisco, CA 94109 | 2007-11-06 |
| 1639212624 | Robert J Elsen | Internal Medicine | 45 Castro St Ste 437, San Francisco, CA 94114-1029 | 2007-02-15 |
| 1720130263 | Ies Medical Group, Inc. | Internal Medicine | 1101 Van Ness Ave Rm 31583d, San Francisco, CA 94109-6919 | 2007-01-17 |
| 1003964826 | Wing K Kam | Internal Medicine | 3838 California St Rm 108, San Francisco, CA 94118-1504 | 2007-01-08 |
| 1245310275 | James Carey Ryan | Internal Medicine | 4150 Clement St # 111-r, San Francisco, CA 94121-1545 | 2006-10-16 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94117 |
Please comment or provide details below to improve the information on SAN FRANCISCO DIGESTIVE DISEASE MEDICAL GROUP INC A PROF CORP.
| 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.