MARIN HEALTHCARE DISTRICT (NPI# 1467881201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467881201 |
| Entity Type | Organization |
| Organization Name | MARIN HEALTHCARE DISTRICT |
| Other Organization Name | MARIN UROLOGY CENTER |
| Practice Address |
1000 S Eliseo Dr Suite 201 Greenbrae CA 94904-2133 |
| Mailing Address |
Po Box 45094 San Francisco CA 94145-0094 |
| Practice Telephone | 4154617445 |
| Practice Fax Number | 4155264085 |
| Mailing Telephone | 4154642090 |
| Mailing Fax Number | 4154642094 |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |
| Authorized Official Name | LEE DOMANICO (CEO) |
| Authorized Official Telephone | 4154642090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE GROUP PTAN | CS440A | 01 |
| Other Name | Type Code |
|---|---|
| Marin Urology Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366819278 | Marin Healthcare District | Surgery | 100 Drakes Landing Rd # B, Suite 250, Greenbrae, CA 94904-2404 | 2015-08-26 |
| 1659609964 | Marin Healthcare District | Clinic/Center | 100 B Drakes Landing Road, Ste. 250, Greenbrae, CA 94904-3121 | 2009-11-24 |
| 1023484425 | Marin Healthcare District | Surgery | 75 Rowland Way, Suite 101, Novato, CA 94945-5037 | 2015-08-19 |
| 1770913741 | Marin Healthcare District | Internal Medicine | 1100 S Eliseo Dr, Suite 2a, Greenbrae, CA 94904-2017 | 2013-11-12 |
| 1891124632 | Marin Healthcare District | Surgery | 1100 S Eliseo Dr, Suite 2a, Greenbrae, CA 94904-2017 | 2013-11-02 |
| 1942573555 | Marin Healthcare District | Family Medicine | 111 Second St, Sausalito, CA 94965-2526 | 2012-02-13 |
| 1174896799 | Marin Healthcare District | Family Medicine | 11150 Highway 1, Point Reyes Station, CA 94956-9756 | 2012-02-13 |
| 1164795829 | Marin Healthcare District | Internal Medicine | 2 Bon Air Rd, Suite 100, Larkspur, CA 94939-1141 | 2012-02-10 |
| 1851664528 | Marin Healthcare District | Internal Medicine | 165 Rowland Way, Suite 201, Novato, CA 94945-5038 | 2012-02-10 |
| 1336412006 | Marin Healthcare District | Internal Medicine | 1341 S Eliseo Dr, Suite 200, Greenbrae, CA 94904-2000 | 2012-02-10 |
| Street Address |
1000 S ELISEO DR SUITE 201 |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-2133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346228707 | Mei-ling Elizabeth Fong | Internal Medicine | 1000 S Eliseo Dr, Ste 200, Greenbrae, CA 94904-2107 | 2006-01-05 |
| 1629509708 | Eric Zaremski, Dds, Inc. | Dentist | 1000 S Eliseo Dr, Suite 202, Greenbrae, CA 94904-2133 | 2017-03-21 |
| 1508159344 | Matthew Bedell | Ophthalmology | 1000 S Eliseo Dr, Suite 203, Greenbrae, CA 94904-2133 | 2011-05-26 |
| 1316266042 | Daniel William Flis | Otolaryngology | 1000 S Eliseo Dr, Ste 103, Greenbrae, CA 94904-2150 | 2010-05-20 |
| 1821236993 | Thomas R Knez | Dentist | 1000 S Eliseo Dr, Suite 202, Greenbrae, CA 94904-2133 | 2009-01-28 |
| 1669625729 | Michal Joseph | Audiologist | 1000 S Eliseo Dr, Unit 103, Greenbrae, CA 94904-2133 | 2008-11-02 |
| 1205002763 | Bart Gershbein | Urology | 1000 S Eliseo Dr, Greenbrae, CA 94904-2133 | 2008-05-05 |
| 1013133578 | Audiology Services | Audiologist-Hearing Aid Fitter | 1000 S Eliseo Dr, Greenbrae, CA 94904-2133 | 2007-04-17 |
| 1134285091 | Evan Rogers Ransom | Otolaryngology | 1000 S Eliseo Dr, Suite 103, Greenbrae, CA 94904-2133 | 2006-12-28 |
| 1043378409 | Arthur C Fenn | Otolaryngology | 1000 S Eliseo Dr, #103, Greenbrae, CA 94904-2133 | 2006-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093056574 | Min Suk Jun | Urology | 575 Sir Francis Drake Blvd Ste 1, Greenbrae, CA 94904-2307 | 2013-03-08 |
| 1295980647 | Robert Ching Chan | Urology | 1240 S Eliseo Dr Ste 200, Greenbrae, CA 94904-2028 | 2008-11-26 |
| 1255527024 | Rhunjay James Yu | Urology | 1000 S Eliseo Dr Ste 201, Greenbrae, CA 94904-2151 | 2007-09-14 |
| 1295754851 | Gary David Grossfeld | Urology | 1000 S. Eliseo Dr., Suite #201, Greenbrae, CA 94904 | 2006-07-18 |
| 1134107378 | Bart Gershbein | Urology | 1300 S Eliseo Drive, #104, Greenbrae, CA 94904 | 2006-01-06 |
| 1205002763 | Bart Gershbein | Urology | 1000 S Eliseo Dr, Greenbrae, CA 94904-2133 | 2008-05-05 |
| 1316042047 | Curtis Crane | Urology | 575 Sir Francis Drake Blvd, Ste 1, Greenbrae, CA 94904-2306 | 2006-09-14 |
| 1891713418 | Patrick Mulvey Bennett | Urology | 1000 S Eliseo Dr, Suite #201, Greenbrae, CA 94904-2133 | 2006-07-18 |
| 1326067919 | Harry Neuwirth | Urology | 1000 S. Eliseo Dr., Suite #201, Greenbrae, CA 94904 | 2006-07-18 |
| 1235169541 | Marin Urology Medical Group, Inc | Urology | 1000 S Eliseo Dr, Suite #201, Greenbrae, CA 94904-2133 | 2006-07-03 |
| Find all providers in GREENBRAE | ||||
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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.