STANFORD UNIVERSITY


Address: 401 Quarry Rd, Stanford, CA 94305
Phone: 8476440786

STANFORD UNIVERSITY (NPI# 1518490291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518490291
Entity Type Organization
Organization Name STANFORD UNIVERSITY
Practice Address 401 Quarry Rd
Stanford
CA 94305
Mailing Address 2515 Kemper Rd
Apt 510
Shaker Heights
OH 44120-5500
Practice Telephone 8476440786
Mailing Telephone 8476440786
Enumeration Date 2017-04-10
Last Update Date 2017-04-10
Authorized Official Name MARCY KULAKOW (REGISTRAR STANFORD GME)
Authorized Official Telephone 6507235948
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1629322375 Stanford University General Acute Care Hospital 129 Mosher Way, Palo Alto, CA 94304-2417 2012-11-02
1073873030 Stanford University General Acute Care Hospital 300 Pasteur Dr Rm G333, Stanford, CA 94305-2200 2012-05-24
1538696299 Stanford University Pathology 450 Serra Mall, Palo Alto, CA 94305-2004 2017-05-12
1841591773 Stanford University Special Hospital 300 Pasteur Dr, # H3680, Stanford, CA 94305-5655 2010-11-09
1609189687 Stanford University General Acute Care Hospital 875 Blake Wilbur Drive, Stanford, CA 94305-5847 2010-07-20
1023208030 Stanford University General Acute Care Hospital 300 Pasteur Dr, Room G306, Stanford, CA 94305-2200 2007-07-26
1639383193 Stanford University General Acute Care Hospital 780 Welch Rd, Suite 106, Palo Alto, CA 94304-1516 2007-05-10

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities STANFORD UNIVERSITY 450 Jane Stanford Way, Stanford, CA 94305-2004
System for Award Management (SAM) Entities STANFORD UNIVERSITY MEDICAL NETWORK RISK AUTHORITY, LLC 1510 Page Mill Rd Ste 109, Palo Alto, CA 94304-1133

Office Location

Street Address 401 QUARRY RD
City STANFORD
State CA
Zip Code 94305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538616651 Jennifer Alexis Ortiz Psychologist 401 Quarry Rd, Dept. of Psychiatry, Stanford, CA 94305-5722 2016-09-07
1598169161 Matthew Kendra Psychologist 401 Quarry Rd, Stanford, CA 94306 2014-10-10
1376956706 Ana Vanessa A Wren Psychologist 401 Quarry Rd, Stanford, CA 94305 2014-06-03
1629400304 Adrianna Wechsler Zimring Psychologist 401 Quarry Rd, Stanford, CA 94305-5719 2013-08-05
1043656937 Monica Sinha-evenson Psychiatry & Neurology 401 Quarry Rd, Suite 2204, Stanford, CA 94305 2013-05-17
1952680373 Lian Bloch Psychologist 401 Quarry Rd, Stanford, CA 94305 2011-08-16
1770887713 Kathleen Marie Corcoran Psychologist 401 Quarry Rd, Stanford, CA 94305-5722 2011-01-05
1548580855 Rania Awaad Psychiatry & Neurology 401 Quarry Rd, Ste 2206, Stanford, CA 94305-2200 2010-06-09
1730315136 Lauren A. Mikula Schneider Psychologist 401 Quarry Rd, Stanford, CA 94305 2009-06-01
1598952517 Mickey Todd Trockel Psychiatry & Neurology 401 Quarry Rd, Stanford, CA 94305-5723 2007-10-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760092126 Meilin Liang Physician Assistant 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 2020-07-31
1356962484 Shuo Cai Student in an Organized Health Care Education/Training Program 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 2020-04-29
1760046916 Jennifer M Piselli Physician Assistant 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 2019-04-23
1912482365 Martin Nikolaus Stienen Neurological Surgery Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 2018-10-02
1043797434 Natalie Lynn Dykzeul Genetic Counselor, MS 300 Pasteur Drive H315, Stanford, CA 94305 2018-07-27
1144727223 Kingsley Anuoluwapo Oladeji Student in an Organized Health Care Education/Training Program Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 2018-04-06
1437675402 Abhinav Sharma Internal Medicine 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 2017-08-21
1194258491 Silvia Paola Russo Student in an Organized Health Care Education/Training Program 300 Pasteur Dr # H3144, Palo Alto, CA 94305 2017-04-04
1649629155 Jason Ross Student in an Organized Health Care Education/Training Program Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 2016-06-06
1588010235 Brian Dang Pharmacist 500 Pasteur Drive Room J010, Stanford, CA 94305 2016-05-12
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Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053964536 Sabina Pamela Wilhelmine Guenther Thoracic Surgery (Cardiothoracic Vascular Surgery) 300 Pasteur Dr, Stanford, CA 94305-2200 2019-07-23
1558822841 Yuanjia Zhu Thoracic Surgery (Cardiothoracic Vascular Surgery) 300 Pasteur Dr, Stanford, CA 94305-2200 2019-03-28
1962999615 Manan Desai Thoracic Surgery (Cardiothoracic Vascular Surgery) 300 Pasteur Dr, Stanford, CA 94305-2200 2018-04-18
1841796976 Oluwatomisin Obafemi Thoracic Surgery (Cardiothoracic Vascular Surgery) 300 Pasteur Dr, Stanford, CA 94305-2200 2018-04-05
1568986818 Maria Elizabeth Currie Thoracic Surgery (Cardiothoracic Vascular Surgery) 300 Pasteur Dr, Stanford, CA 94305-2200 2017-07-28
1497185250 Konstantinos Spiliotopoulos Thoracic Surgery (Cardiothoracic Vascular Surgery) 300 Pasteur Dr, Stanford, CA 94305-2200 2013-11-14
1558658153 Scott Alan Hittinger Thoracic Surgery (Cardiothoracic Vascular Surgery) 300 Pasteur Dr, Stanford, CA 94305-2200 2011-07-01
1457671117 Richard-tien Van Ha Thoracic Surgery (Cardiothoracic Vascular Surgery) 300 Pasteur Dr, Mc:5500, Stanford, CA 94305-2200 2010-06-04
1134445158 Michael Ma Thoracic Surgery (Cardiothoracic Vascular Surgery) 300 Pasteur Dr, Stanford, CA 94305-2200 2010-04-15
1932338217 Elan C Burton Thoracic Surgery (Cardiothoracic Vascular Surgery) 300 Pasteur Dr, Stanford, CA 94305-2200 2009-07-08
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City STANFORD
Zip Code 94305

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Dataset Information

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.

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