CAROLINE BERUBE


Address: 875 Blake Wilbur Dr, Stanford, CA 94305-5821
Phone: 6507239729

CAROLINE BERUBE (NPI# 1538201405) 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) 1538201405
Entity Type Individual
Full Name CAROLINE BERUBE
Credential M.D.
Practice Address 875 Blake Wilbur Dr
Stanford
CA 94305-5821
Practice Telephone 6507239729
Enumeration Date 2007-02-13
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0000X Internal Medicine
Specialization: Hematology
G86293 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G862930 05

Office Location

Street Address 875 BLAKE WILBUR DR
City STANFORD
State CA
Zip Code 94305-5821

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710439377 Chandley Partridge Silin Nurse Practitioner 875 Blake Wilbur Dr, Stanford, CA 94305-2200 2016-10-31
1942669700 Taylor Lynn Fogel Physician Assistant 875 Blake Wilbur Dr, Stanford, CA 94305 2016-02-22
1326320094 Debbie Joyce Tuttle Nurse Practitioner 875 Blake Wilbur Dr, Mc 5820, Stanford, CA 94305-2200 2011-09-19
1609034222 Laurie Anne Tupper Nurse Practitioner 875 Blake Wilbur Dr, Stanford Cancer Center, Stanford, CA 94305-5847 2008-05-30
1669668323 Nam Kyoung Cho Radiology 875 Blake Wilbur Dr, Stanford, CA 94305 2007-09-17
1225224991 Ann Yuriko Minn Radiology 875 Blake Wilbur Dr, Mc 5847, Stanford, CA 94305-5847 2007-09-17
1023210689 Ann Johnson Physician Assistant 875 Blake Wilbur Dr, Stanford, CA 94305 2007-06-04
1568500551 Scott Gerard Soltys Radiology 875 Blake Wilbur Dr, Stanford, CA 94305-5847 2007-02-02
1992843916 Phyllis Jacquelyn Yang Radiology 875 Blake Wilbur Dr, #2234, Stanford, CA 94305-5826 2007-02-02
1851437131 Michael Jay Kaplan Otolaryngology 875 Blake Wilbur Dr, Cc-2225, Stanford, CA 94305-5826 2007-01-30
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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 207RH0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology

Taxonomy Definition

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609918556 Michaela Liedtke Internal Medicine 875 Blake Wilbur, Stanford, CA 94305 2007-02-13
1285791756 Robert S Negrin Internal Medicine 300 Pasteur Dr.h3249, Mc 5623, Room H3249, Stanford, CA 94305 2007-01-03
1417375627 Alfred Chung Internal Medicine 300 Pasteur Dr, Lane 154, Stanford, CA 94305-2200 2014-04-03
1770872632 Mark Ping Chao Internal Medicine 300 Pasteur Dr, Stanford, CA 94305-2200 2011-03-31
1760771737 Tian Yi Zhang Internal Medicine 300 Pasteur Dr, Stanford, CA 94305 2011-03-30
1669633871 Steven Man Cheong Chan Internal Medicine 300 Pasteur Dr, Stanford, CA 94305-2200 2008-06-19
1912033978 Peter L Greenberg Internal Medicine 875 Blake Wilbur Drive, Room 2335, Stanford Univ Cancer Center, Stanford, CA 94305 2007-02-26
1669508826 James L. Zehnder Internal Medicine 300 Pasteur Dr, Stanford, CA 94305-2200 2007-02-24
1881739530 Sally Arai Internal Medicine 300 Pasteur Dr, H3249, Stanford, CA 94305-2200 2007-02-20
1609954825 Calvin Kuo Internal Medicine 269 Campus Dr, Department of Hematology - Ccsr 1155, Stanford, CA 94305-5101 2006-11-02
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Competitor

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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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