JON SIITERI (NPI# 1609801539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609801539 |
| Entity Type | Individual |
| Full Name | JON SIITERI |
| Credential | PA |
| Practice Address |
875 Blake Wilbur Drive Stanford CA 94305-5820 |
| Mailing Address |
875 Blake Wilbur Drive Stanford Hospital and Clinics Stanford CA 94305-5820 |
| Practice Telephone | 6504986000 |
| Practice Fax Number | 6507368003 |
| Mailing Telephone | 6504986000 |
| Mailing Fax Number | 6507368003 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
20110 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
875 BLAKE WILBUR DRIVE |
| City | STANFORD |
| State | CA |
| Zip Code | 94305-5820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932135290 | Melinda L Telli | Internal Medicine | 875 Blake Wilbur Drive, Mc 5820, Stanford, CA 94305 | 2006-06-25 |
| 1659829059 | Michelle S. Gonzales | Nurse Practitioner | 875 Blake Wilbur Drive, Cc-1314, Stanford, CA 94305 | 2016-09-14 |
| 1831569391 | Misty Mahaffey | Nurse Practitioner | 875 Blake Wilbur Drive, Stanford, CA 94305 | 2015-09-28 |
| 1104200575 | Vinay Thomas Fernandes | Otolaryngology | 875 Blake Wilbur Drive, Cc-2226a, Stanford, CA 94305 | 2015-07-16 |
| 1780006916 | Gregory Smith Moran | Nurse Practitioner | 875 Blake Wilbur Drive, Clinic E, Stanford, CA 94305 | 2014-01-07 |
| 1407193386 | Jessie Denise Coty | Nurse Practitioner | 875 Blake Wilbur Drive, Stanford, CA 94305-5820 | 2013-01-11 |
| 1043589880 | Sara Aileen Dudley | Student in an Organized Health Care Education/Training Program | 875 Blake Wilbur Drive, Cc-g222, Stanford, CA 94305-5847 | 2011-12-23 |
| 1568766442 | Siok-hian Tay-kelley | Nurse Practitioner | 875 Blake Wilbur Drive, Gastrointestinal Oncology Stanford Cancer Center, Stanford, CA 94305-2205 | 2011-01-06 |
| 1083918445 | Maricris Bertolano Dacumos | Nurse Practitioner | 875 Blake Wilbur Drive, Stanford, CA 94305 | 2010-12-28 |
| 1164737318 | Scott Victor Bratman | Radiology | 875 Blake Wilbur Drive, Stanford Cancer Center, Stanford, CA 94305-5847 | 2010-08-12 |
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| 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 |
| Find all providers in zip 94305 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750685293 | Erica Mikhli | Physician Assistant | 300 Pasteur Drive Cvrb 2nd Floor, Stanford, CA 94306 | 2010-12-24 |
| 1568657872 | Heather Ann Radford | Physician Assistant | 300 Pasteur Drive, Room H0101, Stanford Blood and Marrow Transplant Program, Stanford, MD 94305-5623 | 2007-09-10 |
| 1386197317 | Brooke Bailey Easter | Physician Assistant | 300 Pasteur Dr Rm H0101, Stanford, CA 94305-2200 | 2016-07-26 |
| 1932591245 | Jessica Marian Wirth | Physician Assistant | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2015-02-23 |
| 1427453471 | Genevieve Giraldeau | Physician Assistant | 300 Pasteur Dr, Falk Building - Cardiovascular Medicine, Stanford, CA 94305-2200 | 2014-11-01 |
| 1285908095 | Michael Olson | Physician Assistant | 300 Pasteur Drive, Stanford, CA 94305 | 2012-02-27 |
| 1720318892 | Mary Sheridan Bilbao | Physician Assistant | 300 Pasteur Dr, Mc: 5406, Stanford, CA 94305-2200 | 2010-01-12 |
| 1790940104 | Hardeep S Reddick | Physician Assistant | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2008-07-24 |
| 1164602793 | Amity Hall | Physician Assistant | 875 Blake Wilbur, Stanford, CA 94305-5820 | 2007-11-12 |
| 1275729584 | Ammie Wilson Rodden | Physician Assistant | 866 Campus Dr, Stanford, CA 94305-8508 | 2007-09-20 |
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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.