NIKOLA TESLOVICH (NPI# 1619439221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619439221 |
| Entity Type | Individual |
| Full Name | NIKOLA TESLOVICH |
| Credential | MD |
| Practice Address |
300 Pasteur Dr Stanford CA 94305-2200 |
| Mailing Address |
1117 Santa Cruz Ave Menlo Park CA 94025-5002 |
| Practice Telephone | 6507234000 |
| Mailing Telephone | 4127353381 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 11111 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
300 PASTEUR DR |
| City | STANFORD |
| State | CA |
| Zip Code | 94305-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729152 | Atulkumar Thakorlal Shah | Internal Medicine | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2005-06-08 |
| 1952913634 | Honey R Beddingfield | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2020-08-23 |
| 1790394369 | Olivier Veilleux | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2020-07-29 |
| 1588272827 | Maia Borensztein | Genetic Counselor, MS | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2020-07-22 |
| 1205444833 | Kristen Seeley | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2020-07-20 |
| 1568088540 | Zenebu Sinor Tegegne | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2020-06-24 |
| 1366068827 | Theresa Ina Brondstetter | Nurse Practitioner | 300 Pasteur Dr, Rm H0101, Mc 5623, Stanford, CA 94305-5623 | 2020-06-21 |
| 1760003024 | Lovemore Makusha | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2020-04-28 |
| 1467073676 | Keena R Patel | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2299 | 2020-04-28 |
| 1033730361 | Lap K Huynh | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2020-04-27 |
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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 |
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| 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 |
|---|---|---|---|---|
| 1285950329 | Amy D. Dobberfuhl | Urology | 300 Pasteur Drive, Grant Building S-287, Stanford Hospital - Dept. of Urology, Stanford, CA 94305 | 2010-04-14 |
| 1013335512 | Tony Chen | Urology | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2014-04-01 |
| 1437594496 | Timothy Chan Chang | Urology | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2013-05-05 |
| 1861836843 | Rustin Massoudi | Urology | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2013-04-22 |
| 1386987865 | Bogdana Schmidt | Urology | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2013-04-03 |
| 1376801936 | Kris Prado | Urology | 300 Pasteur Dr, Stanford, CA 94305 | 2012-05-01 |
| 1679708705 | Simon L Conti | Urology | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2009-05-19 |
| 1487897948 | Jay Bakul Shah | Urology | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2009-04-14 |
| 1689835738 | Alan E Thong | Urology | 300 Pasteur Dr, Mc 5118, Stanford, CA 94305-2200 | 2008-06-21 |
| 1508999749 | Michael Eisenberg | Urology | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2007-03-14 |
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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.