MARK BAZALGETTE, M.D., INC. (NPI# 1629386867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629386867 |
| Entity Type | Organization |
| Organization Name | MARK BAZALGETTE, M.D., INC. |
| Practice Address |
1300 S Eliseo Dr Suite 203 Greenbrae CA 94904-2023 |
| Practice Telephone | 4154613300 |
| Practice Fax Number | 4154612934 |
| Mailing Telephone | 4154613300 |
| Mailing Fax Number | 4154612934 |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |
| Authorized Official Name | MRS. KIMBERLY PARDINI (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 4154613300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | A46290 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1300 S ELISEO DR SUITE 203 |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003887324 | David L Ogden | Internal Medicine | 1300 S Eliseo Dr, 203, Greenbrae, CA 94904-2023 | 2006-01-27 |
| 1376087882 | Gila C. Dorostkar, Dds, PC | Dentist | 1300 S Eliseo Dr, Suite 100, Greenbrae, CA 94904-2023 | 2016-12-19 |
| 1649667072 | Kwok Internal Medicine A Medical Corporation | Internal Medicine | 1300 S Eliseo Dr, Suite 203, Greenbrae, CA 94904-2023 | 2015-04-23 |
| 1780025361 | Marin Personalized Medicine, Inc. | Clinic/Center | 1300 S Eliseo Dr, Ste. # 203, Greenbrae, CA 94904-2023 | 2013-07-11 |
| 1225478936 | Cicely Brooke Smith | Dentist | 1300 S Eliseo Dr, Suite 100, Greenbrae, CA 94904-2023 | 2013-06-26 |
| 1538489109 | Marin Nephrology | Internal Medicine | 1300 S Eliseo Dr, Suite 104, Greenbrae, CA 94904-2023 | 2010-06-07 |
| 1508007535 | Marin Surgical Associates | Surgery | 1300 S Eliseo Dr, Greenbrae, CA 94904-2023 | 2009-03-21 |
| 1699974899 | Anne M. Cummings, M.d. A Medical Corporation | Internal Medicine | 1300 S Eliseo Dr, Suite 201, Greenbrae, CA 94904-2023 | 2007-07-17 |
| 1558560482 | Genevieve Estilo | Internal Medicine | 1300 S Eliseo Dr, Suite 104, Greenbrae, CA 94904-2023 | 2007-07-11 |
| 1790983237 | Benjamin Joseph Nichols | Dermatology | 1300 S Eliseo Dr, Suite 207, Greenbrae, CA 94904-2023 | 2007-07-05 |
| 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 | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528437332 | George R. Moro | Colon & Rectal Surgery | 1140 W La Veta Ave Ste 830, Orange, CA 92868-4230 | 2015-09-22 |
| 1881087476 | Mark Paul Hachigian | Colon & Rectal Surgery | 16 Pinehurst Ln, Newport Beach, CA 92660-5229 | 2015-03-06 |
| 1982841250 | Central Valley Colon & Rectal Surgical Associates, Inc. | Colon & Rectal Surgery | 6121 N Thesta St Ste 202, Fresno, CA 93710-5294 | 2009-01-08 |
| 1972766970 | James Michael Conner | Colon & Rectal Surgery | 6450 Coyle Ave Ste 2, Carmichael, CA 95608-0313 | 2008-07-09 |
| 1063684850 | Marjun Philip Narciso Duldulao IIi | Colon & Rectal Surgery | 1450 San Pablo Street Suite 6200, Los Angeles, CA 90089-0112 | 2008-04-01 |
| 1144411414 | Theodore Coutsoftides | Colon & Rectal Surgery | 4061 Morning Star Dr, Huntington Beach, CA 92649-3009 | 2007-08-02 |
| 1023223849 | Robert Leroy Belt | Colon & Rectal Surgery | 31561 Table Rock Dr, Unit 108, Laguna Beach, CA 92651 | 2007-05-14 |
| 1063531176 | Chau V Dang Md Inc A Medical Corporation | Colon & Rectal Surgery | 5575 W Las Positas Blvd Ste 270, Pleasanton, CA 94588-5803 | 2007-03-28 |
| 1710029681 | Andrew Alan Shelton | Colon & Rectal Surgery | 875 Blake Wilbur Drive Clinic B, Stanford, CA 94305-5820 | 2007-02-13 |
| 1720139488 | Beth A Moore | Colon & Rectal Surgery | 8737 Beverly Blvd Ste 402, West Hollywood, CA 90048-1838 | 2007-01-16 |
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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.