DR. BRIAN PATRICK HAUCK (NPI# 1649384751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649384751 |
| Entity Type | Individual |
| Full Name | DR. BRIAN PATRICK HAUCK |
| Credential | MD |
| Practice Address |
234 Hospital Dr Ukiah CA 95482-4560 |
| Mailing Address |
2012 Castro St San Francisco CA 94131-2223 |
| Practice Telephone | 7074637356 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD23620 | ME | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
C50233 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0025670 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 360 Broadway Ste 100, Bangor, ME 044013985 | 2079073550 | 2079073562 |
| Street Address |
234 HOSPITAL DR |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-4560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316945702 | Harry Berj Matossian | Internal Medicine | 234 Hospital Dr, Ukiah, CA 95482-4560 | 2005-07-11 |
| 1164804761 | Adventist Health Physicians Network | Internal Medicine | 234 Hospital Dr, Ukiah, CA 95482-4560 | 2015-06-19 |
| 1851682850 | Harry B Matossian, M.d. | Clinic/Center | 234 Hospital Dr, Ukiah, CA 95482-4560 | 2011-04-25 |
| 1972673895 | Renee Vinyard | Physician Assistant | 234 Hospital Dr, Ukiah, CA 95482-4560 | 2006-11-08 |
| 1710071774 | Craig A Aronchick | Internal Medicine | 234 Hospital Dr, Ukiah, CA 95482-4560 | 2006-10-03 |
| 1003814229 | Harry B. Matossian | Clinic/Center | 234 Hospital Dr, Ukiah, CA 95482-4560 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902916323 | Brian L. Hanson | Internal Medicine | 415 Hospital Dr, Ukiah, CA 95482-4545 | 2006-08-30 |
| 1316945702 | Harry Berj Matossian | Internal Medicine | 234 Hospital Dr, Ukiah, CA 95482-4560 | 2005-07-11 |
| 1164804761 | Adventist Health Physicians Network | Internal Medicine | 234 Hospital Dr, Ukiah, CA 95482-4560 | 2015-06-19 |
| 1710071774 | Craig A Aronchick | Internal Medicine | 234 Hospital Dr, Ukiah, CA 95482-4560 | 2006-10-03 |
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| 1316581390 | Premier Digestive Health A Medical Corporation | Internal Medicine | 16350 Ventura Blvd # D539, Encino, CA 91436-5300 | 2019-11-01 |
| 1427604834 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave Ste 50, Lodi, CA 95240-5139 | 2019-08-12 |
| 1861045106 | Gary M Van Deventer Md Inc | Internal Medicine | 504 W Pueblo St Ste 201, Santa Barbara, CA 93105-6211 | 2019-07-16 |
| 1689232779 | Zelman Weingarten Md Inc | Internal Medicine | 101 E Beverly Blvd Ste 203, Montebello, CA 90640-4315 | 2019-06-03 |
| Find all providers with the same taxonomy | ||||
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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.