DR. GENNADY KOLODENKER (NPI# 1659516151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659516151 |
| Entity Type | Individual |
| Full Name | DR. GENNADY KOLODENKER |
| Credential | DPM |
| Practice Address |
16405 Sand Canyon Ave Suite 270 Irvine CA 92618-3785 |
| Practice Telephone | 9496511202 |
| Practice Fax Number | 9495529493 |
| Mailing Telephone | 9496511202 |
| Mailing Fax Number | 9495529493 |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2017-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
E4880 | CA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E4880 | CA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
16405 SAND CANYON AVE SUITE 270 |
| City | IRVINE |
| State | CA |
| Zip Code | 92618-3785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225293095 | Hasan Badday | Pain Medicine | 16405 Sand Canyon Ave, Suite 215, Irvine, CA 92618-3785 | 2008-07-22 |
| 1962015222 | Pain Free Essentials | Nurse Anesthetist, Certified Registered | 16405 Sand Canyon Ave, Suite 215, Irvine, CA 92618-3785 | 2020-08-26 |
| 1427581222 | Andrew Yang | Podiatrist | 16405 Sand Canyon Ave, Ste 270, Irvine, CA 92618-3792 | 2017-04-07 |
| 1316395270 | Irvine Surgical Partners LLC | Clinic/Center | 16405 Sand Canyon Ave, Building A Suite 100, Irvine, CA 92618-3785 | 2016-06-01 |
| 1447608088 | Irvine Endoscopy Partners LLC | Clinic/Center | 16405 Sand Canyon Ave, Building A Suite 110, Irvine, CA 92618-3785 | 2016-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982306 | Zermina Akbary | Registered Nurse | 131 Theme, Irvine, Irvine, CA 92618 | 2020-05-04 |
| 1760028575 | Leibow Psychology Group, PC | Counselor | 7725 Gateway #4203, Irvine, CA 92618 | 2019-11-27 |
| 1790263713 | Jw Professional Dental Corporation | Dentist | 14785 Jeffrey Rd. Ste 200, Irvine, CA 92618 | 2018-08-01 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1952899221 | Oneness Health Group Inc | Chiropractor | 25 Deergrass, Irvine, CA 92618 | 2018-04-23 |
| 1144738899 | Morvarid Emamy | Dentist | 23448 Spectrum, Irvine, CA 92618 | 2018-01-16 |
| 1083123194 | Ning Wang | Behavioral Analyst | 9844 Research Dr Ste 100, Irvine, CA 92618 | 2017-09-21 |
| 1043679715 | Dent All By Dr. Z | Dentist | 15362 Alton Parkway, Irvine, CA 92618 | 2016-02-23 |
| 1265897862 | Whitney Elyse Davies | Physical Therapist | 26650 Alton Parkway, Irvine, CA 92618 | 2015-12-23 |
| 1245619295 | Nora Witt | Registered Nurse | 16205 Sand Canyon Avenue, Suite 100, Irvine, CA 92618 | 2015-05-22 |
| Find all providers in zip 92618 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496318 | Michaelbastanidpm | Podiatrist | 22 Odyssey Ste 115, Irvine, CA 92618-3188 | 2020-01-08 |
| 1265817605 | Charles Chen Loc | Podiatrist | 1001 Health Sciences Road 252 Irvine Hl, Irvine, CA 92697-3950 | 2015-07-28 |
| 1629413562 | Michael Alan Coyer | Podiatrist | 16405 Sand Canyon Ave Ste 270, Irvine, CA 92618-3792 | 2013-05-06 |
| 1740502665 | Carl Jason Hoeger | Podiatrist | 18952 Mac Arthur Blvd, Suite 102, Irvine, CA 92612-1401 | 2010-02-19 |
| 1013961788 | David Yang | Podiatrist | 18 Endeavor, Ste 206, Irvine, CA 92618-3181 | 2006-05-19 |
| 1285683920 | Parkson Jiann Lin | Podiatrist | 2 Hughes, Ste 150, Irvine, CA 92618-2036 | 2006-05-09 |
| 1427581222 | Andrew Yang | Podiatrist | 16405 Sand Canyon Ave, Ste 270, Irvine, CA 92618-3792 | 2017-04-07 |
| 1003168626 | Peter C. Kim, D.p.m. | Podiatrist | 62 Corporate Park, 245, Irvine, CA 92606-3122 | 2012-10-05 |
| 1962791087 | Artisan Foot and Ankle Specialist | Podiatrist | 22 Odyssey, Suite 115, Irvine, CA 92618-3186 | 2011-03-29 |
| 1053616086 | Foot and Ankle Specialist | Podiatrist | 4950 Barranca Pkwy, 308, Irvine, CA 92604-4671 | 2011-01-23 |
| Find all providers in IRVINE | ||||
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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.