MOBILE WOUND & DIAGNOSTICS INC (NPI# 1669010914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669010914 |
| Entity Type | Organization |
| Organization Name | MOBILE WOUND & DIAGNOSTICS INC |
| Practice Address |
165 Rowland Way Ste 208 Novato CA 94945-5055 |
| Mailing Address |
7 Oakmont Ct San Rafael CA 94901-1235 |
| Practice Telephone | 4152870859 |
| Practice Fax Number | 4152026228 |
| Mailing Telephone | 4042751396 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |
| Authorized Official Name | DR. ANTHONY GORDON (PRESIDENT) |
| Authorized Official Telephone | 4152870859 |
| Authorized Official Credential | MD, WCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers | ||
| N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
Nursing Service Providers | ||
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
165 ROWLAND WAY STE 208 |
| City | NOVATO |
| State | CA |
| Zip Code | 94945-5055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912968041 | Anthony K Gordon | Specialist | 165 Rowland Way Ste 208, Novato, CA 94945 | 2006-03-29 |
| 1538652003 | Marin Advanced Wound Center PC | Clinic/Center | 165 Rowland Way Ste 208, Novato, CA 94945-5055 | 2018-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639943 | Joseph Francis Bielefeld | Nurse Practitioner | Marinhealth, 75 Rowland Way, #230, Novato, CA 94945 | 2020-08-14 |
| 1255835203 | California Orthopedics & Spine Inc | Physical Therapist | 7100 Redwood Boulevard, Suite 200, Novato, CA 94945 | 2018-03-22 |
| 1932601648 | Dawn Cheree Holiday-bruner | Marriage & Family Therapist | 6965 Redwood Blvd, Novato, CA 94945 | 2018-03-08 |
| 1558789545 | Kristi Marie Hudson | Marriage & Family Therapist | 7250 Redwood Blvd., Suite 300, Novato, CA 94945 | 2014-04-07 |
| 1467738484 | Andrea E Lieberstein | Dietitian, Registered | 800 De Long Avenue, Suite 100, Novato, CA 94945 | 2011-10-24 |
| 1992954473 | Elizabeth Taryn Clark | Marriage & Family Therapist | 7250 Redwood Blvd Ste 320, Novato, CA 94945 | 2008-09-09 |
| 1255508453 | Renew Physical Therapy PC | Clinic/Center | 1427 Grant Ave, Novato, CA 94945 | 2008-05-15 |
| 1407032824 | Richard P. Knudsen | Pediatrics | 100 Rowland Way, Suite 300, Pulmonary and Sleep Associates of Marin, Novato, CA 94945 | 2008-01-16 |
| 1528250735 | Susan Jean Arndt | Counselor | 505-a San Marin Drive Suite 150, Novato, CA 94945 | 2007-08-11 |
| 1588871735 | Margaret Carol Pappas | Registered Nurse | 1025 Fifth Street, Novato, CA 94945 | 2007-05-17 |
| Find all providers in zip 94945 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113072 | Jonalyn Coronel | Specialist | 653 Canyon Rd, Novato, CA 94947-4331 | 2020-10-28 |
| 1871965194 | Steven Carroll | Specialist | 42 March Field Ct, Novato, CA 94949-6491 | 2015-10-26 |
| 1891079745 | Desert Womens Medical Group Inc | Specialist | 9 Commercial Blvd, Novato, CA 94949-6118 | 2011-10-10 |
| 1942464763 | Lucy Posey | Specialist | 131 Santa Maria Dr, Novato, CA 94947-3726 | 2008-07-10 |
| 1295931228 | Stephen Hahn-smith | Specialist | 201 Alameda Del Prado Ste 210, Novato, CA 94949-6698 | 2007-06-26 |
| 1033265079 | Peter R Rodriguez | Specialist | 2409 Vineyard Rd, Novato, CA 94947-3611 | 2007-01-25 |
| 1982751558 | Michael M. Bronshvag | Specialist | 10 Commercial Blvd, Suite 108, Novato, CA 94949-6175 | 2007-01-04 |
| 1750315727 | Stephen M. Krause M.d. A Medical Corporation | Specialist | 1025 5th St, Novato, CA 94945-2413 | 2006-07-10 |
| 1912968041 | Anthony K Gordon | Specialist | 165 Rowland Way Ste 208, Novato, CA 94945 | 2006-03-29 |
| 1639177934 | Peter Noneng Bretan | Specialist | 165 Rowland Way, Ste 303, Novato, CA 94945-5059 | 2005-07-11 |
| Find all providers in NOVATO | ||||
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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.