DR. ETHAN MATTHEW KUTZSCHER (NPI# 1700881661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700881661 |
| Entity Type | Individual |
| Full Name | DR. ETHAN MATTHEW KUTZSCHER |
| Credential | MD |
| Practice Address |
320 Lennon Ln Walnut Creek CA 94598 |
| Practice Telephone | 9259062010 |
| Mailing Telephone | 9259062010 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | A71949 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
320 LENNON LN |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487141974 | Siobhan Mark | Speech-Language Pathologist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2018-04-19 |
| 1649701202 | Margaret Rubio | Pharmacist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2017-03-24 |
| 1427589084 | Belinda Danielson | Pharmacist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2017-03-24 |
| 1750812301 | Michael Sharp | Pharmacist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2017-03-24 |
| 1336670298 | Zhuo Li | Pharmacist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2017-03-22 |
| 1093269573 | Sean Anthony Robinson | Physical Therapist | 320 Lennon Ln, Shasta Bldg #4, Walnut Creek, CA 94598-2410 | 2016-08-12 |
| 1003294794 | Linda Marie Heckenlively | Speech-Language Pathologist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2015-05-13 |
| 1215282207 | Lakshmi Sowjanya Mallela | Internal Medicine | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2012-07-17 |
| 1942576384 | David Chien-yuan Kung | Optometrist | 320 Lennon Ln, Optometry, Walnut Creek, CA 94598-2419 | 2012-03-30 |
| 1962772947 | Vanessa Antoinette Henriksen | Physical Therapist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2012-01-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1255775706 | Richard Lawrence Rabin | Ophthalmology | 1844 San Miguel Dr Ste 303, Walnut Creek, CA 94596-4963 | 2013-04-25 |
| 1518296045 | Lauren Allison Crow Caston | Ophthalmology | 320 Lennon Lane, Shasta Building, Park Shadelands Medical Offices, Kaiser Dept of Opthalm, Walnut Creek, CA 94598 | 2009-12-11 |
| 1134397730 | Marlee Jean Holmes | Ophthalmology | 154 Brodia Way, Walnut Creek, CA 94598-4920 | 2008-02-15 |
| 1669689691 | Don R Wolff Md Inc | Ophthalmology | 2021 Ygnacio Valley Rd Ste C102, Walnut Creek, CA 94598-3382 | 2007-05-17 |
| 1316003304 | Tushar Ranchod | Ophthalmology | 122 La Casa Via Ste 223, Walnut Creek, CA 94598-3014 | 2006-12-28 |
| 1033297536 | David D. Gilbert | Ophthalmology | 112 La Casa Via Ste 260, Walnut Creek, CA 94598-3068 | 2006-11-01 |
| 1790888196 | Patricia L. Austin | Ophthalmology | 1270 Arroyo Way, Walnut Creek, CA 94596-4216 | 2006-09-07 |
| 1922014851 | Samir Bipin Shah | Ophthalmology | 301 Lennon Lane, Suite 201, Walnut Creek, CA 94598 | 2006-07-31 |
| 1821023755 | Steven A. Harrison | Ophthalmology | 1299 Newell Hill Pl, Suite 103, Walnut Creek, CA 94596-5292 | 2006-07-11 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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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.