MARK DRUCKER (NPI# 1720013550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720013550 |
Entity Type | Individual |
Full Name | MARK DRUCKER |
Credential | D.P.M. |
Practice Address |
750 Las Gallinas Ave Suite 115 San Rafael CA 94903-3438 |
Practice Telephone | 4154725575 |
Practice Fax Number | 4154720502 |
Mailing Telephone | 4154725575 |
Mailing Fax Number | 4154720502 |
Enumeration Date | 2006-07-11 |
Last Update Date | 2011-01-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E1561 | CA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | TAX ID # | 94-2682725 | 01 |
CA | LICENSE # | E1561 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053440024 | Mark Drucker | General Practice | 4403 Manchester Ave, Ste. 107, Encinitas, CA 92024-4939 | 2007-03-05 |
1003880642 | Mark Drucker | Emergency Medicine | 4725 N Federal Hwy, Ft Lauderdale, FL 33308-4603 | 2006-02-13 |
1699753046 | Mark Drucker | Ophthalmology | 1855 San Miguel Dr, #28, Walnut Creek, CA 94596-5214 | 2006-01-05 |
Street Address |
750 LAS GALLINAS AVE SUITE 115 |
City | SAN RAFAEL |
State | CA |
Zip Code | 94903-3438 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063416311 | Michael Gerald Dab | Dentist | 750 Las Gallinas Ave, Ste 111, San Rafael, CA 94903-3431 | 2005-06-01 |
1538784251 | Ivy Deap | Hearing Instrument Specialist | 750 Las Gallinas Ave, San Rafael, CA 94903-3438 | 2020-06-09 |
1447556402 | Theresa Kamler | Massage Therapist | 750 Las Gallinas Ave, Suite 202, San Rafael, CA 94903-3438 | 2011-02-08 |
1952607657 | Mark Drucker, D.p.m., A Professional Corporation | Podiatrist | 750 Las Gallinas Ave, Suite 115, San Rafael, CA 94903-3438 | 2011-01-28 |
1548492549 | Alan Brenner Kimelman Md Inc | Physical Medicine & Rehabilitation | 750 Las Gallinas Ave, San Rafael, CA 94903-3438 | 2009-08-10 |
1124252416 | Sutter West Bay Medical Foundation | Family Medicine | 750 Las Gallinas Ave, #210, San Rafael, CA 94903-3438 | 2009-05-14 |
1912146382 | Laura Wahpepah | Nurse Practitioner | 750 Las Gallinas Ave, #210, San Rafael, CA 94903-3438 | 2009-02-09 |
1780857318 | Joseph H Greenberg Ltd A Medical Corp | Specialist | 750 Las Gallinas Ave, Suite 205, San Rafael, CA 94903-3438 | 2008-04-03 |
1881874709 | Bonnie Lynn Nickel | Ophthalmology | 750 Las Gallinas Ave, Suite 114, San Rafael, CA 94903-3438 | 2007-11-08 |
1821213109 | Melissa Emily Rinck | Dentist | 750 Las Gallinas Ave, Suite 215, San Rafael, CA 94903-3438 | 2007-04-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
Find all providers in zip 94903 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851950695 | Alexander Reyzelman, Dpm, Inc. | Podiatrist | 750 Las Gallinas Ave Ste 115, San Rafael, CA 94903-3431 | 2019-06-06 |
1952607657 | Mark Drucker, D.p.m., A Professional Corporation | Podiatrist | 750 Las Gallinas Ave, Suite 115, San Rafael, CA 94903-3438 | 2011-01-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
Find all providers with the same taxonomy |
City | SAN RAFAEL |
Zip Code | 94903 |
Please comment or provide details below to improve the information on MARK DRUCKER.
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.