RICHARD A NUSSER MD INC (NPI# 1750440194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750440194 |
| Entity Type | Organization |
| Organization Name | RICHARD A NUSSER MD INC |
| Practice Address |
365 Hawthorne Ave Suite 202 Oakland CA 94609 |
| Practice Telephone | 5104516074 |
| Practice Fax Number | 5104512620 |
| Mailing Telephone | 5104516074 |
| Mailing Fax Number | 5104512620 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LINDA E HAWK (OFFICE MANAGER) |
| Authorized Official Telephone | 5104516074 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
C337330 | CA | Allopathic & Osteopathic Physicians |
| X | 207RN0300X |
Internal Medicine Specialization: Nephrology |
C337330 | CA | Allopathic & Osteopathic Physicians |
| X | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
C337330 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C337330 | 05 |
| Street Address |
365 HAWTHORNE AVE SUITE 202 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184686156 | Rupert Roupen Horoupian | Specialist | 365 Hawthorne Ave, Suite 101, Oakland, CA 94609-3107 | 2006-04-05 |
| 1588061378 | First Surgical Consultants | General Acute Care Hospital | 365 Hawthorne Ave, 101, Oakland, CA 94609-3107 | 2014-11-24 |
| 1477826683 | Kelley Lockwood Brennan | Nurse Practitioner | 365 Hawthorne Ave, Suite 301, Oakland, CA 94609-3107 | 2012-02-17 |
| 1891084117 | Debbie Choi Man Chan | Physician Assistant | 365 Hawthorne Ave, #201, Oakland, CA 94609-3107 | 2011-04-07 |
| 1679701858 | Cheruba Prabakar | Obstetrics & Gynecology | 365 Hawthorne Ave, Ste 301, Oakland, CA 94609-3107 | 2009-06-26 |
| 1487813697 | Christa Kong | Physician Assistant | 365 Hawthorne Ave, Suite 201, Oakland, CA 94609-3107 | 2008-06-03 |
| 1922205442 | Associated Neurology Medical Group, Inc. | Psychiatry & Neurology | 365 Hawthorne Ave, Suite 203, Oakland, CA 94609-3107 | 2007-06-28 |
| 1720284011 | Thomas Raymond Hardey | Clinical Neuropsychologist | 365 Hawthorne Ave, Suite 104, Oakland, CA 94609-3107 | 2007-06-22 |
| 1992913859 | Diane Kwan | Surgery | 365 Hawthorne Ave, Suite 101, Oakland, CA 94609-3107 | 2007-05-21 |
| 1598806986 | Douglas Stannage Patton | Surgery | 365 Hawthorne Ave, Suite 101, Oakland, CA 94609 | 2007-02-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
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| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1073542684 | James E. Mcfeely | Internal Medicine | 411 30th St., Suite 314, Oakland, CA 94609-3312 | 2006-07-03 |
| 1013979525 | Richard A Nusser | Internal Medicine | 411 30th St Ste 314, Oakland, CA 94609-3312 | 2006-04-03 |
| 1679916878 | Cynthia Huang | Internal Medicine | 411 30th St Ste 314, Oakland, CA 94609 | 2013-04-08 |
| 1013218544 | Christopher Dinh Nguyen | Internal Medicine | 3600 Broadway Fl 3, Oakland, CA 94611-5730 | 2010-11-15 |
| 1215163183 | Sachin Gupta | Internal Medicine | 1411 E 31st St, Oakland, CA 94602-1018 | 2009-06-05 |
| 1619115227 | Yoshita Shroff | Internal Medicine | 350 30th St, Oakland, CA 94609-3424 | 2009-02-04 |
| 1972705457 | Vidhya Balasubramanian | Internal Medicine | 411 30th St, Suite 314, Oakland, CA 94609-3312 | 2007-06-05 |
| 1285706002 | Marketa Dolnik | Internal Medicine | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2006-11-15 |
| 1386721553 | Faith J Mccormack | Internal Medicine | 3012 Summit St, 2nd Floor, The Permanente Medical Group, Inc, Oakland, CA 94609-3480 | 2006-11-01 |
| 1639257413 | Bryon D. Quick | Internal Medicine | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2006-11-01 |
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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.