LAURA M PROLO (NPI# 1831455781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831455781 |
| Entity Type | Individual |
| Full Name | LAURA M PROLO |
| Credential | MD, PHD |
| Practice Address |
725 Welch Rd Palo Alto CA 94304-1601 |
| Practice Telephone | 6504978000 |
| Mailing Telephone | 6504978000 |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | A126464 | CA | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | MD60928831 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1831455781 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1959 Ne Pacific St, Seattle, WA 981952200 | 2065205000 |
| Street Address |
725 WELCH RD |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487658332 | Allen E Eskenazi | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2005-06-09 |
| 1689275059 | Colin Elie | Physician Assistant | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-11-03 |
| 1205434545 | Heather Casale | Dietitian, Registered | 725 Welch Rd, Palo Alto, CA 94304-1614 | 2020-10-09 |
| 1427655851 | Rachel Chapman | Clinical Nurse Specialist | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-10-08 |
| 1083220800 | Morgan Kailey Kosar | Nurse Practitioner | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-09-17 |
| 1164037644 | Matthew Ang Ly | Nurse Practitioner | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-09-11 |
| 1790398105 | Molly Mcguinness | Genetic Counselor, MS | 725 Welch Rd, Palo Alto, CA 94304-1614 | 2020-08-25 |
| 1811509292 | Stephanie Quinn Hutsell | Pharmacist | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-08-18 |
| 1487270120 | Koyelle Papneja | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-06-18 |
| 1881219715 | Judith M Flood | Nurse Practitioner | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841638293 | Amit Bhasker Ayer | Neurological Surgery | 213 Quarry Rd Fl 2, Palo Alto, CA 94304-1416 | 2013-06-07 |
| 1063690808 | Tim E. Darsaut | Neurological Surgery | 1237 Clark Way, Palo Alto, CA 94304-2333 | 2008-02-04 |
| 1407059181 | Juan Carlos Fernandez-miranda | Neurological Surgery | 213 Quarry Rd Rm 2851, Palo Alto, CA 94304-1416 | 2007-06-08 |
| 1386279818 | Syed Uzair Ahmed | Neurological Surgery | 213 Quarry Rd, Palo Alto, CA 94304-1416 | 2020-03-04 |
| 1306347679 | Mark Bigder | Neurological Surgery | 213 Quarry Road, Stanford Neuroscience Health Center, Palo Alto, CA 94304-5979 | 2018-02-22 |
| 1538535612 | Maleeha Ahmad | Neurological Surgery | 213 Quarry Rd, Palo Alto, CA 94304-1416 | 2015-08-12 |
| 1184068835 | Derek William Yecies | Neurological Surgery | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2013-04-24 |
| 1083974422 | Linden Elizabeth Fornoff | Neurological Surgery | 730 Welch Rd, Palo Alto, CA 94304 | 2012-05-19 |
| 1003199589 | Abdulrazag M Ajlan | Neurological Surgery | 300 Pasteur Dr, Boswell Building, A301, Palo Alto, CA 94305-5327 | 2011-09-21 |
| 1336469659 | Ciara Dorothy Harraher | Neurological Surgery | 300 Pasteur Dr, Palo Alto, CA 94304-2203 | 2010-06-09 |
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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.