MR. MARK BURRELL BAZALGETTE (NPI# 1891806014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891806014 |
Entity Type | Individual |
Full Name | MR. MARK BURRELL BAZALGETTE |
Credential | MD |
Practice Address |
165 Rowland Way Ste 200 Novato CA 94945-5055 |
Mailing Address |
5 Bon Air Rd Suite 101 Larkspur CA 94939-1143 |
Practice Telephone | 4158270344 |
Practice Fax Number | 4159242661 |
Mailing Telephone | 4159242515 |
Mailing Fax Number | 4159242661 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-01-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208C00000X | Colon & Rectal Surgery | A46290 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00A462900 | 05 |
Street Address |
165 ROWLAND WAY STE 200 |
City | NOVATO |
State | CA |
Zip Code | 94945-5055 |
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 | 208C00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Colon & Rectal Surgery |
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528437332 | George R. Moro | Colon & Rectal Surgery | 1140 W La Veta Ave Ste 830, Orange, CA 92868-4230 | 2015-09-22 |
1881087476 | Mark Paul Hachigian | Colon & Rectal Surgery | 16 Pinehurst Ln, Newport Beach, CA 92660-5229 | 2015-03-06 |
1982841250 | Central Valley Colon & Rectal Surgical Associates, Inc. | Colon & Rectal Surgery | 6121 N Thesta St Ste 202, Fresno, CA 93710-5294 | 2009-01-08 |
1972766970 | James Michael Conner | Colon & Rectal Surgery | 6450 Coyle Ave Ste 2, Carmichael, CA 95608-0313 | 2008-07-09 |
1063684850 | Marjun Philip Narciso Duldulao IIi | Colon & Rectal Surgery | 1450 San Pablo Street Suite 6200, Los Angeles, CA 90089-0112 | 2008-04-01 |
1144411414 | Theodore Coutsoftides | Colon & Rectal Surgery | 4061 Morning Star Dr, Huntington Beach, CA 92649-3009 | 2007-08-02 |
1023223849 | Robert Leroy Belt | Colon & Rectal Surgery | 31561 Table Rock Dr, Unit 108, Laguna Beach, CA 92651 | 2007-05-14 |
1063531176 | Chau V Dang Md Inc A Medical Corporation | Colon & Rectal Surgery | 5575 W Las Positas Blvd Ste 270, Pleasanton, CA 94588-5803 | 2007-03-28 |
1710029681 | Andrew Alan Shelton | Colon & Rectal Surgery | 875 Blake Wilbur Drive Clinic B, Stanford, CA 94305-5820 | 2007-02-13 |
1720139488 | Beth A Moore | Colon & Rectal Surgery | 8737 Beverly Blvd Ste 402, West Hollywood, CA 90048-1838 | 2007-01-16 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MR. MARK BURRELL BAZALGETTE.
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.