PETER S UZELAC MD, INC (NPI# 1942685102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942685102 |
| Entity Type | Organization |
| Organization Name | PETER S UZELAC MD, INC |
| Other Organization Name | MARIN FERTILITY CENTER |
| Practice Address |
1100 S Eliseo Dr Suite 107 Greenbrae CA 94904-2017 |
| Practice Telephone | 4159259404 |
| Practice Fax Number | 4154847045 |
| Mailing Telephone | 4159259404 |
| Mailing Fax Number | 4154847045 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |
| Authorized Official Name | DR. PETER S UZELAC (OWNER) |
| Authorized Official Telephone | 4159259404 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
A72448 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Marin Fertility Center | Doing Business As Name - Organization |
| Street Address |
1100 S ELISEO DR SUITE 107 |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194718056 | Marin Endoscopy Center, LLC | Clinic/Center | 1100 S Eliseo Dr, Suite 3, Greenbrae, CA 94904-2017 | 2005-08-25 |
| 1154830180 | Mfc Surgery Center | Obstetrics & Gynecology | 1100 S Eliseo Dr, Ste 107, Greenbrae, CA 94904 | 2017-09-21 |
| 1588106579 | Jessica Hovatter | Nurse Practitioner | 1100 S Eliseo Dr, Suite 1, Greenbrae, CA 94904-2017 | 2016-11-08 |
| 1881018828 | Audiology Services of Marin, Inc. | Hearing Aid Equipment | 1100 S Eliseo Dr, 108, Greenbrae, CA 94904-2017 | 2014-02-11 |
| 1770913741 | Marin Healthcare District | Internal Medicine | 1100 S Eliseo Dr, Suite 2a, Greenbrae, CA 94904-2017 | 2013-11-12 |
| 1891124632 | Marin Healthcare District | Surgery | 1100 S Eliseo Dr, Suite 2a, Greenbrae, CA 94904-2017 | 2013-11-02 |
| 1043588767 | Peter Uzelac Md, Inc | Specialist | 1100 S Eliseo Dr, Suite 107, Greenbrae, CA 94904-2017 | 2011-12-08 |
| 1861649188 | Francis William Parnell | Otolaryngology | 1100 S Eliseo Dr, Suite2, Greenbrae, CA 94904-2017 | 2008-08-19 |
| 1508055138 | Rina S Marfatia | Internal Medicine | 1100 S Eliseo Dr, Suite 2a, Greenbrae, CA 94904-2017 | 2007-10-19 |
| 1588706543 | Marin Pediatric Associates, A Medical Corporation | Pediatrics | 1100 S Eliseo Dr, Ste 106, Greenbrae, CA 94904-2017 | 2007-02-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
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| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345789 | Peter S Uzelac | Obstetrics & Gynecology | 1100 S Eliseo Dr Ste 107, Attn: Jaimie Vigil, Greenbrae, CA 94904-2017 | 2005-06-13 |
| 1154830180 | Mfc Surgery Center | Obstetrics & Gynecology | 1100 S Eliseo Dr, Ste 107, Greenbrae, CA 94904 | 2017-09-21 |
| 1003044553 | Jennifer Agard | Obstetrics & Gynecology | 1100 S Eliseo Dr Ste 107, Greenbrae, CA 94904-2017 | 2009-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363552 | Global Premier Fertility - Orange County PC Dba Rise Fertility | Obstetrics & Gynecology | 3333 W Coast Hwy Ste 300, Newport Beach, CA 92663-4058 | 2020-07-13 |
| 1326665621 | Reproductive Medicine Associates of San Diego | Obstetrics & Gynecology | 4510 Executive Dr Ste 150, San Diego, CA 92121-2155 | 2020-07-02 |
| 1861958985 | Lin Fertility Ivf Network, Inc. | Obstetrics & Gynecology | 400 E Rincon St Ste 108, Corona, CA 92879-1389 | 2019-02-13 |
| 1235646985 | Los Angeles Reproductive Center | Obstetrics & Gynecology | 16055 Ventura Blvd Ste 1127, Encino, CA 91436-2612 | 2018-01-03 |
| 1033575956 | Lane Fertility Institute | Obstetrics & Gynecology | 101 Rowland Way Ste 305, Novato, CA 94945-5056 | 2016-01-07 |
| 1992065692 | Tracy Nicole Hadnott Harrison | Obstetrics & Gynecology | 9500 Gilman Drive #0633, La Jolla, CA 92093-0633 | 2012-05-29 |
| 1043584956 | Harvey S Richmond A Prof Corp | Obstetrics & Gynecology | 8631 W. Third St, #240e, Los Angeles, CA 90048 | 2012-02-24 |
| 1992088926 | Scott J Morin | Obstetrics & Gynecology | 150 Spear St Ste 500, San Francisco, CA 94105-1537 | 2011-09-26 |
| 1477846095 | Tannaz Toloubeydokhti | Obstetrics & Gynecology | 9500 Gilman Dr Dept 633, La Jolla, CA 92093-0633 | 2011-05-16 |
| 1770883050 | Homayoun Sadeghi, Md Inc | Obstetrics & Gynecology | 312 S. Beverly Drive #3861, Beverly Hills, CA 90212-0861 | 2010-11-02 |
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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.