FREMONT EAT NOSE & THROAT MED GROUP INC (NPI# 1952464943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952464943 |
| Entity Type | Organization |
| Organization Name | FREMONT EAT NOSE & THROAT MED GROUP INC |
| Practice Address |
2557 Mowry Ave #30 Fremont CA 94538 |
| Practice Telephone | 5107979999 |
| Practice Fax Number | 5107979783 |
| Mailing Telephone | 5107979999 |
| Mailing Fax Number | 5107979783 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GORDON HOWARD EPSTEIN (SECRETARY) |
| Authorized Official Telephone | 5107979999 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0027800 | 05 |
| Street Address |
2557 MOWRY AVE #30 |
| City | FREMONT |
| State | CA |
| Zip Code | 94538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447220215 | East Bay Dermatology Medical Group Inc | Dermatology | 2557 Mowry Ave, Ste 34 and Ste 25, Fremont, CA 94538 | 2006-01-25 |
| 1316498421 | Pansmart Inc | Pharmacy | 2557 Mowry Ave, Suite # 11, Fremont, CA 94538-1603 | 2016-10-24 |
| 1629490362 | Olivia Danielle Martinez | Nurse Practitioner | 2557 Mowry Ave, Suite 25, Fremont, CA 94538-1603 | 2014-01-15 |
| 1518251701 | Harman Chawla | Internal Medicine | 2557 Mowry Ave, Suite 12, Fremont, CA 94538-1603 | 2011-06-05 |
| 1730345869 | Kalindi Oza | Audiologist | 2557 Mowry Ave, Suite 30, Fremont, CA 94538-1603 | 2008-07-29 |
| 1265598866 | Iraj Dulabi Zandi | Specialist | 2557 Mowry Ave, Suite 20, Fremont, CA 94538-1603 | 2006-12-28 |
| 1477662039 | Arun Srivatsa | Internal Medicine | 2557 Mowry Ave, Suite 12, Fremont, CA 94538-1603 | 2006-08-29 |
| 1972521060 | Jason Chu | Internal Medicine | 2557 Mowry Ave, Suite 12, Fremont, CA 94538-1603 | 2006-07-17 |
| 1457379554 | Marco Pavesi | Internal Medicine | 2557 Mowry Ave, Suite 12, Fremont, CA 94538-1603 | 2006-07-17 |
| 1962428896 | Muni Michael Barash | Internal Medicine | 2557 Mowry Ave, Suite 12, Fremont, CA 94538-1603 | 2006-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730267584 | Benjamin G. Ellenbogen | Otolaryngology | 45185 Onondaga Dr, Fremont, CA 94539-6739 | 2006-11-01 |
| 1770693335 | Shai Yeshajahu Shinhar | Otolaryngology | 605 3rd Ave Ste A, Fremont, OH 43420-3269 | 2006-08-30 |
| 1225143084 | Jason Van Tassel | Otolaryngology | 2557 Mowry Ave Ste 30, Fremont, CA 94538-1614 | 2006-08-20 |
| 1427094788 | Kevin Gersten | Otolaryngology | 39650 Liberty St, Fremont, CA 94538-2223 | 2006-06-22 |
| 1033101878 | Timothy C Kuo | Otolaryngology | 1550 E 23rd St, Fremont, NE 68025-2414 | 2005-08-18 |
| 1518223981 | Timothy Eun Ortlip | Otolaryngology | 2557 Mowry Ave Ste 30, Fremont, CA 94538 | 2012-04-10 |
| 1982917225 | Ruwan Kiringoda | Otolaryngology | 3200 Kearney St, Fremont, CA 94538-2299 | 2010-07-15 |
| 1225295033 | Sean Xun Wang | Otolaryngology | 3200 Kearney St., Fremont, CA 94538-4402 | 2008-05-20 |
| 1174675417 | Washington Township Medical Group | Otolaryngology | 38690 Stivers St, Suite A, Fremont, CA 94536-5279 | 2007-01-17 |
| 1619052370 | Scott K. Chiang | Otolaryngology | 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2006-10-25 |
| Find all providers in FREMONT | ||||
Please comment or provide details below to improve the information on FREMONT EAT NOSE & THROAT MED GROUP INC.
| 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.