DR. MARC T. AWOBULUYI (NPI# 1962512145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962512145 |
Entity Type | Individual |
Full Name | DR. MARC T. AWOBULUYI |
Credential | M.D. |
Practice Address |
301 Mission St Unit 39d San Francisco CA 94105-2243 |
Mailing Address |
11995 Singletree Ln Suite 500 Eden Prairie MN 55344 |
Practice Telephone | 4153531668 |
Practice Fax Number | 4153538593 |
Mailing Telephone | 9525951100 |
Mailing Fax Number | 6122944903 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2017-08-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD.202613 | LA | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A84420 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 2438735 | 05 |
Street Address |
301 MISSION ST UNIT 39D |
City | SAN FRANCISCO |
State | CA |
Zip Code | 94105-2243 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174978498 | Bay Area Radiology, PC | Radiology | 301 Mission St, Unit 39d, San Francisco, CA 94105-2243 | 2016-04-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730792102 | Oladapo Tomori | Psychiatry & Neurology | Ginger, 116 New Montgomery Street, Suite 500, San Francisco, CA 94105 | 2020-08-26 |
1811524754 | Brightside Medical of New Jersey, P.C. | Psychiatry & Neurology | 156 2nd Street, San Francisco, CA 94105 | 2020-03-23 |
1437704244 | Inna Rostker, Dds A PC | Internal Medicine | 109 Stevenson Street Suite 200, San Francisco, CA 94105 | 2019-08-08 |
1114399730 | Kendrix Nguyen | Pharmacist | 50 Beale Street 12th Floor, Pharmacy Department, San Francisco, CA 94105 | 2015-10-22 |
1003233842 | Bradley James Bailey | Chiropractor | 605 Market St Ste 1250, San Francisco, CA 94105 | 2014-03-18 |
1497189013 | Kiyoka Hansen | Optometrist | 100 1st St #145, San Francisco, CA 94105 | 2013-08-30 |
1720337306 | Pauli Amornkul | Family Medicine | 50 Beale Street, Suite 1300, Iavi-caps, San Francisco, CA 94105 | 2012-08-29 |
1265753974 | Nicholas Cohen | Family Medicine | 333 1st St Ste A, San Francisco, CA 94105 | 2010-06-16 |
1629303706 | Sarah Gertler Schaaf | Emergency Medicine | 55 2nd St, San Francisco, CA 94105 | 2009-10-07 |
1578712105 | Sand C Chang | Psychologist | 625 Market St Fl 15, San Francisco, CA 94105 | 2008-09-18 |
Find all providers in zip 94105 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861995425 | Solano Diagnostics Partners, A Calif Limited Partnership | Radiology | 871 Lawton St, San Francisco, CA 94122-3541 | 2018-03-09 |
1144759697 | Iv Radiology Medical Group | Radiology | 1200 4th St Apt 426, San Francisco, CA 94158-2440 | 2017-06-08 |
1124559356 | Robert Earl Burky IIi | Radiology | 513 Parnassus Ave. S-321, Uscf - Department of Surgery, San Francisco, CA 94143-0470 | 2017-03-21 |
1487108403 | Stockdale Radiology Physician Services, Inc | Radiology | 1020 Francisco St, San Francisco, CA 94109-1127 | 2016-08-08 |
1700261765 | Riverside Radiology Medical Group, Inc. | Radiology | 400 Warren Dr, Apt. 4, San Francisco, CA 94131-1075 | 2015-07-20 |
1780070508 | Maya Vella | Radiology | 513 Parnassus Ave Rm S257a, San Francisco, CA 94143-2205 | 2015-04-08 |
1932598737 | Brian Trinh | Radiology | 513 Parnassus Ave # S257a, San Francisco, CA 94143-2205 | 2015-01-16 |
1164836607 | Marc-fernand Erian | Radiology | 1600 Divisadero St Rm C256, San Francisco, CA 94143-3010 | 2014-06-12 |
1770993271 | Ashley Lee | Radiology | 513 Parnassus Ave. Rm S-261, San Francisco, CA 94143-2205 | 2014-05-06 |
1194144170 | Sean Kelley | Radiology | 513 Parnassus Ave Ste S-261, San Francisco, CA 94143-2205 | 2014-04-07 |
Find all providers in SAN FRANCISCO |
City | SAN FRANCISCO |
Zip Code | 94105 |
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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.