Elizabeth Mole (NPI# 1376979237, PAC ID# 3476863119) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1376979237 |
| PAC ID by PECOS | 3476863119 |
| Professional Enrollment ID | I20160218000248 |
| Full Name | Elizabeth Mole |
| Organization Legal Name | HIAWATHA HARRIS MD INC. |
| Address |
5674 Stoneridge Dr Suite 205 Pleasanton CA 94588-8585 |
| Phone Number | 9255200005 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1052580115 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5674 Stoneridge Dr, Suite 205, Pleasanton, CA 94588-8585 | 9255200005 | HIAWATHA HARRIS MD INC. |
| Organization Legal Name | HIAWATHA HARRIS MD INC. |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandi Nicole Jackson | Clinical Social Worker | Hiawatha Harris Md Inc. | 2608 Central Ave, Suite 1, Union City, CA 94587-3148 |
| Marina Obolnikov | Psychiatry | Hiawatha Harris Md Inc. | 1700 Broadway, Suite 500, Oakland, CA 94612-2141 |
| Gordon Juan | Psychiatry | Hiawatha Harris Md Inc. | 2608 Central Ave, Suite 1, Union City, CA 94587-3148 |
| Lester E Love | Psychiatry | Hiawatha Harris Md Inc. | 1700 Broadway, Suite 500, Oakland, CA 94612-2141 |
| Joan Alviar Fraino | Nurse Practitioner | Hiawatha Harris Md Inc. | 5674 Stoneridge Dr, Suite 205, Pleasanton, CA 94588-8585 |
| Carolyn D Harris-muchell | Nurse Practitioner | Hiawatha Harris Md Inc. | 1700 Broadway, Suite 500, Oakland, CA 94612-2141 |
| Gilda R Versales | Psychiatry | Hiawatha Harris Md Inc. | 2608 Central Ave, Suite 1, Union City, CA 94587-3148 |
| Danicka Xuan Le | Nurse Practitioner | Hiawatha Harris Md Inc. | 2608 Central Ave, Suite 1, Union City, CA 94587-3148 |
| Yasin Mansoor | Psychiatry | Hiawatha Harris Md Inc. | 2608 Central Ave, Suite 1, Union City, CA 94587-3148 |
| Gwendolyn Rothman | Psychiatry | Hiawatha Harris Md Inc. | 1700 Broadway, Suite 500, Oakland, CA 94612-2141 |
| Street Address |
5674 STONERIDGE DR SUITE 205 |
| City | PLEASANTON |
| State | CA |
| Zip | 94588-8585 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diana Li Repac | Psychologist, Clinical | 5674 Stoneridge Dr, Suite 217, Pleasanton, CA 94588-8532 | |
| Joan Alviar Fraino | Nurse Practitioner | Hiawatha Harris Md Inc. | 5674 Stoneridge Dr, Suite 205, Pleasanton, CA 94588-8585 |
| Diana Young | Psychologist, Clinical | 5674 Stoneridge Dr, Suite 217, Pleasanton, CA 94588-8532 | |
| Mudassir S Ali | Psychiatry | Hiawatha Harris Md Inc. | 5674 Stoneridge Dr, Suite 205, Pleasanton, CA 94588-8585 |
| Alka Aneja | Psychiatry | Hiawatha Harris Md Inc. | 5674 Stoneridge Dr, Suite 205, Pleasanton, CA 94588-8585 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Emerson | Psychologist, Clinical | 5960 Stoneridge Dr, Suite 205, Pleasanton, CA 94588-2728 | |
| Hank K Fung | Dermatology | 5924 Stoneridge Dr, Suite 101, Pleasanton, CA 94588-2750 | |
| Mario Albert Malvehy | Emergency Medicine | 5700 Stoneridge Mall Rd, Suite 120, Pleasanton, CA 94588-2823 | |
| Robert G Huey | Physical Therapy | Permanente Medical Group Inc | 5720 Stoneridge Mall Rd, Pleasanton, CA 94588-2828 |
| Eric Toru Hisaka | Plastic and Reconstructive Surgery | 5720 Stoneridge Mall Rd, Suite 130, Pleasanton, CA 94588-2829 | |
| Fredric C Morgan | General Practice | 5776 Stoneridge Mall Rd, Suite 175, Pleasanton, CA 94588-2836 | |
| Fernandina Go Lo | Internal Medicine | 5720 Stoneridge Mall Rd, Suite 270, Pleasanton, CA 94588-2854 | |
| Chao Sun | General Practice | 5700 Stoneridge Mall Rd, Suite 100, Pleasanton, CA 94588-2872 | |
| Iraj Sabahi | Internal Medicine | 5720 Stoneridge Mall Rd, Suite 100, Pleasanton, CA 94588-2877 | |
| James Han | Physical Medicine and Rehabilitation | 5720 Stoneridge Mall Rd, Suite 250, Pleasanton, CA 94588-2879 | |
| Find all physicians in zip 94588 | |||
| City | PLEASANTON |
| Zip Code | 94588 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PLEASANTON + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.