Marina Obolnikov (NPI# 1174732713, PAC ID# 6305904988) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1174732713 |
| PAC ID by PECOS | 6305904988 |
| Professional Enrollment ID | I20081027000228 |
| Full Name | Marina Obolnikov |
| Organization Legal Name | HIAWATHA HARRIS MD INC. |
| Address |
1700 Broadway Suite 500 Oakland CA 94612-2141 |
| Phone Number | 5102734200 |
| Gender | F |
| Graduation Year | 1979 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 1052580115 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1700 Broadway, Suite 500, Oakland, CA 94612-2141 | 5102734200 | HIAWATHA HARRIS MD INC. |
| 802 Brewster Ave, Redwood City, CA 94063-1510 | 6505732222 | COUNTY OF SAN MATEO |
| 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 |
| Elizabeth Mole | Nurse Practitioner | Hiawatha Harris Md Inc. | 5674 Stoneridge Dr, Suite 205, Pleasanton, CA 94588-8585 |
| 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 |
1700 BROADWAY SUITE 500 |
| City | OAKLAND |
| State | CA |
| Zip | 94612-2141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lester E Love | Psychiatry | Hiawatha Harris Md Inc. | 1700 Broadway, Suite 500, Oakland, CA 94612-2141 |
| Carolyn D Harris-muchell | Nurse Practitioner | Hiawatha Harris Md Inc. | 1700 Broadway, Suite 500, Oakland, CA 94612-2141 |
| Gwendolyn Rothman | Psychiatry | Hiawatha Harris Md Inc. | 1700 Broadway, Suite 500, Oakland, CA 94612-2141 |
| Hiawatha Harris | Psychiatry | Hiawatha Harris Md Inc. | 1700 Broadway, Suite 500, Oakland, CA 94612-2141 |
| Tiffani M Ordonez | Nurse Practitioner | Hiawatha Harris Md Inc. | 1700 Broadway, Suite 500, Oakland, CA 94612-2141 |
| Blessing Lawski | Nurse Practitioner | Hiawatha Harris Md Inc. | 1700 Broadway, Suite 500, Oakland, CA 94612-2141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard R Cicinelli | Psychiatry | 2577 San Pablo Ave, Oakland, CA 94612-1159 | |
| David B Schatz | Psychiatry | East Bay Community Recovery Project | 2577 San Pablo Ave, Oakland, CA 94612-1159 |
| Stephen J Ryan | Physical Therapy | 1727 Martin Luther King Jr Way, Suite 210, Oakland, CA 94612-1309 | |
| Diana L Sylvestre | Internal Medicine | 520 27th St, Oakland, CA 94612-1706 | |
| Mihwa Kim | Optometry | 2633 Telegraph Ave, Suite 106, Oakland, CA 94612-1744 | |
| Scott Yoo | Oral Surgery | Scott Yoo Dds Dental Corp | 2710 Telegraph Ave, Oakland, CA 94612-1776 |
| Susie W Cohn | Gastroenterology | East Bay Center for Digestive Health Medical Associates Inc | 300 Frank H Ogawa Plz, Suite 450, Oakland, CA 94612-2047 |
| Liana Vesga | Gastroenterology | East Bay Center for Digestive Health Medical Associates Inc | 300 Frank H Ogawa Plz, Suite 450, Oakland, CA 94612-2047 |
| Neil Howard Stollman | Gastroenterology | East Bay Center for Digestive Health Medical Associates Inc | 300 Frank H Ogawa Plz, Suite 450, Oakland, CA 94612-2047 |
| Danny Wu | Gastroenterology | East Bay Center for Digestive Health Medical Associates Inc | 300 Frank H Ogawa Plz, Suite 450, Oakland, CA 94612-2047 |
| Find all physicians in zip 94612 | |||
| City | OAKLAND |
| Zip Code | 94612 |
| Specialty | PSYCHIATRY |
| City + Specialty | OAKLAND + PSYCHIATRY |
Please comment or provide details below to improve the information on Marina Obolnikov.
| 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.