SF SPINE GROUP, PC (NPI# 1083017669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083017669 |
| Entity Type | Organization |
| Organization Name | SF SPINE GROUP, PC |
| Practice Address |
1 Shrader St Ste 450 San Francisco CA 94117-1016 |
| Practice Telephone | 4157505847 |
| Mailing Telephone | 4157505847 |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2015-09-15 |
| Authorized Official Name | DIMITRIY KONDRASHOV (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4157505847 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
A92439 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1 SHRADER ST STE 450 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94117-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516860 | Sheela Thakor Patel | Surgery | 1 Shrader St, Ste 600, San Francisco, CA 94117-1018 | 2005-05-24 |
| 1649729203 | San Francisco Orthopaedic Surgeons | Orthopaedic Surgery | 1 Shrader St, 650, San Francisco, CA 94117-1016 | 2016-09-23 |
| 1619341500 | Aissatou Haman Md Inc | Internal Medicine | 1 Shrader St, Suite 570, San Francisco, CA 94117-1016 | 2015-11-16 |
| 1336489624 | Thomas Paul Sverchek | Physician Assistant | 1 Shrader St, San Francisco, CA 94117-1016 | 2013-02-22 |
| 1275870842 | Jamie Kim | Podiatrist | 1 Shrader St, Suite 510, San Francisco, CA 94117-1016 | 2013-01-15 |
| 1841585700 | Aissatou Haman | Internal Medicine | 1 Shrader St, Ste 640, San Francisco, CA 94117-1016 | 2011-06-17 |
| 1508157108 | San Francisco Bay Nutrition, LLC | Clinic/Center | 1 Shrader St, 600, San Francisco, CA 94117-1016 | 2011-04-29 |
| 1245565001 | Marin Cardiac Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Shrader St, 570, San Francisco, CA 94117-1016 | 2009-10-13 |
| 1922232404 | Jennifer M Van Warmerdam | Orthopaedic Surgery | 1 Shrader St, Suite 650, San Francisco, CA 94117-1016 | 2009-05-12 |
| 1861632861 | Savant Medical Group Inc | Internal Medicine | 1 Shrader St, Suite 550, San Francisco, CA 94117-1016 | 2009-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
| 1124578901 | Michelle Elizabeth Cohen | Nurse Practitioner | 350 Parnassus Ave Ste 908, San Francisco, CA 94117 | 2016-10-05 |
| 1235686346 | Amy Burtelow | Massage Therapist | 425 Divisadero Street Suite 300, San Francisco, CA 94117 | 2016-09-07 |
| 1851790430 | Elissa Stevens | Counselor | 1757 Waller Street, San Francisco, CA 94117 | 2014-08-19 |
| 1831508043 | Colmed Laboratories & Radiology | Clinical Medical Laboratory | 560 Haight Street #104, San Francisco, CA 94117 | 2014-08-13 |
| 1972917847 | Radha Yerneni | Internal Medicine | 450 Stanyan St Fl 6, San Francisco, CA 94117 | 2014-06-18 |
| 1811333594 | Julia Wong | Counselor | 425 Divisadero Street, Suite 300, San Francisco, CA 94117 | 2013-05-21 |
| 1740623529 | Cody Elizabeth Berry | Social Worker | 425 Divisadero, Suite 300, San Francisco, CA 94117 | 2013-04-11 |
| 1235471848 | Steven Ryan Vidrine | Psychiatry & Neurology | 350 Parnassus Ave Ste 201, San Francisco, CA 94117 | 2013-03-21 |
| 1699043810 | Podiatry Plan Inc | Podiatrist | 1353b Haight Street, San Francisco, CA 94117 | 2011-12-02 |
| Find all providers in zip 94117 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557568 | James Alfred Aicardi | Orthopaedic Surgery | 3838 California St Rm 715, San Francisco, CA 94118-1509 | 2018-05-04 |
| 1588804470 | Fabrice Alexander Kuelling | Orthopaedic Surgery | 500 Parnassus Ave # Muw320, San Francisco, CA 94143-2203 | 2009-03-04 |
| 1790925865 | Ahmed Aljahwari | Orthopaedic Surgery | 500 Parnassus, Mu303, San Francisco, CA 94143-0728 | 2009-03-02 |
| 1700928371 | Murat Pekmezci | Orthopaedic Surgery | 400 Parnassus Avneue, 3rd Floor, San Francisco, CA 94143-0001 | 2007-02-12 |
| 1245221373 | Clement Kevin Jones | Orthopaedic Surgery | 1199 Bush Street, Suite 640, San Francisco, CA 94109 | 2005-10-28 |
| 1457729089 | Jeremie Larouche | Orthopaedic Surgery | 2550 23rd St, Building 9, 2nd Floor, San Francisco, CA 94110-3504 | 2015-09-14 |
| 1720403348 | Youjeong Kim, M.d., Inc | Orthopaedic Surgery | 2100 Webster St Ste 117, San Francisco, CA 94115-2374 | 2014-02-19 |
| 1821269424 | Fred F. Naraghi, Md., Inc. | Orthopaedic Surgery | 1 Daniel Burnham Ct, Suite # 388c, San Francisco, CA 94109-5455 | 2008-03-22 |
| 1043348378 | Guy R Engelmann | Orthopaedic Surgery | 909 Hyde St, Suite # 615, San Francisco, CA 94109-4822 | 2007-02-28 |
| 1194887760 | James Zucherman | Orthopaedic Surgery | 1 Shrader St, San Francisco, CA 94117-1016 | 2006-12-13 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94117 |
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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.