ST MARYS MEDICAL CENTER (NPI# 1104198670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104198670 |
| Entity Type | Organization |
| Organization Name | ST MARYS MEDICAL CENTER |
| Practice Address |
450 Stanyan St San Francisco CA 94117-1019 |
| Practice Telephone | 4157505676 |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2012-01-31 |
| Authorized Official Name | MR. DAVID MYERS (STAFF NURSE II) |
| Authorized Official Telephone | 4157505676 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235661539 | St Marys Medical Center | General Acute Care Hospital | 407 E 3rd St, Duluth, MN 55805-1950 | 2017-03-28 |
| 1457393035 | St Marys Medical Center | Clinic/Center | 407 E 3rd St, Duluth, MN 55805-1950 | 2006-06-11 |
| 1316918543 | St Marys Medical Center | Skilled Nursing Facility | 2900 First Ave, Huntington, WV 25702 | 2006-01-27 |
| Street Address |
450 STANYAN ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94117-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435762 | Marc K. Wakasa | Physical Medicine & Rehabilitation | 450 Stanyan St, # 658, San Francisco, CA 94117-1079 | 2005-05-27 |
| 1649891250 | Alexander Rosinski | Orthopaedic Surgery | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-05-05 |
| 1952922940 | Andrea Nicole Rowland | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-30 |
| 1245851237 | Ishan Devang Shah | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-30 |
| 1568081073 | Roxana Garcia | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-14 |
| 1316566060 | Elizabeth Phillips | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-13 |
| 1336768084 | Claire Baniel | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-13 |
| 1982223608 | Wing Ken Wong | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-13 |
| 1508485277 | Anthony T Nguyen | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-13 |
| 1073132023 | Lewis Philip Schendowich | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-10 |
| 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 | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192116 | Elemental Health | Clinic/Center | 230 Central Ave Apt 11, San Francisco, CA 94117-2052 | 2020-04-14 |
| 1134639388 | Theresa C. Kira, Psyd, A Psychological Corporation | Clinic/Center | 870 Market St Ste 800, San Francisco, CA 94102-2903 | 2017-10-02 |
| 1043578198 | Healthright 360 | Clinic/Center | 555 Franklin St, San Francisco, CA 94102-4456 | 2012-04-26 |
| 1295092815 | Healthright 360 | Clinic/Center | 2290 14th Ave, San Francisco, CA 94116-1841 | 2012-04-20 |
| 1265638159 | University of Califronia, San Francisco | Clinic/Center | 1001 Potrero Ave, Building 5, Suite 6b, San Francisco, CA 94110 | 2007-06-26 |
| 1740486315 | University of California, San Francisco | Clinic/Center | 1001 Potrero Ave # 6b, San Francisco, CA 94110-3518 | 2007-06-21 |
| 1760031314 | The Healthy Teen Project, Inc. | Clinic/Center | 1400 Tennessee St Unit 3, San Francisco, CA 94107-3421 | 2019-09-06 |
| 1356749279 | Masonic Center for Youth and Families | Clinic/Center | 6 Funston Ave, San Francisco, CA 94129 | 2014-12-09 |
| 1174729065 | University of California, San Francisco | Clinic/Center | 995 Potrero Ave, Bldg 80, Ward 80, Basement Room 8000 S, San Francisco, CA 94110 | 2007-06-26 |
| 1811072796 | Edgewood Center for Children and Families | Clinic/Center | 1801 Vicente St, San Francisco, CA 94116-2923 | 2006-10-26 |
| 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.