PENINSULA HEAD & NECK SURGERY,INC


Address: 900 Welch Rd, Suite 103, Palo Alto, CA 94304-1805
Phone: 6503299100

PENINSULA HEAD & NECK SURGERY,INC (NPI# 1134342215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134342215
Entity Type Organization
Organization Name PENINSULA HEAD & NECK SURGERY,INC
Practice Address 900 Welch Rd
Suite 103
Palo Alto
CA 94304-1805
Practice Telephone 6503299100
Practice Fax Number 6503290626
Mailing Telephone 6503299100
Mailing Fax Number 6503290626
Enumeration Date 2007-04-10
Last Update Date 2011-03-03
Authorized Official Name DR. LEON W LIPSON (PRESIDENT)
Authorized Official Telephone 6503299100
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YX0007X Otolaryngology
Specialization: Plastic Surgery within the Head & Neck
G124240 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 900 WELCH RD
SUITE 103
City PALO ALTO
State CA
Zip Code 94304-1805

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457355794 Ami Laws Internal Medicine 900 Welch Rd, Suite 103, Palo Alto, CA 94304-1805 2005-06-01
1356837538 Elizabeth Spiteri Medical Genetics 900 Welch Rd, Palo Alto, CA 94304-1805 2018-07-10
1073018081 Nicole Jean Prendergast Student in an Organized Health Care Education/Training Program 900 Welch Rd, Palo Alto, CA 94304-1805 2018-03-30
1437665643 Shana White Genetic Counselor, MS 900 Welch Rd, Palo Alto, CA 94304-1805 2017-12-26
1740715853 Sunny Patel Student in an Organized Health Care Education/Training Program 900 Welch Rd, Suite 350, Palo Alto, CA 94304-1805 2017-04-26
1427583533 Cameron Mozayan Student in an Organized Health Care Education/Training Program 900 Welch Rd, Suite 350, Palo Alto, CA 94304 2017-04-26
1417481128 Bryn Elizabeth Eisfelder Student in an Organized Health Care Education/Training Program 900 Welch Rd, Suite 350, Palo Alto, CA 94304-1805 2017-04-19
1952835357 Daniel Thomas Rogan Student in an Organized Health Care Education/Training Program 900 Welch Rd, Suite 350, Palo Alto, CA 94304-1805 2017-04-12
1447783089 Victor Sadauskas Student in an Organized Health Care Education/Training Program 900 Welch Rd, Suite 350, Palo Alto, CA 94304-1805 2017-04-11
1679006274 Robert Conner Dixon Student in an Organized Health Care Education/Training Program 900 Welch Rd, Suite 350, Palo Alto, CA 94304-1805 2017-04-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477170611 Richard Engdahl Specialist/Technologist, Other 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 2020-07-04
1720603582 Lily Wenya Zhou Psychiatry & Neurology 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 2020-06-08
1033738521 Perry Seo Choi Student in an Organized Health Care Education/Training Program Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 2020-04-14
1073150355 Tara Mcdermott Nurse Practitioner 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 2019-12-05
1811542723 Mark Henry Chubb Pediatrics Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 2019-08-07
1194285114 Cora Steindl Nurse Practitioner 300 Pasteur Drive Rm H2512, Stanford, CA 94304 2019-03-25
1407333057 Deborah Menet Landi Social Worker Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 2018-07-26
1982100798 Jonathan Hootman Student in an Organized Health Care Education/Training Program 900 Quarry Road Extension, Palo Alto, CA 94304 2018-04-02
1093234254 Adam C Maclellan Psychiatry & Neurology Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 2017-09-19
1194248153 Chanel Beaudoin Cloutier Plastic Surgery 770 Welch Road, Suite 400, Palo Alto, CA 94304 2017-07-21
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Taxonomy Information

Taxonomy Code 207YX0007X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Plastic Surgery within the Head & Neck

Taxonomy Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316176852 Jason Kyle-ming Chau Otolaryngology 801 Welch Rd, Palo Alto, CA 94304-1611 2009-07-06
1760473128 Alan Gi-lun Cheng Otolaryngology 725 Welch Rd, Palo Alto, CA 94304-1601 2005-11-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770041881 Robotic Brain and Spine Institute Inc Otolaryngology 9201 W Sunset Blvd Ste 405, Los Angeles, CA 90069-3705 2019-03-07
1447500269 Esrafil Abedi Md A Professional Corporation Otolaryngology 23961 Calle Magdalena St, 430, Laguna Hills, CA 92653-3685 2012-09-19
1184971194 Gabriel Gabarain Otolaryngology 4646 Brockton Ave Ste 201, Riverside, CA 92506 2012-08-08
1154636769 Louis G. Brennan Otolaryngology 4 Leicester Ct, Laguna Niguel, CA 92677-9380 2010-08-09
1568783470 Dana Kristopher Petersen Otolaryngology 1001 Potrero St, San Francisco General Hospital, San Francisco, CA 94110 2010-06-15
1275784233 Stephen Wayne Hargett Otolaryngology 1200 North State St., Los Angeles, CA 90033 2008-10-08
1568664548 Geoffrey Arthur Smith Otolaryngology 7910 Frost St # 420, San Diego, CA 92123-2771 2007-06-03
1831319326 Shamit Chopra Otolaryngology 2521 Stockton Blvd Ste 7200, Sacramento, CA 95817-2207 2007-04-26
1194941641 Ronaldo A Ballecer Otolaryngology 540 E Herndon Ave Ste 105, Suite 105, Fresno, CA 93720-2993 2007-04-17
1669515862 Kaniff Cosmetic Medical Center, Inc Otolaryngology 631 Fulton Ave, Sacramento, CA 95825-4813 2007-02-15
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Competitor

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City PALO ALTO
Zip Code 94304

Improve Information

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Dataset Information

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.

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