MR. MARK DZIETKO (NPI# 1144558537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144558537 |
| Entity Type | Individual |
| Full Name | MR. MARK DZIETKO |
| Credential | MD |
| Practice Address |
533 Parnassus Ave U503 San Francisco CA 94143 |
| Mailing Address |
1250 20th Ave Unit 1 San Francisco CA 94122-1732 |
| Practice Telephone | 4154761888 |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
2080N0001X | CA | Allopathic & Osteopathic Physicians |
| Street Address |
533 PARNASSUS AVE U503 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619966389 | Regina Marie Davis | Genetic Counselor, MS | 533 Parnassus Ave, Box 0720, San Francisco, CA 94143-2208 | 2005-10-17 |
| 1639790009 | Mercedes Posadas Rivas | Student in an Organized Health Care Education/Training Program | 533 Parnassus Ave, San Francisco, CA 94143-2208 | 2020-04-27 |
| 1508494238 | Johanna Stevens Glaser | Student in an Organized Health Care Education/Training Program | 533 Parnassus Ave, San Francisco, CA 94143-2208 | 2020-03-29 |
| 1700414745 | Spenser Stephen Souza | Student in an Organized Health Care Education/Training Program | 533 Parnassus Ave, San Francisco, CA 94143-2208 | 2020-03-27 |
| 1396377834 | Magaly Ketron | Student in an Organized Health Care Education/Training Program | 533 Parnassus Ave, San Francisco, CA 94143-2208 | 2020-02-11 |
| 1366969586 | Crystal Zhou | Pharmacist | 533 Parnassus Ave, San Francisco, CA 94143-2208 | 2017-08-28 |
| 1336501030 | Alex Dinh | Internal Medicine | 533 Parnassus Ave, San Francisco, CA 94143-0532 | 2016-03-22 |
| 1104296243 | Jason Alexander Phillips | Pharmacist | 533 Parnassus Ave, Room U585, San Francisco, CA 94143-2208 | 2015-10-01 |
| 1821474420 | Stephanie Lynn Hsia | Pharmacist | 533 Parnassus Ave, San Francisco, CA 94143 | 2015-08-05 |
| 1689051898 | Shayan Salim | Dentist | 533 Parnassus Ave, San Francisco, CA 94143-2208 | 2015-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909024 | Ana Chow | Social Worker | Ucsf - Benioff Children's Hospital, 1975 4th St, San Francisco, CA 94143 | 2020-07-13 |
| 1801413828 | Caroline Eilbeck Casey | Social Worker | 1975 4th Street, San Francisco, CA 94143 | 2020-06-26 |
| 1124642251 | Grace Kibuule | Student in an Organized Health Care Education/Training Program | 513 Parnassus Ave., S455, San Francisco, CA 94143 | 2020-06-04 |
| 1003436528 | Christian Karl Antonio | Nurse Practitioner | 505 Parnassus Avennue, San Francisco, CA 94143 | 2020-04-24 |
| 1144859752 | Reginald Nguyen | Student in an Organized Health Care Education/Training Program | 505 Parnassus Avenue, Room M24, San Francisco, CA 94143 | 2020-04-06 |
| 1851929830 | Jonathan Earl Freise | Student in an Organized Health Care Education/Training Program | Ucsf Department of Surgery, 513 Parnassus Ave, S321, San Francisco, CA 94143 | 2020-03-27 |
| 1275160046 | Sang Minh Nguyen | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall, 4th Floor, San Francisco, CA 94143 | 2020-03-23 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1306307442 | Kayla Zamora | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-30 |
| 1730649021 | Elizabeth Larken Burch | Student in an Organized Health Care Education/Training Program | Univerisity of California San Francisco 550 16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-22 |
| Find all providers in zip 94143 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174854525 | Ann Capela Zovein | Pediatrics | 505 Parnassus Ave Fl 15, Intensive Care Nursery, San Francisco, CA 94143-0210 | 2010-01-25 |
| 1104018720 | Timothy Andrew Sanders | Pediatrics | 533 Parnassus Ave Rm U503, Box 0734, San Francisco, CA 94143-2208 | 2007-08-16 |
| 1215086996 | Jodi Angela Davi | Pediatrics | 88 Seal Rock Dr, San Francisco, CA 94121-1437 | 2007-01-10 |
| 1336226273 | Yao Sun | Pediatrics | Ucsf Medical Center Childrens Hospital, 505 Parnassus Ave, Box 110, San Francisco, CA 94143-0110 | 2006-10-31 |
| 1518079953 | Louis David Pollack | Pediatrics | 1975 4th St Fl 3, San Francisco, CA 94143-2351 | 2006-08-31 |
| 1912980913 | Jane Lee | Pediatrics | 3700 California St, San Francisco, CA 94118-1618 | 2005-11-22 |
| 1447573498 | Melissa C Liebowitz | Pediatrics | 505 Parnassus Ave, Box 0110, San Francisco, CA 94143-2204 | 2010-03-04 |
| 1841338159 | Chris R White | Pediatrics | 3850 California St, San Francisco, CA 94118-1502 | 2007-02-01 |
| 1811047681 | Christopher Todd Retajczyk | Pediatrics | 3850 California St, San Francisco, CA 94118-1502 | 2007-01-11 |
| 1407924335 | Ghizala R Kaleem | Pediatrics | 3850 California St, San Francisco, CA 94118-1502 | 2006-11-30 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94143 |
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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.