MAUDE E DULL (NPI# 1184681603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184681603 |
Entity Type | Individual |
Full Name | MAUDE E DULL |
Credential | MD |
Practice Address |
550 16th St Fl 5 San Francisco CA 94158-2545 |
Mailing Address |
3333 California St # S1-10 San Francisco CA 94118-1981 |
Practice Telephone | 4154765153 |
Mailing Telephone | 4154765153 |
Enumeration Date | 2006-04-27 |
Last Update Date | 2020-01-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 228170 | NY | Allopathic & Osteopathic Physicians |
Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
C152808 | CA | Allopathic & Osteopathic Physicians |
N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
228170 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02889949 | 05 | |
PA | 1020856180001 | 05 | |
IHA | 1214337 | 01 | |
UNIVERA | 00028182101 | 01 | |
BC/BS | 000529327003 | 01 | |
FIDELIS | 071221000006 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
245 Governors Dr Se, Huntsville, AL 358012700 | 2562651000 | 2562657065 |
Street Address |
550 16TH ST FL 5 |
City | SAN FRANCISCO |
State | CA |
Zip Code | 94158-2545 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982101002 | Yalin Audrey Lin | Pediatrics | 550 16th St Fl 5, San Francisco, CA 94143-2549 | 2018-04-06 |
1316311509 | Jose Joaquin Estalilla Hernandez | Surgery | 550 16th St Fl 5, San Francisco, CA 94158-2549 | 2015-11-25 |
1245624691 | Janet Trang | Student in an Organized Health Care Education/Training Program | 550 16th St Fl 5, San Francisco, CA 94143 | 2015-03-24 |
1154711836 | Ellen Marie Dejong | Pediatrics | 550 16th St Fl 5, San Francisco, CA 94158-2545 | 2015-02-02 |
1487092987 | Tracy Marrs Conner | Pediatrics | 550 16th St Fl 5, San Francisco, CA 94158-2545 | 2013-06-06 |
1124366109 | Anna Tran | Nurse Practitioner | 550 16th St Fl 5, Box 0570, San Francisco, CA 94158-2549 | 2013-01-24 |
1841557980 | Emily Sara Stieren | Pediatrics | 550 16th St Fl 5, Ucsf Pediatrics, Box 0734, San Francisco, CA 94158-2549 | 2012-04-13 |
1376855866 | Maria Teresa Zuluaga | Pediatrics | 550 16th St Fl 5, San Francisco, CA 94158-2545 | 2010-07-13 |
1780903419 | Danielle Justine Usatin | Student in an Organized Health Care Education/Training Program | 550 16th St Fl 5, Box 0136, San Francisco, CA 94158-2549 | 2010-05-20 |
1457582470 | Elena K Amin | Pediatrics | 550 16th St Fl 5, San Francisco, CA 94158-2545 | 2009-08-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114532298 | Carla Stern | Occupational Therapist | 940 4th Street, San Francisco, CA 94158 | 2020-09-15 |
1386272771 | Olga Agnieszka Lannon | Registered Nurse | 701 China Basin Street, San Francisco, CA 94158 | 2020-03-31 |
1679110407 | Drew Yoder | Physical Medicine & Rehabilitation | Chase Center - Bbops, 1 Warriors Way, San Francisco, CA 94158 | 2019-11-27 |
1518448430 | Christine Caitlin-quinley Magdalin | Physical Therapist | 1600 Owens Street, 6th Floor, San Francisco, CA 94158 | 2018-08-28 |
1477050730 | Daniel Bradford Cary Woolridge | Student in an Organized Health Care Education/Training Program | 1975 Fourth St., San Francisco, CA 94158 | 2018-04-12 |
1992223069 | Ambili N Thannil | Nurse Practitioner | 550 16th Street 5th Floor, San Francisco, CA 94158 | 2017-09-08 |
1831637974 | Michele Brown Foster | Nurse Practitioner | 1975 Fourth Street, San Francisco, CA 94158 | 2017-02-09 |
1124487525 | Jennifer Waters | Occupational Therapist | 1975 4th Street, Box 4050, Rehab Services, San Francisco, CA 94158 | 2016-02-15 |
1598148173 | Gabriel Perez Schwartz | Registered Nurse | 1825 Fourth Street, Fourth Floor, San Francisco, CA 94158 | 2015-07-01 |
1235424086 | Fanny Mojdeh Elahi | Psychiatry & Neurology | 675 Nelson Rising Lane, Ucsf Memory and Aging, San Francisco, CA 94158 | 2011-06-09 |
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Taxonomy Code | 2080P0203X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Critical Care Medicine |
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871737270 | Shan Lyn Ward | Pediatrics | 3333 California St # S110, San Francisco, CA 94118-1981 | 2009-04-29 |
1376855866 | Maria Teresa Zuluaga | Pediatrics | 550 16th St Fl 5, San Francisco, CA 94158-2545 | 2010-07-13 |
1942382817 | Satish Rajagopal | Pediatrics | 1975 4th St, San Francisco, CA 94143-2351 | 2006-10-20 |
1578668299 | Sanjeev Ashok Datar | Pediatrics | 505 Parnassus Ave, M-680, Box 0106, San Francisco, CA 94143-2204 | 2006-09-14 |
1053300798 | Arup Roy-burman | Pediatrics | 505 Parnassus Ave, M680, San Francisco, CA 94143-0106 | 2005-10-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417368804 | Sara Aghamohammadi | Pediatrics | 4650 W Sunset Blvd # Ms 3, Los Angeles, CA 90027-6062 | 2014-05-19 |
1023367422 | Batool Alsheikh | Pediatrics | 6235 N Fresno St Ste 103, Fresno, CA 93710 | 2012-08-31 |
1699093880 | Richard P Lion | Pediatrics | 11234 Anderson St Rm 5763, Loma Linda, CA 92354-2804 | 2010-05-12 |
1558505719 | Ryan Richard Taylor | Pediatrics | Mattel Childrens Hospital At Ucla, 10833 Le Conte Ave., 12-494, Mdcc, Los Angeles, CA 90095-0001 | 2009-04-30 |
1932341641 | Anas Al Kawass | Pediatrics | 17100 Euclid Street, Picu, Fountain Valley, CA 92708 | 2009-03-26 |
1497996649 | Andreas Schwingshackl | Pediatrics | Rrmc 400 Westwood Blvd, Los Angeles, CA 90095-2113 | 2009-03-18 |
1588804801 | Carol Elizabeth Nicholson | Pediatrics | 6461 Zuma View Pl, #149, Malibu, CA 90265-4495 | 2009-02-26 |
1831355320 | Niveditha Vilasagar | Pediatrics | 4867 W Sunset Blvd Fl 5, Los Angeles, CA 90027-5969 | 2008-08-04 |
1154519072 | Eloa S. Adams | Pediatrics | 275 W Macarthu, Oakland, CA 94611-5641 | 2007-10-04 |
1770787046 | Samer Yousfi | Pediatrics | 1000 Carson Street, Harbor-ucla Medical Center, Torrance, CA 90509 | 2007-06-12 |
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City | SAN FRANCISCO |
Zip Code | 94158 |
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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.