LYNN E. SPITLER, MD, A MEDICAL CORPORATION (NPI# 1205964285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205964285 |
| Entity Type | Organization |
| Organization Name | LYNN E. SPITLER, MD, A MEDICAL CORPORATION |
| Other Organization Name | NORTHERN CALIFORNIA MELANOMA CENTER |
| Practice Address |
450 Stanyan Street St. Mary's Medical Center, Northern California Melanoma San Francisco CA 94117-2725 |
| Mailing Address |
1895 Mountain View Drive Tiburon CA 94920-1809 |
| Practice Telephone | 4157505660 |
| Practice Fax Number | 4157504860 |
| Mailing Telephone | 4157505660 |
| Mailing Fax Number | 4157504860 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2011-04-11 |
| Authorized Official Name | DR. LYNN E. SPITLER (PRESIDENT) |
| Authorized Official Telephone | 4157504020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
C26446 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
C26446 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C264460 | 05 | |
| CA | MEDICARE | 00C264460 | 01 |
| Other Name | Type Code |
|---|---|
| Northern California Melanoma Center | Doing Business As Name - Organization |
| Street Address |
450 STANYAN STREET ST. MARY'S MEDICAL CENTER, NORTHERN CALIFORNIA MELANOMA |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94117-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023063542 | Cep America - California | Emergency Medicine | 450 Stanyan Street, San Francisco, CA 94117-1079 | 2006-05-23 |
| 1609428911 | San Francisco Pathology Medical Group | Pathology | 450 Stanyan Street, San Francisco, CA 94117 | 2019-07-16 |
| 1740625201 | Christy Dillon | Student in an Organized Health Care Education/Training Program | 450 Stanyan Street, St. Mary's Medical Center Internal Medicine Residency, San Francisco, CA 94117 | 2013-05-09 |
| 1093027625 | Michael D Lagios M D A Professional Corporation | Specialist | 450 Stanyan Street, San Francisco, CA 94117-1079 | 2010-07-12 |
| 1699933556 | Pedram Kahen, Dpm Inc. | Podiatrist | 450 Stanyan Street, San Francisco, CA 94117 | 2008-05-28 |
| 1033389820 | David Jerome Tubio Malit | Internal Medicine | 450 Stanyan Street, San Francisco, CA 94117 | 2008-03-07 |
| 1861530370 | Carmen Goodin | Marriage & Family Therapist | 450 Stanyan Street, San Francisco, CA 94117 | 2007-02-05 |
| 1952479966 | Ingrid Juliana Block-kurbisch | Specialist | 450 Stanyan Street, San Francisco, CA 94117-1079 | 2006-11-30 |
| 1245261791 | Corinna Alisangco Gamez | Psychiatry & Neurology | 450 Stanyan Street, 5 North Mcauley Institute, San Francisco, CA 94117 | 2006-07-05 |
| 1316974546 | Mark Ulysses Mumm | Physician Assistant | 450 Stanyan Street, San Francisco, CA 94117 | 2006-06-26 |
| 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 | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528403797 | Warner C. Greene | Internal Medicine | 1650 Owens St, San Francisco, CA 94158-2261 | 2013-05-01 |
| 1194169300 | Michele Ngoc Pham | Internal Medicine | 400 Parnassus Ave, San Francisco, CA 94143-2202 | 2013-04-18 |
| 1174815815 | Von Ta Nguyen | Internal Medicine | 2333 Buchanan St, San Francisco, CA 94115-1925 | 2011-05-13 |
| 1285925990 | Iris M Otani | Internal Medicine | 400 Parnassus Ave, San Francisco, CA 94143-2202 | 2011-04-28 |
| 1588867535 | Lynn E. Spitler | Internal Medicine | 450 Stanyan St, Norther California Melanoma Center St. Mary's Med Cente, San Francisco, CA 94117-1019 | 2007-06-07 |
| 1760552343 | Regents of The University of California | Internal Medicine | 505 Parnassus Ave, San Francisco, CA 94143-0120 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309341 | Kianoush Shakib Md Inc | Internal Medicine | 11661 San Vicente Blvd Ste 101, Los Angeles, CA 90049-5150 | 2019-01-10 |
| 1629510235 | Lawrence Awai | Internal Medicine | 4776 Stetson Rd, Clovis, CA 93619-9555 | 2016-11-14 |
| 1619363314 | Aminaa Siddiqi | Internal Medicine | 2440 W Covell Blvd Ste 104, Davis, CA 95616-5671 | 2015-04-09 |
| 1881082683 | Ricardo Antonio Tan Md Inc. | Internal Medicine | 5219 Cedros Ave, Sherman Oaks, CA 91411-4016 | 2014-12-31 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| 1609202274 | George Richard Barr | Internal Medicine | 225 Crossroads Blvd # 381, Carmel, CA 93923-8674 | 2013-09-16 |
| 1184069692 | Tyler Basen | Internal Medicine | 26691 Plaza Ste 170, Mission Viejo, CA 92691-6396 | 2013-05-10 |
| 1407153000 | Howard Eric Strom | Internal Medicine | 3411 La Falda Pl, Los Angeles, CA 90068-1509 | 2011-02-16 |
| 1598893794 | Rakesh Jindal M.d. Inc | Internal Medicine | 462 W Putnam Ave, Porterville, CA 93257-3321 | 2007-03-01 |
| 1588792048 | Michael T Mosher M.d A Medical Corporation | Internal Medicine | 415 Rolling Oaks Dr Ste 280, Thousand Oaks, CA 91361-1049 | 2007-02-28 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94117 |
Please comment or provide details below to improve the information on LYNN E. SPITLER, MD, A MEDICAL CORPORATION.
| 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.