EILEEN T. CONSORTI, MD (NPI# 1417179821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417179821 |
| Entity Type | Organization |
| Organization Name | EILEEN T. CONSORTI, MD |
| Practice Address |
3000 Colby St #201 Berkeley CA 94705-2083 |
| Mailing Address |
Po Box 3669 Santa Rosa CA 95402-3669 |
| Practice Telephone | 5108481800 |
| Mailing Telephone | 7075354330 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2009-02-17 |
| Authorized Official Name | EILEEN T. CONSORTI (PRESIDENT) |
| Authorized Official Telephone | 5108481800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | G865870 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3000 COLBY ST #201 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-2083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396734505 | Christopher J Chen | Orthopaedic Surgery | 3000 Colby St, Suite 106, Berkeley, CA 94705-2058 | 2005-10-19 |
| 1942740832 | Angela Solleder | Nurse Practitioner | 3000 Colby St, Unit 201, Berkeley, CA 94705-2083 | 2017-02-27 |
| 1316485873 | Jenna Petersen Palan | Nurse Practitioner | 3000 Colby St, #201, Berkeley, CA 94705 | 2017-02-05 |
| 1629443486 | Selena Ellis, M.d. | Psychiatry & Neurology | 3000 Colby St, Suite 101, Berkeley, CA 94705-2083 | 2015-12-04 |
| 1366853871 | University Healthcare Alliance | Obstetrics & Gynecology | 3000 Colby St, Berkeley, CA 94705-2083 | 2014-05-19 |
| 1962812800 | Berkeley Endocrine Clinic, Inc. | Internal Medicine | 3000 Colby St, Suite 203b, Berkeley, CA 94705-2083 | 2014-04-30 |
| 1386900801 | Laurent Menut | Anesthesiology | 3000 Colby St, Ste 205, Berkeley, CA 94705-2083 | 2012-04-10 |
| 1801168547 | Tristan Eleazar Mendoza | Dentist | 3000 Colby St, Ste. 302, Berkeley, CA 94705-2083 | 2012-01-26 |
| 1922305275 | Aimee Lynn Schimizzi, M.d., Inc | Orthopaedic Surgery | 3000 Colby St, 301, Berkeley, CA 94705-2083 | 2011-02-23 |
| 1639301575 | Myron Lee, M.d., Inc | Ophthalmology | 3000 Colby St, Suite 104, Berkeley, CA 94705-2083 | 2009-08-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386949709 | Kieran Melody | Surgery | 2704 8th St, Berkeley, CA 94710-2604 | 2011-01-14 |
| 1497902308 | Karen M Goodwin | Surgery | 3100 San Pablo Ave Ste 430, Berkeley, CA 94702-2498 | 2008-08-21 |
| 1720208861 | Kyle Asher Belek | Surgery | 2320 Woolsey St Ste 202, Berkeley, CA 94705-1975 | 2007-04-30 |
| 1487732541 | Kristine A. Steensma | Surgery | 2793 Benvenue Ave, Berkeley, CA 94705-1201 | 2006-11-02 |
| 1053347138 | Bruce James Rice | Surgery | 2316 Dwight Way, Berkeley, CA 94704 | 2006-06-23 |
| 1609178136 | Shoko Emily Abe | Surgery | 3100 San Pablo Ave Ste 430, Berkeley, CA 94702-2498 | 2010-12-05 |
| 1265640387 | Rita Ophelia Kwan-feinberg | Surgery | 2850 Telegraph Ave, Suite 120, Berkeley, CA 94705-1192 | 2007-05-21 |
| 1972725034 | Catherine Forest | Surgery | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2007-05-02 |
| 1417084690 | Robert W. Fowler, M.d. A Professional Corporation | Surgery | 3010 Colby St, Suite 110, Berkeley, CA 94705-2059 | 2007-02-27 |
| 1265584924 | Calvin Boyd Benton | Surgery | 3031 Telegraph Ave, Suite 217, Berkeley, CA 94705-2053 | 2007-01-16 |
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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.