MARIN PEDIATRIC ASSOCIATES, A MEDICAL CORPORATION (NPI# 1588706543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588706543 |
| Entity Type | Organization |
| Organization Name | MARIN PEDIATRIC ASSOCIATES, A MEDICAL CORPORATION |
| Other Organization Name | MARIN PEDIATRICS |
| Practice Address |
1100 S Eliseo Dr Ste 106 Greenbrae CA 94904-2017 |
| Practice Telephone | 4154618828 |
| Practice Fax Number | 4154613772 |
| Mailing Telephone | 4154618828 |
| Mailing Fax Number | 4154613772 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JANE MARTEN MEILL (PRESIDENT) |
| Authorized Official Telephone | 4154618828 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| marin pediatrics | Doing Business As Name - Organization |
| Street Address |
1100 S ELISEO DR STE 106 |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194718056 | Marin Endoscopy Center, LLC | Clinic/Center | 1100 S Eliseo Dr, Suite 3, Greenbrae, CA 94904-2017 | 2005-08-25 |
| 1154830180 | Mfc Surgery Center | Obstetrics & Gynecology | 1100 S Eliseo Dr, Ste 107, Greenbrae, CA 94904 | 2017-09-21 |
| 1588106579 | Jessica Hovatter | Nurse Practitioner | 1100 S Eliseo Dr, Suite 1, Greenbrae, CA 94904-2017 | 2016-11-08 |
| 1942685102 | Peter S Uzelac Md, Inc | Obstetrics & Gynecology | 1100 S Eliseo Dr, Suite 107, Greenbrae, CA 94904-2017 | 2015-07-29 |
| 1881018828 | Audiology Services of Marin, Inc. | Hearing Aid Equipment | 1100 S Eliseo Dr, 108, Greenbrae, CA 94904-2017 | 2014-02-11 |
| 1770913741 | Marin Healthcare District | Internal Medicine | 1100 S Eliseo Dr, Suite 2a, Greenbrae, CA 94904-2017 | 2013-11-12 |
| 1891124632 | Marin Healthcare District | Surgery | 1100 S Eliseo Dr, Suite 2a, Greenbrae, CA 94904-2017 | 2013-11-02 |
| 1043588767 | Peter Uzelac Md, Inc | Specialist | 1100 S Eliseo Dr, Suite 107, Greenbrae, CA 94904-2017 | 2011-12-08 |
| 1861649188 | Francis William Parnell | Otolaryngology | 1100 S Eliseo Dr, Suite2, Greenbrae, CA 94904-2017 | 2008-08-19 |
| 1508055138 | Rina S Marfatia | Internal Medicine | 1100 S Eliseo Dr, Suite 2a, Greenbrae, CA 94904-2017 | 2007-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1396909735 | Prima Medical Foundation | Pediatrics | 1260 S. Eliseo Dr, Floor 2, Greenbrae, CA 94904-2009 | 2008-07-15 |
| 1114090396 | Jane Marten Meill | Pediatrics | 1100 South Eliseo Dr, Ste #106, Greenbrae, CA 94904 | 2006-11-16 |
| 1982861746 | Samantha Anne Goldstein Kamras | Pediatrics | 250 Bon Air Rd, Marin Community Clinics, Greenbrae, CA 94904-1702 | 2008-05-20 |
| 1518173400 | Elizabeth Claire Nadiv | Pediatrics | 250 Bon Air Road, M691, Greenbrae, CA 94904 | 2007-05-15 |
| 1083743033 | Kathryn Sexton, M.d., Martin Joffe, M.d. & Katrina Urbach, M.d, Medic | Pediatrics | 1000 S Eliseo Drive, Suite 1a, Greenbrae, CA 94904-2133 | 2007-03-05 |
| 1205981586 | Michelle Dominique Perro | Pediatrics | 1350 S Eliseo Dr, Suite 120, Greenbrae, CA 94904-2011 | 2007-01-24 |
| 1508922139 | Donald James Pyskaty Jr. | Pediatrics | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2006-12-28 |
| 1023181203 | Kara Suzanne Ornstein | Pediatrics | 1100 South Eliseo Dr, Ste #106, Greenbrae, CA 94904 | 2006-11-16 |
| 1194802512 | Alice Cantwell Brock-utne | Pediatrics | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2006-11-01 |
| 1669553418 | Andrea Gray | Pediatrics | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2006-10-18 |
| Find all providers in GREENBRAE | ||||
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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.