DR. PATRICK JEROME SCANNON (NPI# 1629435946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629435946 |
| Entity Type | Individual |
| Full Name | DR. PATRICK JEROME SCANNON |
| Credential | MD |
| Practice Address |
2910 Seventh St Berkeley CA 94710-2700 |
| Practice Telephone | 5102047222 |
| Practice Fax Number | 5108434127 |
| Mailing Telephone | 5102047222 |
| Mailing Fax Number | 5108434127 |
| Enumeration Date | 2016-01-16 |
| Last Update Date | 2016-01-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G36339 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA MEDICAL LICENSE | G36339 | 01 |
| DEA REGISTRATION NUMBER | BS7916185 | 01 |
| Street Address |
2910 SEVENTH ST |
| City | BERKELEY |
| State | CA |
| Zip Code | 94710-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740836857 | Elizabeth B. Isono | Occupational Therapy Assistant | 2550 9th Street, Suite115, Berkeley, CA 94710 | 2019-08-14 |
| 1861967622 | Liliana Teves Sierra | Nurse Practitioner | 837 Addison St, Berkeley, CA 94710 | 2018-10-09 |
| 1841774213 | Erin Royle | Nurse Practitioner | 800 Dwight Way, Berkeley, CA 94710 | 2018-09-20 |
| 1790293389 | Nga Thien Ho | Pharmacist | 1500 Gilman St, Berkeley, CA 94710 | 2018-01-17 |
| 1942710140 | Laila Rania Tannura | Nurse Practitioner | 837 Addison St., Berkeley, CA 94710 | 2017-10-03 |
| 1578016556 | Elizaveta Pachepsky | Counselor | 1061 Eastshore Hwy, Albany, CA 94710 | 2016-07-26 |
| 1245624832 | Jody Slendebroek | Behavioral Analyst | 2560 9th Street Suite 220a, Ste Consultants LLC, Berkeley, CA 94710 | 2015-03-23 |
| 1104234731 | Felicia Ma | Physician Assistant | 2344 Sixth Street, Berkeley, CA 94710 | 2014-07-28 |
| 1699197228 | Henriette Agnes Lenssen | Acupuncturist | 809 Delaware St, Berkeley, CA 94710 | 2014-01-16 |
| 1598198350 | Fiona C. Lundy | Social Worker | 837 Addison Street, Berkeley, CA 94710 | 2013-08-15 |
| Find all providers in zip 94710 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249144 | Zizmor Medical Group Inc. | Internal Medicine | 1935 Addison St Ste A, Berkeley, CA 94704-1354 | 2020-09-08 |
| 1861926669 | David Kagan Md Inc | Internal Medicine | 1829 Monterey Ave, Berkeley, CA 94707-2543 | 2017-04-18 |
| 1467829879 | Laura Wilson | Internal Medicine | 593 The Alameda, Berkeley, CA 94707-1644 | 2015-09-02 |
| 1053795450 | Jenna T Dean | Internal Medicine | 2540 Ashby Ave, Room 5505, Berkeley, CA 94705-2067 | 2015-07-15 |
| 1679956932 | Robert Allan Hiatt | Internal Medicine | 145 Hillcrest Rd, Berkeley, CA 94705-2808 | 2015-07-06 |
| 1588054076 | Hana Holistic Medical Center | Internal Medicine | 2107 Channing Way, Berkeley, CA 94704-2020 | 2015-02-04 |
| 1639567647 | Lee W Riley | Internal Medicine | 530e Li Ka Shing Bldg, School of Public Health, University of California, Berkeley, CA 94720-3369 | 2014-12-26 |
| 1316217441 | Michael Lance Seal | Internal Medicine | 1844 San Ramon Ave, Berkeley, CA 94707-1645 | 2012-01-05 |
| 1467721902 | Carol West | Internal Medicine | 701 Panoramic Way, Berkeley, CA 94704-2538 | 2011-12-28 |
| 1962715920 | James David Whitmer | Internal Medicine | 724 Gilman St., Berkeley, CA 94710-1316 | 2010-07-20 |
| Find all providers in BERKELEY | ||||
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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.