BENJAMIN G. ELLENBOGEN (NPI# 1730267584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730267584 |
| Entity Type | Individual |
| Full Name | BENJAMIN G. ELLENBOGEN |
| Credential | MD |
| Practice Address |
45185 Onondaga Dr Fremont CA 94539-6739 |
| Practice Telephone | 5106598182 |
| Mailing Telephone | 5106598182 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-02-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | G46961 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G469610 | 05 |
| Street Address |
45185 ONONDAGA DR |
| City | FREMONT |
| State | CA |
| Zip Code | 94539-6739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073553 | Anna Maria Lukasik | Physical Therapist | 863 Ridgevie Terrace, Fremont, CA 94539 | 2020-01-28 |
| 1295264653 | Trevor Glenn Addison | Emergency Medicine | 1620 Pajaro Ct., Fremont, CA 94539 | 2017-06-08 |
| 1194261941 | Jianying Liang | Acupuncturist | 46292 Warm Springs Blvd Unit 638, Fremont, CA 94539 | 2017-01-17 |
| 1447604525 | Infusion Express of California Inc | Clinic/Center | 43360 Mission Blvd, Suite 100, Fremont, CA 94539 | 2016-04-14 |
| 1932586989 | Kathren J Michela | Specialist/Technologist, Other | 47063 Benns Terr, Fremont, CA 94539 | 2015-04-29 |
| 1518367846 | Golder Stone International, Inc | Clinic/Center | 46249 Warm Springs Blve Suite 1, Fremont, CA 94539 | 2014-08-22 |
| 1619397858 | Yuan Si | Acupuncturist | 43433 Mission Blvd, Suite 102, Fremont, CA 94539 | 2014-04-25 |
| 1376883256 | Gifty Aidoo | Nurse Practitioner | 39654 Mission Blvd, Fremont, CA 94539 | 2013-02-28 |
| 1811243892 | Pushpa Dewanimal Jagtiani | Internal Medicine | 702 Patriot Place, Fremont, CA 94539 | 2012-07-27 |
| 1053674614 | Nishi Shahi | Pharmacist | 1934 Vinehill Circle, Fremont, CA 94539 | 2012-06-19 |
| Find all providers in zip 94539 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770693335 | Shai Yeshajahu Shinhar | Otolaryngology | 605 3rd Ave Ste A, Fremont, OH 43420-3269 | 2006-08-30 |
| 1225143084 | Jason Van Tassel | Otolaryngology | 2557 Mowry Ave Ste 30, Fremont, CA 94538-1614 | 2006-08-20 |
| 1427094788 | Kevin Gersten | Otolaryngology | 39650 Liberty St, Fremont, CA 94538-2223 | 2006-06-22 |
| 1033101878 | Timothy C Kuo | Otolaryngology | 1550 E 23rd St, Fremont, NE 68025-2414 | 2005-08-18 |
| 1518223981 | Timothy Eun Ortlip | Otolaryngology | 2557 Mowry Ave Ste 30, Fremont, CA 94538 | 2012-04-10 |
| 1982917225 | Ruwan Kiringoda | Otolaryngology | 3200 Kearney St, Fremont, CA 94538-2299 | 2010-07-15 |
| 1225295033 | Sean Xun Wang | Otolaryngology | 3200 Kearney St., Fremont, CA 94538-4402 | 2008-05-20 |
| 1174675417 | Washington Township Medical Group | Otolaryngology | 38690 Stivers St, Suite A, Fremont, CA 94536-5279 | 2007-01-17 |
| 1952464943 | Fremont Eat Nose & Throat Med Group Inc | Otolaryngology | 2557 Mowry Ave, #30, Fremont, CA 94538 | 2006-12-19 |
| 1619052370 | Scott K. Chiang | Otolaryngology | 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2006-10-25 |
| Find all providers in FREMONT | ||||
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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.