LYLE JOHN RAUSCH (NPI# 1730291261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730291261 |
| Entity Type | Individual |
| Full Name | LYLE JOHN RAUSCH |
| Credential | PHD MD |
| Practice Address |
3060 Broadway St Redwood City CA 94062 |
| Mailing Address |
1039 Twin Oak Ct Redwood City CA 94061 |
| Practice Telephone | 6503611177 |
| Practice Fax Number | 6503611826 |
| Mailing Telephone | 6503611329 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | G45490 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3060 BROADWAY ST |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063051803 | Birch Clinic Corporation | Acupuncturist | 39b Birch St, Redwood City, CA 94062 | 2019-12-26 |
| 1376084459 | Sneha Kadkol | Physical Therapist | 2944 Broadway Street, Redwood City, CA 94062 | 2017-03-09 |
| 1376081166 | B. Annye Rothenberg | Psychologist | 3943 Jefferson Ave., Emerald Hills, CA 94062 | 2017-02-01 |
| 1922410406 | Sheree Campbell | Psychologist | 40a Corto Ln, Woodside, CA 94062 | 2014-06-02 |
| 1902188832 | Delmar J Smith | Physician Assistant | 2900 Whipple Ave Ste 132, Redwood City, CA 94062 | 2011-09-16 |
| 1902192974 | Mariana Garcia | Counselor | 500 Allerton Street, Redwood City, CA 94062 | 2011-06-28 |
| 1386938264 | Julie Freschi | Physical Therapist | 3674 Sand Hill Rd, Woodside, CA 94062 | 2011-06-08 |
| 1669763702 | Jacqueline M Phillips | Pediatrics | 2979 Woodside Road, Woodside, CA 94062 | 2011-04-24 |
| 1396041208 | Arch Street Medical Associates | General Practice | 143 Birch Street, Redwood City, CA 94062 | 2011-02-10 |
| 1174843916 | Priyasheelta Nand | Internal Medicine | 2950 Whipple Avenue, Suite 3, Redwood City, CA 94062 | 2010-06-03 |
| Find all providers in zip 94062 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114312329 | Jennifer Yu Wang | Dermatology | 450 Broadway Street Mc 5334, Redwood City, CA 94063-3132 | 2015-04-03 |
| 1861810558 | Maria Alexandrovna Aleshin | Dermatology | 450 Broadway St Fl B4, Redwood City, CA 94063 | 2014-03-31 |
| 1609119783 | Albert Chiou | Dermatology | 450 Broadway St Fl 2, Redwood City, CA 94063-3132 | 2013-03-27 |
| 1073805248 | Shehla Admani | Dermatology | 450 Broadway St # B, Redwood City, CA 94063 | 2011-05-06 |
| 1235457649 | Aruna Venkatesan | Dermatology | 450 Broadway St Pavilion B, Redwood City, CA 94063 | 2010-05-10 |
| 1225353568 | Justin Stanley Gordon | Dermatology | 450 Broadway St Fl 4, Redwood City, CA 94063-3132 | 2010-03-30 |
| 1417185216 | Teresa Zamary | Dermatology | Kaiser Dermatology - Maple Building, 910 Maple Street, Redwood City, CA 94063 | 2009-06-30 |
| 1275787673 | Bryan Sun | Dermatology | 450 Broadway St Fl C2, Department of Dermatology, Redwood City, CA 94063-3132 | 2008-11-12 |
| 1598929069 | Richard Owguan Chen | Dermatology | 450 Broadway Ave, Dept of Dermatology, Pavillion B, 4th Floor, Redwood City, CA 94063-3132 | 2008-07-15 |
| 1649439720 | Shaheen Khosla | Dermatology | 100 Arch St Ste 1, Redwood City, CA 94062-1381 | 2008-06-04 |
| Find all providers in REDWOOD CITY | ||||
| City | REDWOOD CITY |
| Zip Code | 94062 |
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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.