KORINA FRIEDA DEBRUYNE (NPI# 1770545824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770545824 |
| Entity Type | Individual |
| Full Name | KORINA FRIEDA DEBRUYNE |
| Credential | MD |
| Practice Address |
211 Quarry Rd Hoover Pavilion Ste 301 Palo Alto CA 94304-1416 |
| Practice Telephone | 6507234000 |
| Practice Fax Number | 6507257078 |
| Mailing Telephone | 6507234000 |
| Mailing Fax Number | 6507257078 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2017-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G74833 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G748330 | 05 |
| Street Address |
211 QUARRY RD HOOVER PAVILION STE 301 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669456554 | Rebecca Laura Seekamp | Family Medicine | 211 Quarry Rd, Suite 405, Mc 5985, Palo Alto, CA 94304-1416 | 2005-12-03 |
| 1417578253 | Carmen L Li | Pharmacist | 211 Quarry Rd, Palo Alto, CA 94304-1416 | 2020-05-04 |
| 1760032189 | Riti Gupta | Pharmacist | 211 Quarry Rd, Palo Alto, CA 94304-1416 | 2019-09-17 |
| 1538721386 | Magdelena Marie Ford | Nurse Practitioner | 211 Quarry Rd, Palo Alto, CA 94304-1416 | 2019-07-02 |
| 1598231847 | Peng Ye Hai | Nurse Practitioner | 211 Quarry Rd, Palo Alto, CA 94304-1416 | 2018-10-14 |
| 1003398108 | See Lor | Pharmacist | 211 Quarry Rd, Palo Alto, CA 94304-1416 | 2018-09-05 |
| 1306377973 | Leon Moskatel | Student in an Organized Health Care Education/Training Program | 211 Quarry Rd, Palo Alto, CA 94304-1416 | 2017-03-24 |
| 1609267582 | Matthew Gene Hurricane Hall | Genetic Counselor, MS | 211 Quarry Rd, 2nd Floor, M/c 5992, Palo Alto, CA 94304-1416 | 2015-02-12 |
| 1629482781 | Can Jiang | Family Medicine | 211 Quarry Rd, Palo Alto, CA 94304-1416 | 2014-06-17 |
| 1891129516 | Kendra June Patton | Physician Assistant | 211 Quarry Rd, #305, Palo Alto, CA 94304-1416 | 2013-08-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
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| 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 |
|---|---|---|---|---|
| 1962040089 | Dr. Taraneh Razavi, A Professional Corporation | Internal Medicine | 211 Quarry Rd Ste 203, Palo Alto, CA 94304-1416 | 2019-12-19 |
| 1376058818 | Gregory David Moon | Internal Medicine | 1843 Channing Ave, Palo Alto, CA 94303-3014 | 2017-12-06 |
| 1437684909 | Nadeem Elias Abou-arraj | Internal Medicine | 500 Pasteur Dr, Palo Alto, CA 94304-1048 | 2017-04-21 |
| 1700264330 | Varun Bipinchandra Shah | Internal Medicine | 300 Pasteur Dr # 5778, Palo Alto, CA 94305-2200 | 2015-05-14 |
| 1386030559 | Robert Kocher | Internal Medicine | 1870 Emerson St, Palo Alto, CA 94301-3717 | 2015-04-14 |
| 1669866620 | Matthew Stevenson | Internal Medicine | 3801 Miranda Avenue, Building 5, C365, Palo Alto, CA 94304 | 2015-03-26 |
| 1942624192 | Richard David Mamelok | Internal Medicine | 364 Churchill Ave, Palo Alto, CA 94301-3601 | 2014-02-08 |
| 1942649157 | Can Chen | Internal Medicine | 211 Quarry Rd # 402, Palo Alto, CA 94304 | 2013-06-20 |
| 1962848960 | Amy Chang | Internal Medicine | 300 Pasteur Dr Bldg 134, Palo Alto, CA 94304-2203 | 2013-05-16 |
| 1386900959 | Paul Marcus | Internal Medicine | 3801 Miranda Ave # Mc111, Palo Alto, CA 94304-1207 | 2012-04-07 |
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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.