STANLEY A. SHATSKY, M.D. A PROFESSIONAL CORPORATION (NPI# 1780888107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780888107 |
| Entity Type | Organization |
| Organization Name | STANLEY A. SHATSKY, M.D. A PROFESSIONAL CORPORATION |
| Practice Address |
2550 Samaritan Dr Ste D San Jose CA 95124-4104 |
| Mailing Address |
Po Box 3147 Los Altos CA 94024-0147 |
| Practice Telephone | 4087804745 |
| Practice Fax Number | 4087092011 |
| Mailing Telephone | 4087804745 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2019-04-03 |
| Authorized Official Name | MARK BAKER (MANAGER) |
| Authorized Official Telephone | 4087804745 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | G41499 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2550 SAMARITAN DR STE D |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104807684 | Navaid Asad | Internal Medicine | 2550 Samaritan Dr Ste D, San Jose, CA 95124 | 2005-11-10 |
| 1386117794 | Msalam M Sara Md Inc | Internal Medicine | 2550 Samaritan Dr Ste D, San Jose, CA 95124-4104 | 2019-01-08 |
| 1417449414 | Navaid Asad Md Medical Corp | Internal Medicine | 2550 Samaritan Dr Ste D, San Jose, CA 95124 | 2018-06-05 |
| 1144732397 | Advanced Ep Diagnostics, Inc. | Specialist/Technologist, Other | 2550 Samaritan Dr Ste D, San Jose, CA 95124-4104 | 2017-10-27 |
| 1760773931 | Msalam Mtanous Sara | Internal Medicine | 2550 Samaritan Dr Ste D, San Jose, CA 95124-4104 | 2011-04-22 |
| 1922156157 | David W Noller | Urology | 2550 Samaritan Dr Ste D, San Jose, CA 95124-4104 | 2007-01-05 |
| 1497726095 | Mark Wescott Noller | Urology | 2550 Samaritan Dr Ste D, San Jose, CA 95124-4104 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972643286 | Stanley Shatsky | Neurological Surgery | 2505 Samaritan Dr Ste D, San Jose, CA 95124-4006 | 2007-02-07 |
| 1114330461 | California Spine and Neurosurgery Institute | Neurological Surgery | 3425 S Bascom Ave, Suite I, San Jose, CA 95008-7300 | 2014-06-04 |
| 1720358971 | Ali Shirzadi | Neurological Surgery | 2577 Samaritan Dr, Suite 710, San Jose, CA 95124-4100 | 2012-01-05 |
| 1881836104 | Marc B Lee | Neurological Surgery | 751 S. Bascom Ave, San Jose, CA 95128 | 2009-04-01 |
| 1174731095 | Fahd Rahman Khan | Neurological Surgery | 2550 Samaritan Dr, Ste D, San Jose, CA 95124-4104 | 2007-05-21 |
| 1235347865 | Harminder Singh | Neurological Surgery | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2007-05-18 |
| 1669686747 | Mark E. Eastham, M.d. | Neurological Surgery | 2505 Samaritan Dr, Suite 508, San Jose, CA 95124-4006 | 2007-05-09 |
| 1871707984 | Kenneth S. Blumenfeld, Md. P.C. | Neurological Surgery | 2577 Samaritan Dr, Suite 710, San Jose, CA 95124-4100 | 2007-05-09 |
| 1952444622 | Peter Hoang Nguyen | Neurological Surgery | 200 Jose Figueres Ave Ste 260, San Jose, CA 95116 | 2007-02-14 |
| 1215011960 | Jason I Lifshutz | Neurological Surgery | 751 S Bascom Ave, Neurosurgery Dept, San Jose, CA 95128-2604 | 2006-10-25 |
| Find all providers in SAN JOSE | ||||
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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.