MR. ERNEST MARVIN KOTLIER


Address: 1555 Scenic Ave, Berkeley, CA 94708-1813
Phone: 5103681221

MR. ERNEST MARVIN KOTLIER (NPI# 1811269566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811269566
Entity Type Individual
Full Name MR. ERNEST MARVIN KOTLIER
Credential M.D.
Practice Address 1555 Scenic Ave
Berkeley
CA 94708-1813
Practice Telephone 5103681221
Practice Fax Number 5105481727
Mailing Telephone 5103681221
Mailing Fax Number 5105481727
Enumeration Date 2012-01-27
Last Update Date 2012-01-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine CFE28391 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 1555 SCENIC AVE
City BERKELEY
State CA
Zip Code 94708-1813

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003849548 Peter Barglow Psychiatry & Neurology 1 Quail Avenue, Berkeley, CA 94708 2006-07-08
1447597026 Lawrence P. Alejandre Pharmacist 275 Kenyon Ave, Kensington, CA 94708-1028 2013-01-15
1477992196 Sharon N. Hashimoto Pharmacist 275 Kenyon Ave, Kensington, CA 94708-1028 2013-06-15
1447284617 Kathleen Ranlett Mock Marriage & Family Therapist 231 Cambridge Ave, Kensington, CA 94708-1119 2006-07-11
1245682731 Julia Overway Counselor 238 Lake Dr, Kensington, CA 94708-1132 2016-07-07
1841750700 Karre Williams Behavioral Analyst 291 Purdue Ave, Kensington, CA 94708-1136 2019-03-25
1477939577 Logan Berrian Registered Nurse 5674 Stoneridge Dr. Suite 207, Kensington, CA 94708-1143 2015-07-31
1700110038 Revital Barr Psychologist 454 Vassar Ave, Berkeley, CA 94708-1216 2009-09-18
1770797037 Sylvia Guendelman Social Worker 460 Spruce St, Berkeley, CA 94708-1223 2007-05-09
1871926972 Mary Alice Hart Marriage & Family Therapist 527 Woodmont Ave, Berkeley, CA 94708-1231 2013-08-13
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477161008 Rebecca Allison Pell Family Medicine 1327 Parker St Apt C, Berkeley, CA 94702-2341 2020-07-20
1649895434 Precision Psychological Medicine Corporation Family Medicine 2703 7th St Ste 301, Berkeley, CA 94710-2664 2020-06-08
1588213458 Quantumv Medical Group, Inc. Family Medicine 46 Shattuck Sq Ste 16, Berkeley, CA 94704-1154 2019-09-04
1780166983 Amal Salah Elsohemy Family Medicine 3100 San Pablo Ave Ste 300, Berkeley, CA 94702-2498 2018-09-04
1033536404 Dana Gersten Family Medicine 1711 Ward St, Berkeley, CA 94703-2105 2014-03-24
1811268246 Miles Graber Family Medicine 1768 Sonoma Ave, Berkeley, CA 94707-2531 2012-01-17
1528123759 Michele Ditomas Family Medicine 2031 6th Street, Berkeley, CA 94710 2006-12-27
1376613257 Stephen Morris Brown Family Medicine 2435 Webster St Ste D, Berkeley, CA 94705-2050 2006-11-08
1437236163 Shannon Lee Mccune Family Medicine 2850 Telegraph Ave Ste 130, Berkeley, CA 94705-1159 2006-11-01
1629167283 Joseph M Helms Family Medicine 2520 Milvia St, Berkeley, CA 94704-2629 2006-10-12
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City BERKELEY
Zip Code 94708

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Dataset Information

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.

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