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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | CFE28391 | CA | Allopathic & Osteopathic Physicians |
Street Address |
1555 SCENIC AVE |
City | BERKELEY |
State | CA |
Zip Code | 94708-1813 |
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 |
Find all providers in zip 94708 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
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 |
Find all providers in BERKELEY |
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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.