CHRISTOPHER MARDY (NPI# 1871912741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871912741 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER MARDY |
| Credential | M.D. |
| Practice Address |
750 Welch Rd Ste 325 Palo Alto CA 94304-1510 |
| Practice Telephone | 6507216849 |
| Mailing Telephone | (650) 721-6849 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3959 Broadway, New York, NY 100321559 | 2123058504 | 2123058881 |
| Street Address |
750 WELCH RD STE 325 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154489094 | Winyss Elizabeth Shepard | Pediatrics | 750 Welch Rd Ste 325, Susm-division of General Pediatrics, Palo Alto, CA 94304-1510 | 2006-12-04 |
| 1619498870 | Nassiba Alami Laroussi | Pediatrics | 750 Welch Rd Ste 325, Palo Alto, CA 94304-1510 | 2017-06-28 |
| 1154776383 | Alaina Anne Critchlow | Pediatrics | 750 Welch Rd Ste 325, Palo Alto, CA 94304-1510 | 2016-04-25 |
| 1568858892 | Dana Gal | Student in an Organized Health Care Education/Training Program | 750 Welch Rd Ste 325, Palo Alto, CA 94304-1510 | 2015-04-14 |
| 1013335124 | Gregory Thomas Adamson | Student in an Organized Health Care Education/Training Program | 750 Welch Rd Ste 325, Palo Alto, CA 94304-1510 | 2014-04-04 |
| 1245539964 | Elizabeth Loudon Profita | Pediatrics | 750 Welch Rd Ste 325, Palo Alto, CA 94304 | 2011-03-21 |
| 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 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1952930570 | Jack William Osullivan | Student in an Organized Health Care Education/Training Program | 3801 Miranda Ave Uppr Va, Palo Alto, CA 94304-1207 | 2020-04-06 |
| 1831727940 | Haley Vertelney | Student in an Organized Health Care Education/Training Program | 2381 Bryant St, Palo Alto, CA 94301-4103 | 2020-04-01 |
| 1154959773 | Natalia Eugenia Birgisson | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr Rm H362, Palo Alto, CA 94304-2203 | 2020-03-30 |
| 1053956896 | Timothy Michael Preston | Student in an Organized Health Care Education/Training Program | 586 Military Way, Palo Alto, CA 94306-3236 | 2019-11-15 |
| 1154883445 | Daniel Kwangsuk Lee | Student in an Organized Health Care Education/Training Program | Stanford Neuroscience Health Center, 213 Quarry Road, Palo Alto, CA 94304-5979 | 2019-04-04 |
| 1851853717 | Farrah Liu | Student in an Organized Health Care Education/Training Program | 770 Welch Rd Fl 4, Palo Alto, CA 94304-1511 | 2019-04-01 |
| 1952892762 | Yair Azoulay | Student in an Organized Health Care Education/Training Program | 3801 Miranda Ave Uppr, Palo Alto, CA 94304-1207 | 2018-05-29 |
| 1902303969 | Alanna Coughran | Student in an Organized Health Care Education/Training Program | 120 Melville Ave, Palo Alto, CA 94301-3540 | 2018-04-06 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| Find all providers in PALO ALTO | ||||
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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.