DR. KENNETH M STEIN (NPI# 1982685798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982685798 |
| Entity Type | Individual |
| Full Name | DR. KENNETH M STEIN |
| Credential | MD |
| Practice Address |
1144 Sonoma Ave Suite 114 Santa Rosa CA 95405-4812 |
| Practice Telephone | 7075464114 |
| Practice Fax Number | 7075461651 |
| Mailing Telephone | 7075464114 |
| Mailing Fax Number | 7075461651 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | G22637 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760510630 | Kenneth Alan Stein | Optometrist | 3545 Macnichol Trl, West Bloomfield, MI 48323-1736 | 2007-03-01 |
| 1922030873 | Kenneth Alan Stein | Podiatrist | 7100 Germantown Avenue, Philadelphia, PA 19119-1837 | 2006-07-07 |
| 1578558516 | Kenneth Stein | Occupational Therapist | 251 Hearthstone Rd, King of Prussia, PA 19406-2224 | 2005-09-15 |
| 1710287800 | Kenneth Stein | Pharmacist | 78271 Highway 111, La Quinta, CA 92253-2063 | 2010-10-24 |
| 1659444057 | Kenneth Robert Stein | Radiology | 1799 W Oakland Park Blvd, Suite 105, Oakland Park, FL 33311-1537 | 2006-11-16 |
| 1801965538 | Kenneth P Stein | Chiropractor | 511 Main St, Miles City, MT 59301 | 2006-11-07 |
| 1699862763 | Kenneth Stein | Internal Medicine | 520 E 70th St # Starr-4, New York, NY 10021-9800 | 2006-10-09 |
| 1164519757 | Kenneth Adam Stein | Internal Medicine | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2006-10-06 |
| 1619930005 | Kenneth Michael Stein | Physician Assistant | 535 Nw 9th St, Suite 300, Oklahoma City, OK 73102-1070 | 2006-04-08 |
| 1639165053 | Kenneth David Stein | Family Medicine | 2 Broad Street Plz, Glens Falls, NY 12801-4363 | 2005-09-21 |
| Street Address |
1144 SONOMA AVE SUITE 114 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-4812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609866888 | Jeffrey D. Bean | Dentist | 1144 Sonoma Ave, St. 102, Santa Rosa, CA 95405-4812 | 2005-10-27 |
| 1952837155 | Dental Group of Emine Loxley, Dds, Inc | Clinic/Center | 1144 Sonoma Ave, #107, Santa Rosa, CA 95405-4812 | 2017-05-08 |
| 1407219355 | Tina Marie Kelly | Marriage & Family Therapist | 1144 Sonoma Ave, Suite 104, Santa Rosa, CA 95405-4812 | 2016-03-29 |
| 1033594783 | Edward A Biery | Psychologist | 1144 Sonoma Ave, Ste 104, Santa Rosa, CA 95405-4812 | 2015-07-23 |
| 1366820474 | Jennifer E. Blum | Psychologist | 1144 Sonoma Ave, 104, Santa Rosa, CA 95405-4812 | 2015-05-08 |
| 1467847103 | Rafael Miguel Diaz | Psychologist | 1144 Sonoma Ave, Suite 104, Santa Rosa, CA 95405-4812 | 2015-03-31 |
| 1518370519 | Dena Nicole Dimond | Nurse Practitioner | 1144 Sonoma Ave, Ste 119, Santa Rosa, CA 95405-4812 | 2014-06-06 |
| 1992123905 | Elizabeth Cassanos | Psychologist | 1144 Sonoma Ave, Santa Rosa, CA 95405-4812 | 2014-04-07 |
| 1679882880 | Dorothy Marie Mandel | Psychologist | 1144 Sonoma Ave, Ste 117, Santa Rosa, CA 95405-4812 | 2010-10-05 |
| 1225346398 | Tina Louise Sandoval-dyer | Marriage & Family Therapist | 1144 Sonoma Ave, Suite 117, Santa Rosa, CA 95405-4812 | 2010-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235782921 | Northern California Medical Assoc Inc | Dermatology | 4727 Hoen Ave Ste A, Santa Rosa, CA 95405-7898 | 2019-07-22 |
| 1023252350 | Erik Stephen Cabral | Dermatology | 3562 Round Barn Cir Ste 320, Santa Rosa, CA 95403-0182 | 2009-04-30 |
| 1326154352 | Stephen D. Schwartz | Dermatology | 4727a Hoen Ave, Santa Rosa, CA 95405-7862 | 2006-08-22 |
| 1619962552 | Khanh Yen Truong | Dermatology | 196 Wikiup Dr, Santa Rosa, CA 95403-7773 | 2005-09-16 |
| 1417319757 | Jennifer Freeman | Dermatology | 3883 Airway Dr Ste 203, Santa Rosa, CA 95403-1671 | 2016-03-25 |
| 1770995748 | Northern California Medical Assoc Inc | Dermatology | 1111 Sonoma Ave, Ste 202, Santa Rosa, CA 95405-4819 | 2014-05-27 |
| 1760725394 | Brianne Zechlinski Dickey | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2013-04-02 |
| 1649599648 | Jennifer Hayes | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2010-06-01 |
| 1083949853 | Judith Hong | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2009-10-12 |
| 1083849012 | Ligaya Park | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2009-05-20 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
Please comment or provide details below to improve the information on DR. KENNETH M STEIN.
| 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.