Kevin Mcmullen (NPI# 1225442247, PAC ID# 9638462955) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1225442247 |
| PAC ID by PECOS | 9638462955 |
| Professional Enrollment ID | I20190725001154 |
| Full Name | Kevin Mcmullen |
| Organization Legal Name | BERMAN SKIN INSTITUTE MEDICAL GROUP INC |
| Address |
1 Daniel Burnham Ct Suite 350c San Francisco CA 94109-0464 |
| Phone Number | 4157716300 |
| Gender | M |
| Medical School | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 2014 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0042407215 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5575 W Las Positas Blvd, Suite 220, Pleasanton, CA 94588-5802 | 9254161122 | BERMAN SKIN INSTITUTE MEDICAL GROUP INC |
| 1 Daniel Burnham Ct, Suite 350c, San Francisco, CA 94109-0464 | 4157716300 | BERMAN SKIN INSTITUTE MEDICAL GROUP INC |
| Organization Legal Name | BERMAN SKIN INSTITUTE MEDICAL GROUP INC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaveri Korgavkar Karhade | Dermatology | Berman Skin Institute Medical Group Inc | 1 Daniel Burnham Ct, Suite 350c, San Francisco, CA 94109-0464 |
| Lily Park | Internal Medicine | Berman Skin Institute Medical Group Inc | 3105 Cedar Ravine Rd, Suite 201, Placerville, CA 95667-6561 |
| Donita L Abangan | Dermatology | Berman Skin Institute Medical Group Inc | 1166 Live Oak Blvd, Yuba City, CA 95991-3407 |
| Ebu Scohy | Physician Assistant | Berman Skin Institute Medical Group Inc | 4300 El Camino Real, Suite 100, Los Altos, CA 94022-1090 |
| Juliana Rose Cinque | Dermatology | Berman Skin Institute Medical Group Inc | 5575 W Las Positas Blvd, Suite 220, Pleasanton, CA 94588-5802 |
| Eric Petrie Smith | Dermatology | Berman Skin Institute Medical Group Inc | 1 Daniel Burnham Ct, Suite 350c, San Francisco, CA 94109-0464 |
| Lawrence R Dardick | Radiation Oncology | Berman Skin Institute Medical Group Inc | 3105 Cedar Ravine Rd, Suite 201, Placerville, CA 95667-6561 |
| Ellis James Andras | Radiation Oncology | Berman Skin Institute Medical Group Inc | 3105 Cedar Ravine Rd, Suite 201, Placerville, CA 95667-6561 |
| Monika K Chock | Dermatology | Berman Skin Institute Medical Group Inc | 900 Welch Rd, Suite 300, Palo Alto, CA 94304-1800 |
| David Adam Berman | Dermatology | Berman Skin Institute Medical Group Inc | 900 Welch Rd, Suite 300, Palo Alto, CA 94304-1800 |
| Street Address |
1 DANIEL BURNHAM CT SUITE 350C |
| City | SAN FRANCISCO |
| State | CA |
| Zip | 94109-0464 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaveri Korgavkar Karhade | Dermatology | Berman Skin Institute Medical Group Inc | 1 Daniel Burnham Ct, Suite 350c, San Francisco, CA 94109-0464 |
| Gary Rust | Otolaryngology | Bay Area Surgical Specialists Inc A Medical Corporation | 1 Daniel Burnham Ct, Suite 205c, San Francisco, CA 94109-5472 |
| Eric Petrie Smith | Dermatology | Berman Skin Institute Medical Group Inc | 1 Daniel Burnham Ct, Suite 350c, San Francisco, CA 94109-0464 |
| Robert A Mickel | Otolaryngology | Bay Area Surgical Specialists Inc A Medical Corporation | 1 Daniel Burnham Ct, Suite 205c, San Francisco, CA 94109-5472 |
| Fred F. Naraghi | Orthopedic Surgery | 1 Daniel Burnham Ct, Suite 388c, San Francisco, CA 94109-5490 | |
| Edward Lee | Otolaryngology | Bay Area Surgical Specialists Inc A Medical Corporation | 1 Daniel Burnham Ct, Suite 205c, San Francisco, CA 94109-5472 |
| Daniel F Hartman | Otolaryngology | Bay Area Surgical Specialists Inc A Medical Corporation | 1 Daniel Burnham Ct, Suite 205c, San Francisco, CA 94109-5472 |
| Aditi H Mandpe | Otolaryngology | Bay Area Surgical Specialists Inc A Medical Corporation | 1 Daniel Burnham Ct, Suite 205c, San Francisco, CA 94109-5472 |
| Anthony T Comella | Physical Therapy | Golden Gate Physical Therapy | 1 Daniel Burnham Ct, 325c, San Francisco, CA 94109-5482 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abigail J Goetz | Physician Assistant | Nicholas H Mast Md Inc | 119 Bush St, Suite 300, San Francisco, CA 94109 |
| Kari Jo Vanocker | Physician Assistant | Nicholas H Mast Md Inc | 119 Bush St, Suite 300, San Francisco, CA 94109 |
| Kenneth B Maybury | Internal Medicine | 1661 Pine St, San Francisco, CA 94109-0401 | |
| Martin S Liberman | Internal Medicine | 1661 Pine St, San Francisco, CA 94109-0401 | |
| Stephen E Hall | Psychiatry | 1661 Pine St, San Francisco, CA 94109-0401 | |
| Loren Clifford Stolle | Internal Medicine | 1661 Pine St, San Francisco, CA 94109-0401 | |
| Richard J Moore | Internal Medicine | 1661 Pine St, San Francisco, CA 94109-0401 | |
| Ahvie Herskowitz | Internal Medicine | 1700 California St, Suite 520, San Francisco, CA 94109-0430 | |
| Henry Oyharcabal | Chiropractic | 2305 Van Ness Ave B, San Francisco, CA 94109-1899 | |
| Katherine Mcdermont Afzal | Chiropractic | 1545 Broadway, Suite 1a, San Francisco, CA 94109-2539 | |
| Find all physicians in zip 94109 | |||
| City | SAN FRANCISCO |
| Zip Code | 94109 |
| Specialty | DERMATOLOGY |
| City + Specialty | SAN FRANCISCO + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.