Gordon R Haddow, MD | |
700 Lawrence Expy, Santa Clara, CA 95051-5173 | |
(408) 851-6020 | |
Not Available |
Full Name | Gordon R Haddow |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 700 Lawrence Expy, Santa Clara, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649358243 | NPI | - | NPPES |
00A485390 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A48539 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Gordon R Haddow, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Gordon R Haddow, MD 700 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (408) 851-6020 |
James M. Healzer, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 900 Kiely Blvd, Santa Clara, CA 95051 Phone: 408-236-6400 | |
Teresa A. Chiu, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 900 Kiely Blvd, Santa Clara, CA 95051 Phone: 408-236-6400 | |
Thomas P. Holtzapple, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 900 Kiely Blvd, Santa Clara, CA 95051 Phone: 408-236-6400 | |
David Warren Newswanger, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 900 Kiely Blvd, Santa Clara, CA 95051 Phone: 408-236-6400 | |
Sheila Vaz, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 900 Kiely Blvd, Santa Clara, CA 95051 Phone: 408-236-6400 | |
Grace Shih, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-6020 | |
Christopher Karjun Cheung, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-6020 |