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Organization

STANFORD HEALTH CARE

Active
Other names
Stanford Hospital and Clinics, Stanford Medical Center A Trade Name for Stanford Health Care
Organization subpart
No

Provider details

NPI number
Authorized official
JILL BUATHIER (CHIEF REVENUE CYCLE OFFICER)
(650) 723-4000
Entity
Organization

Contact information

Practice address
300 PASTEUR DRIVE, STANFORD, CA 94305
(650) 723-4000
(650) 498-5840
Mailing address
7999 GATEWAY BLVD STE 200, NEWARK, CA 94560-1197
(650) 723-4000
(650) 498-5840

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207N00000X
Dermatology Physician
207P00000X
Emergency Medicine Physician
207R00000X
Internal Medicine Physician
207T00000X
Neurological Surgery Physician
207V00000X
Obstetrics & Gynecology Physician
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
208000000X
Pediatrics Physician
2084N0400X
Neurology Physician
2085R0202X
Diagnostic Radiology Physician
208600000X
Surgery Physician
208800000X
Urology Physician
208D00000X
General Practice Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
282N00000X
General Acute Care Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000A0561
NM
05
034512
OR
05
095552
IL
05
1288115
NV
05
4103358
MT
05
807248900
ID
05
H5810P
AR
05
HS810P
AK
Enumeration date
02/14/2007
Last updated
09/27/2024
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