Marin General Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

A82830 Issued in CA

Legal business name

MARIN GENERAL HOSPITAL

Practice address

250 Bon Air Rd
Hospitalist Office
Greenbrae, CA 94904-1702

Phone

(415) 925-7545

NPI assigned

Mar 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kerry Davidson, MDNPI 1063430106

Title

Hospitalist

Phone

(415) 925-7545

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kerry Lynn Davidson, M.D.

  • Internal Medicine Physician
  • Greenbrae, CA
  • NPI 1063430106
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124144902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1679 BRODERICK ST APT 6",
            "address_2": "#6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152931",
            "telephone_number": "415-572-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD",
            "address_2": "HOSPITALIST OFFICE",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041702",
            "telephone_number": "415-925-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "HOSPITALIST",
        "authorized_official_telephone_number": "415-925-7545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A82830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marin Community Clinic
• Marin Community Clinic
• Marin Community Clinic
• Marin Endocrine Care & Research Inc
• Marin Endoscopy Center, LLC (Endoscopy Center of Marin)
• Marin General Hospital
• Marin General Hospital
• Marin General Hospital
• Marin Healthcare Disrict (Marin Endocrine Center)
• Marin Healthcare District

• General Acute Care Hospital in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.