Organization Active NPI

Kevin S Finnesey MD a Professional Corporation

  • Orthopaedic Surgery of the Spine Physician
  • San Mateo, CA
National Provider Identifier
1407972185
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
G71098 Issued in CA
Legal business name
KEVIN S FINNESEY MD A PROFESSIONAL CORPORATION
Practice address
100 S Ellsworth Ave
Suite 504
San Mateo, CA 94401-3939
Phone
(650) 343-5633
Fax
(650) 343-3122
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Kevin S Finnesey, MD
Title
President
Phone
(650) 558-0504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X G71098 CA Primary

Addresses

Primary practice location

100 S Ellsworth Ave
Suite 504
San Mateo, CA 94401-3939

Mailing address

100 S Ellsworth Ave
Suite 504
San Mateo, CA 94401-3939
Phone (650) 343-5633

Other identifiers 1

IdentifierTypeStateIssuer
G71098OtherCALICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

50 S San Mateo Dr
Ste 440
San Mateo, CA 94401
Phone (650) 558-0504

101 S Ellsworth Ave
Ste 504
San Mateo, CA 94401
Phone (650) 343-5633

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1407972185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S ELLSWORTH AVE",
            "address_2": "SUITE 504",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013939",
            "telephone_number": "650-343-5633",
            "fax_number": "650-343-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S ELLSWORTH AVE",
            "address_2": "SUITE 504",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013939",
            "telephone_number": "650-343-5633",
            "fax_number": "650-343-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN S FINNESEY MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "FINNESEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-558-0504",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "G71098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "G71098",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.