Ies Medical Group, Inc.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A497670 Issued in CA

Legal business name

IES MEDICAL GROUP, INC.

Practice address

1101 Van Ness Ave RM 31583D
San Francisco, CA 94109-6919

Phone

(415) 600-1151

Fax

(415) 447-6330

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth F Binmoeller, MD

Title

President

Phone

(415) 600-1151

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Tonya Kaltenbach, MD

  • Specialist
  • Palo Alto, CA
  • NPI 1578618419
  NPD (past)
• Roy Muljadi Soetikno, MD

  • Gastroenterology Physician
  • Mountain View, CA
  • NPI 1922119916
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1720130263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 34754",
            "address_2": "PO BOX 39000",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941390001",
            "telephone_number": "415-600-1151",
            "fax_number": "415-447-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 VAN NESS AVE RM 31583D",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941096919",
            "telephone_number": "415-600-1151",
            "fax_number": "415-447-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IES MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "BINMOELLER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-600-1151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A497670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR B NPI",
            "identifier": "1851321715",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. B MD LIC CAL",
            "identifier": "A049767",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Namie Ideura
• Geleeza Joy Pintor Idolyantes
• Patricia A Idowu
• Abas Idris
• Nada Idris
• Gioia Iezza, MD
• Ifeacho Medical Corp
• Rafa Ifthikhar
• Zunaira Iftikhar
• Shaff K. Iginla

• Gastroenterology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.