Organization Active NPI

Marin Gastroenterology

  • Clinical Pathology/Laboratory Medicine Physician
  • Corte Madera, CA
National Provider Identifier
1730125758
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
Legal business name
MARIN GASTROENTEROLOGY
Practice address
200 Tamal PLZ Ste 200
Corte Madera, CA 94925-1196
Phone
(415) 925-6900
Fax
(415) 925-6900
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Timothy Sowerby, MD
Title
Managing Partner
Phone
(415) 925-6900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X
Clinical Pathology/Laboratory Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ZP0105X Primary

Addresses

Primary practice location

200 Tamal PLZ Ste 200
Corte Madera, CA 94925-1196

Mailing address

200 Tamal PLZ Ste 200
Corte Madera, CA 94925-1196
Phone (415) 925-6900

Other practice location 1

7120 Redwood Blvd
Novato, CA 94945-4114
Phone (415) 925-6900

Other practice location 2

1350 S Eliseo Dr
Ste 130
Greenbrae, CA 94904
Phone (415) 925-6900

National Provider Directory

National Provider Directory

Locations

200 Tamal Plz
Corte Madera, CA 94925

1350 S Eliseo Dr
Ste 130
Greenbrae, CA 94904
Phone (415) 925-6900

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1730125758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TAMAL PLZ STE 200",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251196",
            "telephone_number": "415-925-6900",
            "fax_number": "415-925-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TAMAL PLZ STE 200",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251196",
            "telephone_number": "415-925-6900",
            "fax_number": "415-925-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7120 Redwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949454114",
            "country_code": "US",
            "telephone_number": "415-925-6900",
            "fax_number": "415-925-6919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 S Eliseo Dr",
            "address_2": "Ste 130",
            "address_purpose": "LOCATION",
            "city": "Greenbrae",
            "state": "CA",
            "postal_code": "94904",
            "country_code": "US",
            "telephone_number": "415-925-6900",
            "fax_number": "415-925-6919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARIN GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "SOWERBY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "415-925-6900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corte Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.