Active NPI
Marin Gastroenterology
- Clinical Pathology/Laboratory Medicine Physician
- Corte Madera, CA
National Provider Identifier
1730125758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | |||
| Clinical Pathology/Laboratory Medicine Physician | 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 DirectoryLocations
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.