Nicholas Gelinas-Phaneuf, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A122856 Issued in CA

Practice address

300 Pasteur Dr
Edwards Building
Stanford, CA 94305-5327

Phone

(650) 995-3447

Fax

(650) 724-0535

NPI assigned

Sep 14, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1790035988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MAPLE ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631963",
            "telephone_number": "650-995-3445",
            "fax_number": "650-724-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "address_2": "EDWARDS BUILDING",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055327",
            "telephone_number": "650-995-3447",
            "fax_number": "650-724-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELINAS-PHANEUF",
        "first_name": "NICHOLAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A122856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon M. Geaghan, M.D.
• Jodi Lapidus Gedallovich, MD
• Christina Gee, PA-C
• Marie Geers, OTR
• Jevon Patrick Gegg-Mitchell, PA-C, FNP, RN
• Linda N Geng
• Mark Christopher Genovese, M.D.
• Carly Jenna Genualdi, PA-C
• Stavros Angelos Georganos, M.D.
• Clara Mathew George, NP

• Neurological Surgery Physician in Stanford, CA
• Providers in Stanford, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.