Mark Drucker, D.P.M., a Professional Corporation

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

MARK DRUCKER, D.P.M., A PROFESSIONAL CORPORATION

Practice address

750 Las Gallinas Ave
Suite 115
San Rafael, CA 94903-3438

Phone

(415) 472-5575

Fax

(415) 472-0502

NPI assigned

Jan 28, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Judy M Millikin

Title

Bookkeeper

Phone

(415) 472-5575

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1952607657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 LAS GALLINAS AVE",
            "address_2": "SUITE 115",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033438",
            "telephone_number": "415-472-5575",
            "fax_number": "415-472-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 LAS GALLINAS AVE",
            "address_2": "SUITE 115",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033438",
            "telephone_number": "415-472-5575",
            "fax_number": "415-472-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DRUCKER, D.P.M., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "MILLIKIN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "415-472-5575",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marindale Medical Therapy Unit
• Marinidence Opco, LLC
• Marion Kregeloh
• Drew E Maris
• Linda Maria Mariscal, R.N., P.H.N.
• Dallas J Mark
• Alex Stephen Markels, LCSW
• Stephen Marks, PH.D.
• Donald Wayne Marlatt, RAS
• Jonathan Louis Marlowe, PHD

• Foot & Ankle Surgery Podiatrist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.