Shoko Emily Abe
Surgery

Address: 1480 64th St, Suite 100, Emeryville, CA 94608-1183
Phone: 5106296682

Shoko Emily Abe (NPI# 1609178136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1609178136
Entity Type Individual
Full Name Shoko Emily Abe
Credential M.D.
Gender Female
Practice Address 1480 64th St
Suite 100
Emeryville
CA 94608-1183
Practice Telephone 5106296682
Practice Fax Number 5108303316
Mailing Address 1480 64th St
Suite 100
Emeryville
CA 94608-1183
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2010-12-05
Last Update Date 2015-12-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 208600000X Surgery Allopathic & Osteopathic Physicians MT188328 PA
No 208C00000X Colon & Rectal Surgery Allopathic & Osteopathic Physicians 26133 NE
No 208600000X Surgery Allopathic & Osteopathic Physicians 2013-00996 NC
Yes 208600000X Surgery Allopathic & Osteopathic Physicians A132984 CA

Other Provider Identifier

State Identifier Issuer Type Code
IA 1609178136 MEDICAID
NC 1609178136 MEDICAID
NE 47053395014 MEDICAID

Physician Overview

NPI 1609178136
PAC ID by PECOS 9436337128
Professional Enrollment ID I20141118002239
Full Name Shoko Emily Abe
Organization Legal Name EPIC CARE
Phone Number 5106296682
Gender F
Medical School ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year 2006
Primary Specialty GENERAL SURGERY
Group Practice PAC ID 5890053094
Number of Group Practice Members 65
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050043 ALTA BATES SUMMIT MEDICAL CENTER
050283 STANFORD HEALTH CARE - VALLEYCARE
050305 ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP
050689 SAN RAMON REGIONAL MEDICAL CTR

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
QCDR_EP_ASBS1_1 Surgeon assessment for hereditary cause of breast cancer 100%

Office Location

Street Address 1480 64TH ST
SUITE 100
City EMERYVILLE
State CA
Zip Code 94608-1183

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760608897 Valery Uhl Specialist 1480 64th St, Suite 100, Emeryville, CA 94608-1183 2007-04-17
1629381819 Akshiv Malhotra Student in an Organized Health Care Education/Training Program 1480 64th St, Emeryville, CA 94608-1183 2010-07-16
1497902308 Karen M Goodwin Surgery 1480 64th St, Suite 100, Emeryville, CA 94608-1183 2008-08-21
1447449509 Gopal Sachdeva Radiology 1480 64th St, Suite 100, Emeryville, CA 94608-1183 2007-10-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457853921 Jimmy Yan Behavior Technician 5900 Hollis Street Suite X, Emeryville, CA 94608 2018-03-01
1609395961 Bay Wellness Durable Medical Equipment & Medical Supplies 5715 Market St Ste #d, Oakland, CA 94608 2017-09-18
1871023630 Philip Staley Registered Nurse 1890 Alcatraz Avenue, Berkeley, CA 94608 2017-06-14
1114379120 Leah Jane Tapscott Nurse Practitioner 6121 Hollis St Ste 900, Emeryville, CA 94608 2016-07-01
1295122273 Paramjit S Virk Nurse Practitioner 888 Stanford Ave., Oakland, CA 94608 2015-04-17
1295123453 Sports Injury Medical Group Preferred Provider Organization 5900 Hollis St., Suite K, Emeryville, CA 94608 2014-12-22
1144630583 Adeline Lopez Social Worker 925 Brockhurst St., Oakland, CA 94608 2014-05-07
1275880585 Kristiane Eli Cannon Physical Therapist 6001 Shellmound St, Eomc, Suite 115, Emeryville, CA 94608 2012-08-07
1033402730 Maxim Healthcare Services Inc. Home Health 6475 Christie Ave Ste 350, Emeryville, CA 94608 2011-05-27
1710201603 Rachna Gurjeet Wadia Pediatrics 6121 Hollis St. Suite #2, Emeryville, CALIFORNIA 94608 2010-03-21
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497902308 Karen M Goodwin Surgery 1480 64th St, Suite 100, Emeryville, CA 94608-1183 2008-08-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154891208 Jay Labourene Surgery 1550 Tiburon Blvd Ste G, Tiburon, CA 94920-2531 2018-12-03
1215407218 Vascular and Endovascular Surgery, PC Surgery 2505 Samaritan Dr Ste 503, San Jose, CA 95124-4015 2018-12-03
1457829319 Cerritos Surgery Center, LLC Surgery 16543 Carmenita Rd, Cerritos, CA 90703-2218 2018-11-08
1902374010 Minimally Invasive Medical Group Surgery 26921 Crown Valley Pkwy Ste 120, Mission Viejo, CA 92691-6501 2018-11-06
1306328265 Wave Medical Group Inc Surgery 720 Paularino Ave Ste 200, Costa Mesa, CA 92626-6917 2018-09-06
1427539287 Mohammad Haghdoost Md Medical Cororation Surgery 1144 Norman Dr Ste 240, Manteca, CA 95336-5925 2018-08-28
1881170108 Newport Coast Surgical Center, LLC Surgery 4501 Birch St Ste A, Newport Beach, CA 92660-1928 2018-07-19
1982190716 Gracia Margaret Goade Surgery 16891 Calle De Sarah, Pacific Palisades, CA 90272-1952 2018-07-04
1073009171 Grace S Hwang Md Inc Surgery 1010 W La Veta Ave Ste 470, Orange, CA 92868 2018-07-02
1417448168 Inland Valley Trauma and Acute Care Surgery Apc Inc Surgery 36320 Inland Valley Dr Ste 101a, Wildomar, CA 92595 2018-05-29
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Competitor

Search similar providers

City EMERYVILLE
Zip Code 94608

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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