Provider Demographics
NPI:1437243540
Name:ORGEL, JEREMY EUGENE (MD)
Entity Type:Individual
Prefix:DR
First Name:JEREMY
Middle Name:EUGENE
Last Name:ORGEL
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1700 PIERCE STREET
Mailing Address - Street 2:204
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115
Mailing Address - Country:US
Mailing Address - Phone:415-776-9215
Mailing Address - Fax:415-440-7436
Practice Address - Street 1:1700 PIERCE STREET
Practice Address - Street 2:NUMBER 204
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115
Practice Address - Country:US
Practice Address - Phone:415-776-9215
Practice Address - Fax:415-440-7436
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG0725912084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
F20676Medicare UPIN