BIG SUR HEALTH CENTER (NPI# 1003908484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003908484 |
| Entity Type | Organization |
| Organization Name | BIG SUR HEALTH CENTER |
| Practice Address |
46896 Highway 1 Big Sur CA 93920-9693 |
| Practice Telephone | 8316672580 |
| Practice Fax Number | 8316670184 |
| Mailing Telephone | 8316672580 |
| Mailing Fax Number | 8316670184 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2013-03-11 |
| Authorized Official Name | SHAREN CAREY (ADMINISTRATOR) |
| Authorized Official Telephone | 8316672580 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
070000483 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE CLINIC LICENSE | 070000483 | 01 |
| CA | CMM70332F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639553688 | Big Sur Health Center | Clinic/Center | 46896 Highway 1, Big Sur, CA 93920-9693 | 2015-07-18 |
| Street Address |
46896 HIGHWAY 1 |
| City | BIG SUR |
| State | CA |
| Zip Code | 93920-9693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095019 | Elizabeth Alice Fries | Physician Assistant | 46896 Highway 1, Big Sur, CA 93920-9693 | 2005-07-01 |
| 1639553688 | Big Sur Health Center | Clinic/Center | 46896 Highway 1, Big Sur, CA 93920-9693 | 2015-07-18 |
| 1598012791 | Danielle Middle Glazer | Nurse Practitioner | 46896 Highway 1, Big Sur, CA 93920-9693 | 2012-08-07 |
| 1760647861 | Marta Elizabeth Mejia | Dentist | 46896 Highway 1, Big Sur, CA 93920-9693 | 2008-07-28 |
| 1811103484 | Gregory Irvin Wirth | Chiropractor | 46896 Highway 1, Big Sur, CA 93920-9693 | 2007-05-14 |
| 1306917265 | Brita Axell Bruemmer | Family Medicine | 46896 Highway 1, Big Sur, CA 93920-9693 | 2006-11-13 |
| 1669576005 | William Benda Jr. | Emergency Medicine | 46896 Highway 1, Big Sur, CA 93920-9693 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508115338 | Peter Martin Harding | Psychiatry & Neurology | 54540 Highway 1, Big Sur, CA 93920 | 2012-09-07 |
| 1598039505 | Stancil E.d. Johnson, M.d, A Professional Corporation | Psychiatry & Neurology | Junipero St Btwn 4th & 5th St, Suite 4, Carmel, CA 93920 | 2012-03-08 |
| 1740398163 | Sharen Carey | Physician Assistant | 46896 Highway One, Bigsur, CA 93920 | 2006-08-26 |
| 1851473474 | Kimberly Rousseau | Chiropractor | 46840 Highway 1 Ste 7, Big Sur, CA 93920-9507 | 2006-10-20 |
| 1588051858 | Big Sur Charter School | Case Management | 47540 Highway 1, Big Sur, CA 93920-9632 | 2015-04-23 |
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 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.