DR. LAURENCE WILBUR HARTLEY (NPI# 1083647226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083647226 |
| Entity Type | Individual |
| Full Name | DR. LAURENCE WILBUR HARTLEY |
| Credential | MD |
| Practice Address |
1165 S Dora St Suite G 2 Ukiah CA 95482-8325 |
| Practice Telephone | 7074635535 |
| Practice Fax Number | 7074630591 |
| Mailing Telephone | 7074635535 |
| Mailing Fax Number | 7074630591 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
A25739 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A257391 | 05 |
| Street Address |
1165 S DORA ST SUITE G 2 |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-8325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487655882 | Mark A Bisignani | Radiology | 1165 S Dora St, Ukiah, CA 95482-8325 | 2005-08-09 |
| 1801322268 | Michael Weil | Specialist | 1165 S Dora St, Ukiah, CA 95482-8325 | 2017-05-04 |
| 1568913804 | Adventist Health Physicians Network | Family Medicine | 1165 S Dora St, Suite B-1, Ukiah, CA 95482-8325 | 2016-10-21 |
| 1326431602 | Adventist Health Physicians Network | Otolaryngology | 1165 S Dora St, Suite C-2, Ukiah, CA 95482-8325 | 2015-03-11 |
| 1427301019 | Gary Wyatt Andrus | Audiologist-Hearing Aid Fitter | 1165 S Dora St, Ste B2, Ukiah, CA 95482-8325 | 2012-10-19 |
| 1194085324 | Qi Zhang | Otolaryngology | 1165 S Dora St, C-2, Ukiah, CA 95482-8325 | 2012-05-22 |
| 1962796268 | Planned Parenthood Shasta Pacific | Clinic/Center | 1165 S Dora St, Ukiah, CA 95482-8325 | 2011-06-03 |
| 1780754374 | Ukiah Adventist Hosptial | Clinic/Center | 1165 S Dora St, Suite B-1, Ukiah, CA 95482-8325 | 2006-11-09 |
| 1861562456 | Ukiah Adventist Hosptial | Clinic/Center | 1165 S Dora St, Suite E-2, Ukiah, CA 95482-8325 | 2006-11-09 |
| 1215006143 | Aldis Baltins | Orthopaedic Surgery | 1165 S Dora St, Suite C1, Ukiah, CA 95482 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003903626 | Pablo Garza Cortina | Obstetrics & Gynecology | 1101 S Dora St, Ukiah, CA 95482-6341 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526862 | My Optimal Life | Obstetrics & Gynecology | 72301 Country Club Dr Ste 105, Rancho Mirage, CA 92270-8007 | 2020-07-28 |
| 1740833078 | Lillian Shumate Md | Obstetrics & Gynecology | 1401 Spanos Ct Ste 124, Modesto, CA 95355-2814 | 2019-07-16 |
| 1568927754 | J Kingsley Fife | Obstetrics & Gynecology | 1165 Las Pulgas Pl, Pacific Palisades, CA 90272-2440 | 2019-02-01 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1396253340 | Yasharpour Medical Doctor, Inc A Professional Medical Corporation | Obstetrics & Gynecology | 21013 Sherman Way Ste 4, Canoga Park, CA 91303-3675 | 2018-01-11 |
| 1851828222 | Desert Valley Obgyn Inc | Obstetrics & Gynecology | 39000 Bob Hope Dr Ste 303, Rancho Mirage, CA 92270-3221 | 2017-05-17 |
| 1295274660 | Koe Medical Consulting, Inc. | Obstetrics & Gynecology | 5680 Trinidad Way, San Diego, CA 92114-5310 | 2017-02-18 |
| 1518404441 | Women's Health Care Research Corporation | Obstetrics & Gynecology | 3750 Convoy St Ste 311, San Diego, CA 92111-3741 | 2017-01-30 |
| 1730626722 | Aela Paiz Do Inc | Obstetrics & Gynecology | 9620 Clybourn Ave, Sun Valley, CA 91352-1623 | 2017-01-27 |
| 1538521125 | Randal Sloop Md Inc | Obstetrics & Gynecology | 2068 Talbert Dr Ste 150, Chico, CA 95928-7723 | 2016-03-23 |
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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.