PETER A. BEORIS (NPI# 1114030863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114030863 |
| Entity Type | Individual |
| Full Name | PETER A. BEORIS |
| Credential | MD |
| Practice Address |
475 Bruce St Yreka CA 96097-3474 |
| Practice Telephone | 5308423507 |
| Mailing Telephone | 5308423507 |
| Mailing Fax Number | 5308429412 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2009-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | G35111 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G351110 | 05 |
| Street Address |
475 BRUCE ST |
| City | YREKA |
| State | CA |
| Zip Code | 96097-3474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669476578 | Christal J Duncan | Obstetrics & Gynecology | 475 Bruce St, Yreka, CA 96097-3474 | 2005-06-08 |
| 1174092944 | Teresa Jean Schuyler | Nurse Practitioner | 475 Bruce St, Yreka, CA 96097-3474 | 2018-11-21 |
| 1912481284 | Amber Bernelis | Physician Assistant | 475 Bruce St, Yreka, CA 96097-3474 | 2018-09-21 |
| 1205314648 | Seamus Mannix | Dentist | 475 Bruce St, Yreka, CA 96097-3474 | 2018-07-28 |
| 1447768718 | Alex Wade Childs | Physician Assistant | 475 Bruce St, Yreka, CA 96097-3474 | 2018-01-19 |
| 1124484225 | Siskiyou Hospital Inc | Dental Hygienist | 475 Bruce St, Yreka, CA 96097-3474 | 2016-01-06 |
| 1093197790 | Charity Ann Bradley | Registered Nurse | 475 Bruce St, Yreka, CA 96097-3474 | 2015-06-18 |
| 1629459607 | Jon Hopkins | Podiatrist | 475 Bruce St, Yreka, CA 96097-3474 | 2015-06-15 |
| 1669897542 | Christa Lynn Fournier | Nurse Practitioner | 475 Bruce St, Yreka, CA 96097-3474 | 2014-02-28 |
| 1902233349 | Monica Kay Mais | Nurse Practitioner | 475 Bruce St, Yreka, CA 96097-3474 | 2013-09-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376830653 | Paul William Willis | Pharmacist | 807 S. Main St., Yreka, CA 96097 | 2011-07-07 |
| 1578883864 | Ginger A Bert | Chiropractor | 106 Ranch Ln Ste A, Yreka, CA 96097 | 2010-06-09 |
| 1669796611 | Rebekah Joyce Retterath | Dietitian, Registered | 444 Bruce Street, Yreka, CA 96097 | 2010-03-19 |
| 1780849679 | Donna Jean May | Marriage & Family Therapist | 625 Butte Street, Yreka, CA 96097 | 2008-07-21 |
| 1114121589 | Loren Cronk | Marriage & Family Therapist | 208 4th Street, Yreka, CA 96097 | 2007-06-12 |
| 1093928863 | Kristin Rene Kopplin | Psychologist | 1515 South Oregon Street, Suite A, Yreka, CA 96097 | 2007-05-08 |
| 1073735379 | Rivkah Lynn Barmore | Social Worker | 1515 S Oregon, Suite A, Yreka, CA 96097 | 2007-05-03 |
| 1649492091 | Randy Terry Murieen | Social Worker | 1515 S Oregon Street, Suite A, Yreka, CA 96097 | 2007-05-03 |
| 1265654537 | Roy Victor Hall Jr. | Social Worker | 1515 South Oregon St, Suite A, Yreka, CA 96097 | 2007-05-03 |
| 1578785614 | Meadowlark | Assisted Living Facility | 351 Bruce St, Yreka, CA 96097 | 2007-05-02 |
| Find all providers in zip 96097 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568705671 | Emily Anne Sander | Emergency Medicine | 444 Bruce St, Yreka, CA 96097-3450 | 2013-03-27 |
| 1518164474 | John Tribble | Emergency Medicine | 444 Bruce St, Yreka, CA 96097-3450 | 2007-07-02 |
| 1467487280 | Qazi M Mohsin | Emergency Medicine | 444 Bruce St, Yreka, CA 96097-3450 | 2006-07-11 |
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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.