KUSUM STOKES MD A MEDICAL CORPORATION (NPI# 1215246954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215246954 |
| Entity Type | Organization |
| Organization Name | KUSUM STOKES MD A MEDICAL CORPORATION |
| Practice Address |
3200 Walford Ave Eureka CA 95503-4828 |
| Mailing Address |
Po Box 6630 Eureka CA 95502-6630 |
| Practice Telephone | 7074434869 |
| Practice Fax Number | 7074425095 |
| Mailing Telephone | 7074434869 |
| Mailing Fax Number | 7074425095 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2012-04-23 |
| Authorized Official Name | MRS. KUSUM G STOKES (OWNER) |
| Authorized Official Telephone | 7074434869 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A34267 | CA | Other Service Providers |
| Street Address |
3200 WALFORD AVE |
| City | EUREKA |
| State | CA |
| Zip Code | 95503-4828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386642130 | Kusum G Stokes | Internal Medicine | 3200 Walford Ave, Eureka, CA 95503-4828 | 2005-07-13 |
| 1023133790 | Elizabeth Wachtel O'brien | Nurse Practitioner | 3200 Walford Ave, Suite B, Eureka, CA 95503-4828 | 2007-03-20 |
| 1265571053 | County of Humboldt Office of Education | Local Education Agency (LEA) | 3200 Walford Ave, Eureka, CA 95503-4828 | 2007-02-06 |
| 1851469092 | Ginger Lee Bhakti | Advanced Practice Midwife | 3200 Walford Ave, Eureka, CA 95503-4828 | 2006-12-04 |
| 1114992971 | William C Weiderman | Obstetrics & Gynecology | 3200 Walford Ave, Eureka, CA 95503-4828 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538717244 | Margaret Ramsey | Technician | 463 Ole Hansen Rd., Eureka, CA 95503 | 2019-08-27 |
| 1033765060 | John C Nelson Md Inc | Family Medicine | Hospice of Humboldt, 3327 Timber Fall Court, Eureka, CA 95503 | 2019-08-15 |
| 1861904815 | Remi Vista, Inc. | Marriage & Family Therapist | 3109 H St, Eureka, CA 95503 | 2017-10-31 |
| 1427576487 | Liliana Alonso | Case Manager/Care Coordinator | 3960 Walnut Dr., Eureka, CA 95503 | 2017-08-30 |
| 1801243241 | Sarah Kingstrom | Physician Assistant | 2933 Pigeon Point Rd, Eureka, CA 95503 | 2016-05-16 |
| 1760738389 | Gail Mildred Pascoe | Marriage & Family Therapist | 618 Harris Street, Eureka, CA 95503 | 2012-08-01 |
| 1497084933 | Angus Bynon Stewart | Ophthalmology | 77 Sole Street, Eureka, CA 95503 | 2009-12-11 |
| 1942454301 | Balanced Physical Therapy | Physical Therapist | 2900 Harris St., Eureka, CA 95503 | 2008-11-12 |
| 1073762480 | Michele Lee Rogers | Marriage & Family Therapist | 3172 Walford Ave Ste 2, Eureka, CA 95503 | 2008-09-10 |
| 1952592321 | Brian James Smith | Dentist | 831 Harris Street, Eureka, CA 95503 | 2007-08-09 |
| Find all providers in zip 95503 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962866608 | Pampered Hands and Feet | Specialist | 2245 Stanford Dr, Eureka, CA 95503-7053 | 2016-04-08 |
| 1134469513 | Marilyn Bell Brende | Specialist | 1427 T St, Eureka, CA 95501-2577 | 2013-02-22 |
| 1295037703 | Dee Anne Wettstein | Specialist | 709 S Hilldale Ave, Eureka, IL 61530-1528 | 2010-12-03 |
| 1730324468 | Robert E. Soper, M.d. | Specialist | 517 3rd St Ste 5, Eureka, CA 95501-0460 | 2008-12-09 |
| 1558540765 | Amy Kempton | Specialist | 1984 1/2 Simmons Rd, Eureka, CA 95503-6563 | 2007-10-24 |
| 1326127432 | Robert Patrick Sylvester | Specialist | 1670 Myrtle Ave, Eureka, CA 95501-1403 | 2006-11-02 |
| 1669559308 | Wayne E Roslosnik | Specialist | 2462 Russ St, Eureka, CA 95501-4754 | 2006-11-01 |
| 1134159197 | Steven James Wilson | Specialist | 2306 Dean St, Eureka, CA 95501-3209 | 2006-07-04 |
| 1508892738 | Michael David Fratkin | Specialist | 2440 23rd St Ste B, Eureka, CA 95501-3203 | 2006-06-22 |
| 1316984842 | Leo Roy Leer | Specialist | 2675 Harris St, Eureka, CA 95503-4806 | 2006-06-01 |
| Find all providers in EUREKA | ||||
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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.