DR. FREDRICK ANTHONY BURRIS (NPI# 1245214907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245214907 |
| Entity Type | Individual |
| Full Name | DR. FREDRICK ANTHONY BURRIS |
| Credential | M.D. |
| Practice Address |
246 Hospital Dr Ukiah CA 95482-4533 |
| Mailing Address |
Po Box 2739 Ukiah CA 95482-2739 |
| Practice Telephone | 7074638000 |
| Practice Fax Number | 7074621111 |
| Mailing Telephone | 7074638000 |
| Mailing Fax Number | 7074621111 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2011-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | C33796 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C337960 | 05 |
| Street Address |
246 HOSPITAL DR |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-4533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952309288 | Kathleen Marie Persky | Surgery | 246 Hospital Dr, Ukiah, CA 95482-4533 | 2005-07-11 |
| 1861885147 | Adventist Health Physicians Network | Surgery | 246 Hospital Dr, Ukiah, CA 95482-4533 | 2015-03-11 |
| 1922371962 | Gerson Araujo | Surgery | 246 Hospital Dr, Ukiah, CA 95482-4533 | 2012-02-22 |
| 1790866085 | William Forrest Cress | Specialist | 246 Hospital Dr, Ukiah, CA 95482-4533 | 2006-10-17 |
| 1023027992 | Ziad Hanna | Surgery | 246 Hospital Dr, Ukiah, CA 95482-4533 | 2006-08-07 |
| 1083646525 | Mendo Lake Urologic Medical Group, Inc | Specialist | 246 Hospital Dr, Ukiah, CA 95482-4533 | 2006-07-07 |
| 1215925334 | Randal E Schafer | Surgery | 246 Hospital Dr, Ukiah, CA 95482-4533 | 2005-10-12 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104921378 | Larry Charles Falk | Surgery | 244 Hospital Dr Ste A, Ukiah, CA 95482-4557 | 2006-09-13 |
| 1134174295 | Keith F. Korver, M.d., Inc. | Surgery | 240 Hospital Dr, Ste A, Ukiah, CA 95482-4558 | 2006-05-24 |
| 1952309288 | Kathleen Marie Persky | Surgery | 246 Hospital Dr, Ukiah, CA 95482-4533 | 2005-07-11 |
| 1861885147 | Adventist Health Physicians Network | Surgery | 246 Hospital Dr, Ukiah, CA 95482-4533 | 2015-03-11 |
| 1922371962 | Gerson Araujo | Surgery | 246 Hospital Dr, Ukiah, CA 95482-4533 | 2012-02-22 |
| 1023027992 | Ziad Hanna | Surgery | 246 Hospital Dr, Ukiah, CA 95482-4533 | 2006-08-07 |
| 1215925334 | Randal E Schafer | Surgery | 246 Hospital Dr, Ukiah, CA 95482-4533 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344321 | Sadeghi Medical Corporation | Surgery | 3871 Piedmont Ave # 105, Oakland, CA 94611-5378 | 2020-10-21 |
| 1295332823 | Vneo Medical Clinic Inc | Surgery | 6817 1/2 Kester Ave, Van Nuys, CA 91405-3716 | 2020-10-06 |
| 1619584497 | Prohealth Partners A Medical Group | Surgery | 3628 E Imperial Hwy Ste 303, Lynwood, CA 90262-2646 | 2020-09-25 |
| 1235744004 | Yvette Speight Md Inc | Surgery | 433 N Doheny Dr, Beverly Hills, CA 90210-5734 | 2020-09-09 |
| 1538786900 | Tdwo Inc | Surgery | 57445 29 Palms Hwy Ste 301, Yucca Valley, CA 92284-2947 | 2020-07-01 |
| 1003439746 | Howard Takiff | Surgery | 760 La Canada St, La Jolla, CA 92037-6724 | 2020-05-27 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1811517667 | John K Colwell | Surgery | 222 Hollywood Ave, Los Gatos, CA 95030 | 2020-04-22 |
| 1295361772 | William Robert Berry | Surgery | 5775 Del Cerro Blvd, San Diego, CA 92120-4513 | 2020-03-17 |
| 1497380638 | Bay Area Medical and Surgical Group, Inc. | Surgery | 490 Post St Ste 530, San Francisco, CA 94102-1412 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
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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.