ST JOSEPH HERITAGE HEALTHCARE (NPI# 1386937225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386937225 |
| Entity Type | Organization |
| Organization Name | ST JOSEPH HERITAGE HEALTHCARE |
| Other Organization Name | ST JOSEPH HERITAGE HEALTHCARE |
| Practice Address |
2826 Harris St Eureka CA 95503-4809 |
| Practice Telephone | 7074438066 |
| Practice Fax Number | 7072683251 |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2018-12-05 |
| Authorized Official Name | RONALD MORELAND (SR. VICE PRESIDENT) |
| Authorized Official Telephone | 7149376200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NSC | 6852510001 | 01 |
| Other Name | Type Code |
|---|---|
| ST JOSEPH HERITAGE HEALTHCARE | Doing Business As Name - Organization |
| St Jude Hospital Yorba Linda | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770068629 | St Joseph Heritage Healthcare | Family Medicine | 1 Edwards Way, Irvine, CA 92614-5688 | 2018-09-26 |
| 1609925957 | St Joseph Heritage Healthcare | Family Medicine | 500 S Main St Ste 1000, Orange, CA 92868-4533 | 2007-01-09 |
| 1639715709 | St Joseph Heritage Healthcare | Family Medicine | 200 W Center Street Promenade, Anaheim, CA 92805-3960 | 2019-11-22 |
| 1801443510 | St Joseph Heritage Healthcare | Internal Medicine | 1010 W La Veta Ave Ste 200, Orange, CA 92868-4301 | 2019-08-19 |
| 1427305960 | St Joseph Heritage Healthcare | Physical Medicine & Rehabilitation | 26522 La Alameda, Suite 120, Mission Viejo, CA 92691-6330 | 2012-08-14 |
| 1649551086 | St Joseph Heritage Healthcare | Anesthesiology | 2700 Dolbeer St, Eureka, CA 95501-4736 | 2011-08-30 |
| 1316243769 | St Joseph Heritage Healthcare | Durable Medical Equipment & Medical Supplies | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835 | 2011-02-02 |
| 1205131950 | St Joseph Heritage Healthcare | Durable Medical Equipment & Medical Supplies | 1100 Trancas St, Suite 209, Napa, CA 94558-2900 | 2011-01-11 |
| 1053616706 | St Joseph Heritage Healthcare | Durable Medical Equipment & Medical Supplies | 19333 Bear Valley Rd, Suite 106, Apple Valley, CA 92308-5148 | 2011-01-11 |
| 1740584473 | St Joseph Heritage Healthcare | Internal Medicine | 500 Doyle Park Dr, Suite 303, Santa Rosa, CA 95405-4558 | 2011-01-10 |
| Street Address |
2826 HARRIS ST |
| City | EUREKA |
| State | CA |
| Zip Code | 95503-4809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245268549 | Raymond A Koch | Orthopaedic Surgery | 2826 Harris St, Eureka, CA 95503-4809 | 2006-06-28 |
| 1619488905 | Chloe Lee Thieleman | Physician Assistant | 2826 Harris St, Eureka, CA 95503-4809 | 2017-10-13 |
| 1861910093 | Amanda May Steinheiser | Physician Assistant | 2826 Harris St, Eureka, CA 95503-4809 | 2017-09-08 |
| 1467611988 | John Christopher Kurylo | Orthopaedic Surgery | 2826 Harris St, Eureka, CA 95503-4809 | 2008-06-09 |
| 1346422821 | Lance Rivas | Physician Assistant | 2826 Harris St, Eureka, CA 95503 | 2007-11-27 |
| 1528258738 | Erik Mcgoldrick | Orthopaedic Surgery | 2826 Harris St, Eureka, CA 95503-4809 | 2007-07-25 |
| 1316164999 | Daniel S Farnum | Orthopaedic Surgery | 2826 Harris St, Eureka, CA 95503-4809 | 2007-04-18 |
| 1477681286 | Humboldt Orthopaedic Medical Associates, Inc. | Durable Medical Equipment & Medical Supplies | 2826 Harris St, Eureka, CA 95503-4809 | 2007-03-01 |
| 1750300216 | Ryan L Larsen | Physician Assistant | 2826 Harris St, Eureka, CA 95503-4809 | 2006-07-18 |
| 1295754752 | Paul Russell Gustavson | Physician Assistant | 2826 Harris St, Eureka, CA 95503-4809 | 2006-07-18 |
| Find all providers in the same location | ||||
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245268549 | Raymond A Koch | Orthopaedic Surgery | 2826 Harris St, Eureka, CA 95503-4809 | 2006-06-28 |
| 1467611988 | John Christopher Kurylo | Orthopaedic Surgery | 2826 Harris St, Eureka, CA 95503-4809 | 2008-06-09 |
| 1972793610 | Gateway Spine LLC | Orthopaedic Surgery | 20 The Legends Pkwy, Eureka, MO 63025-3821 | 2007-07-30 |
| 1528258738 | Erik Mcgoldrick | Orthopaedic Surgery | 2826 Harris St, Eureka, CA 95503-4809 | 2007-07-25 |
| 1316164999 | Daniel S Farnum | Orthopaedic Surgery | 2826 Harris St, Eureka, CA 95503-4809 | 2007-04-18 |
| 1598804155 | Orthopedic Specialists, PC | Orthopaedic Surgery | 20 The Legends Pkwy, Suite 100, Eureka, MO 63025-3818 | 2007-02-06 |
| 1508891029 | Williiam B. Kilgore | Orthopaedic Surgery | 2826 Harris St, Eureka, CA 95503-4809 | 2006-07-12 |
| 1124052725 | Nathan M Shishido | Orthopaedic Surgery | 2826 Harris St, Eureka, CA 95503-4809 | 2006-07-10 |
| 1962433235 | Mark M Lau | Orthopaedic Surgery | 2826 Harris St, Eureka, CA 95503-4809 | 2006-07-05 |
| 1215967773 | Edward R Emmons | Orthopaedic Surgery | 2826 Harris St, Eureka, CA 95503-4809 | 2006-07-03 |
| 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.