STEVE KOLPACOFF MD (NPI# 1518138544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518138544 |
| Entity Type | Organization |
| Organization Name | STEVE KOLPACOFF MD |
| Other Organization Name | STEPHEN KOLPACOFF MD |
| Practice Address |
101 E Oberlin Road Yreka CA 96097-1146 |
| Mailing Address |
105 E Oberlin Rd P O Box 1146 Yreka CA 96097-9645 |
| Practice Telephone | 5308424445 |
| Practice Fax Number | 5308429054 |
| Mailing Telephone | 5308424445 |
| Mailing Fax Number | 5308429054 |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |
| Authorized Official Name | DR. STEPHEN KOLPACOFF (OWNER) |
| Authorized Official Telephone | 5308424445 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G61132 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00G611320 | 01 |
| Other Name | Type Code |
|---|---|
| Stephen Kolpacoff MD | Doing Business As Name - Organization |
| Street Address |
101 E OBERLIN ROAD |
| City | YREKA |
| State | CA |
| Zip Code | 96097-1146 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124023486 | Bruce N Riger | Internal Medicine | 475 Bruce St Ste 700, Yreka, CA 96097-3473 | 2005-06-14 |
| 1689678005 | Rebecca Richman | Internal Medicine | 907 4th St, Yreka, CA 96097-3313 | 2005-06-13 |
| 1588668065 | Rachel R Dunn-black | Internal Medicine | 475 Bruce Street, Suite 700, Yreka, CA 96097 | 2005-06-13 |
| 1710530696 | Nina Yaftali | Internal Medicine | 444 Bruce St, Yreka, CA 96097-3450 | 2019-07-19 |
| 1467011627 | Saiba Hospitalist Associates | Internal Medicine | 444 Bruce St, Yreka, CA 96097-3450 | 2019-06-11 |
| 1093198764 | Premier Health Services Inc | Internal Medicine | 444 Bruce St, Yreka, CA 96097-3450 | 2015-06-30 |
| 1881743409 | Moudy Samir Youssef | Internal Medicine | 475 Bruce St, Yreka, CA 96097-3474 | 2007-01-10 |
| 1487717534 | Auyporn Dansunankul | Internal Medicine | 444 Bruce St, Yreka, CA 96097-3450 | 2006-12-19 |
| 1316031883 | Sean S Park | Internal Medicine | 444 Bruce St, Yreka, CA 96097-3450 | 2006-10-02 |
| 1821073297 | Kien Tran | Internal Medicine | 475 Bruce St, Yreka, CA 96097-3474 | 2005-12-08 |
| Find all providers in YREKA | ||||
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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.