HUMBOLDT RADIOLOGY MEDICAL GROUP INC (NPI# 1538211719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538211719 |
| Entity Type | Organization |
| Organization Name | HUMBOLDT RADIOLOGY MEDICAL GROUP INC |
| Practice Address |
2675 Harris St Eureka CA 95503-4806 |
| Mailing Address |
Po Box 6428 Eureka CA 95502-6428 |
| Practice Telephone | 7074438335 |
| Mailing Telephone | 7074455431 |
| Mailing Fax Number | 7074453710 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2008-09-11 |
| Authorized Official Name | MRS. NANCY LOUISE COBINE (BILLING MANAGER) |
| Authorized Official Telephone | 7074455431 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | CN3976 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073665055 | Humboldt Radiology Medical Group Inc | Radiology | 850 Highway 96, Willow Creek, CA 95573 | 2007-01-18 |
| 1942709803 | Humboldt Radiology Medical Group Inc | Radiology | 3300 Renner Dr, Fortuna, CA 95540-3120 | 2018-02-06 |
| 1841342128 | Humboldt Radiology Medical Group Inc | Radiology | 733 Cedar St, Garberville, CA 95542-3201 | 2007-01-17 |
| 1972655058 | Humboldt Radiology Medical Group Inc | Radiology | 2200 Harrison Ave, Eureka, CA 95501-3215 | 2007-01-17 |
| 1326154196 | Humboldt Radiology Medical Group Inc | Radiology | 2330 Buhne St, Eureka, CA 95501 | 2006-08-22 |
| Street Address |
2675 HARRIS ST |
| City | EUREKA |
| State | CA |
| Zip Code | 95503-4806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316984842 | Leo Roy Leer | Specialist | 2675 Harris St, Eureka, CA 95503-4806 | 2006-06-01 |
| 1760892285 | Robin Faith Fraser | Physician Assistant | 2675 Harris St, Eureka, CA 95503-4806 | 2014-05-06 |
| 1285900290 | Jamie R. Messegee | Neurological Surgery | 2675 Harris St, Eureka, CA 95503 | 2012-03-24 |
| 1194055632 | Tina M Likou | Physician Assistant | 2675 Harris St, Eureka, CA 95503-4806 | 2010-01-06 |
| 1619107836 | Katherine Canine Schoenfield | Nurse Practitioner | 2675 Harris St, Eureka, CA 95503-4806 | 2009-07-22 |
| 1962693564 | Jessica Rae Vulich | Registered Nurse | 2675 Harris St, Eureka, CA 95503-4806 | 2007-08-07 |
| 1053487611 | Marice Thomas | Nurse Practitioner | 2675 Harris St, Eureka, CA 95503-4806 | 2006-11-27 |
| 1033284070 | Kathy Sattler | Nurse Practitioner | 2675 Harris St, Eureka, CA 95503-4806 | 2006-11-22 |
| 1477596278 | Caroline Lee Connor | Specialist | 2675 Harris St, Eureka, CA 95503-4806 | 2006-06-13 |
| 1689617482 | Edward Charles Olsgard | Specialist | 2675 Harris St, Eureka, CA 95503-4806 | 2006-06-13 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750654372 | Charles George Thierauf | Radiology | 463 Meramec View Drive, Eureka, MO 63025 | 2012-02-13 |
| 1194949727 | Ssm Berland Eureka Imaging Services LLC | Radiology | #20 The Legends Parkway Drive, Suite 160, Eureka, MO 63025 | 2007-04-13 |
| 1811946296 | Dean Gregory Holland | Radiology | 2330 Buhne St, Eureka, CA 95501-3237 | 2006-05-10 |
| 1194795849 | James Bryan Moore IIi | Radiology | 2700 Dolbeer Ave, Eureka, CA 95501 | 2006-01-25 |
| 1285786350 | Humboldt Radiology Medical Group Inc. | Radiology | 2700 Dolbeer St, Eureka, CA 95501-4736 | 2007-01-17 |
| 1972655058 | Humboldt Radiology Medical Group Inc | Radiology | 2200 Harrison Ave, Eureka, CA 95501-3215 | 2007-01-17 |
| 1326154196 | Humboldt Radiology Medical Group Inc | Radiology | 2330 Buhne St, Eureka, CA 95501 | 2006-08-22 |
| 1699784967 | Donald Craig Wheeler | Radiology | 550 Russ St, Eureka, CA 95501-4451 | 2006-08-05 |
| 1184673568 | Matthew Marc Fluke | Radiology | 2330 Buhne St, Eureka, CA 95501 | 2006-05-10 |
| 1700835188 | Abraham Pera | Radiology | 2330 Buhne St, Eureka, CA 95501 | 2006-05-10 |
| 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.