KELLY A. SHARRAR, M.D. (NPI# 1558880757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558880757 |
| Entity Type | Organization |
| Organization Name | KELLY A. SHARRAR, M.D. |
| Practice Address |
4981 Indian Peak Rd Mariposa CA 95338-9373 |
| Mailing Address |
Po Box 2301 Mariposa CA 95338-2301 |
| Practice Telephone | 2096825228 |
| Practice Fax Number | 2096825227 |
| Mailing Telephone | 2096825228 |
| Mailing Fax Number | 2096825227 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. KELLY A SHARRAR (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 2096825228 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A93376 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | FS4902866 | 01 | |
| CA | MEDICAL BOARD OF CALIFORNIA | A93376 | 01 |
| Street Address |
4981 INDIAN PEAK RD |
| City | MARIPOSA |
| State | CA |
| Zip Code | 95338-9373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598803165 | Kelly Andre Sharrar | Family Medicine | 4981 Indian Peak Rd, Mariposa, CA 95338-9373 | 2007-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063056976 | County of Mariposa | Counselor | 5300 State Highway 49n, Mariposa, CA 95338 | 2019-11-04 |
| 1477079457 | Kathaleen Maria Hefner | Counselor | 5200 Hwy 49n, Mariposa, CA 95338 | 2017-08-21 |
| 1528509403 | George Catlin | Counselor | 5362 Lemee Ln., Mariposa Human Services, Mariposa, CA 95338 | 2017-03-13 |
| 1689116626 | Hong Jae Choi | Pharmacist | 4994 Joe Howard St, Mariposa, CA 95338 | 2016-11-08 |
| 1316317068 | Mariposa County Health Department | Case Management | 5085 Bullion St., Mariposa, CA 95338 | 2015-10-06 |
| 1760810998 | Counseling Services of Mariposa | Community/Behavioral Health | 5078 Bullion St., Mariposa, CA 95338 | 2013-10-25 |
| 1538489349 | Donna A Lerner | Social Worker | 5320 Highway 49 North, Suite 1b, Mariposa, CA 95338 | 2010-06-03 |
| 1346569902 | Kara K. Margret, Marie Robinson | Massage Therapist | 5800 Allred Road, Mariposa, CA 95338 | 2010-05-21 |
| 1891938635 | Mary Ellen Mcrae | Counselor | 5078 Bullion Street, Suite 1, Mariposa, CA 95338 | 2009-04-09 |
| 1609031830 | Lisa Cristi Carisio | Chiropractor | 5067 Hwy 140, Ste. A, Mariposa, CA 95338 | 2008-07-28 |
| Find all providers in zip 95338 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1902404247 | Arbol Acupuncture | Clinic/Center | 2620 Foothill Blvd Ste A, La Crescenta, CA 91214-4509 | 2020-10-09 |
| 1346857802 | Sos Environmental Health | Clinic/Center | 59 Estaban Dr, Camarillo, CA 93010-1609 | 2020-09-29 |
| 1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
| 1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
| 1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
| 1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
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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.