THOMAS FEIERTAG (NPI# 1750450110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750450110 |
| Entity Type | Individual |
| Full Name | THOMAS FEIERTAG |
| Credential | P.A. |
| Practice Address |
333 Laws Ave Ukiah CA 95482-6540 |
| Practice Telephone | 7074681010 |
| Practice Fax Number | 7074680174 |
| Mailing Telephone | 7074681010 |
| Mailing Fax Number | 7074680174 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA11835 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
333 LAWS AVE |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-6540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619970068 | Jorge Anibal Allende Jr. | Internal Medicine | 333 Laws Ave, Ukiah, CA 95482-6540 | 2005-05-31 |
| 1386262921 | Juliann Elizabeth Joseph | Advanced Practice Midwife | 333 Laws Ave, Ukiah, CA 95482-6540 | 2020-07-09 |
| 1164077038 | Neha Sharma | Dentist | 333 Laws Ave, Ukiah, CA 95482-6540 | 2019-08-07 |
| 1053890905 | Liliane Robison | Nurse Practitioner | 333 Laws Ave, Ukiah, CA 95482-6540 | 2018-08-11 |
| 1508356221 | Stuart Christian Mauger | Dentist | 333 Laws Ave, Ukiah, CA 95482-6540 | 2018-05-17 |
| 1831689025 | Kathryn Marie Manchester | Registered Nurse | 333 Laws Ave, Ukiah, CA 95482 | 2018-05-14 |
| 1457855942 | Phuc Cong Tran | Dentist | 333 Laws Ave, Ukiah, CA 95482 | 2018-03-20 |
| 1730600859 | Yesica Jaimes Mendoza | Health Educator | 333 Laws Ave, Ukiah, CA 95482-6540 | 2017-06-28 |
| 1629503727 | Terese O'connell | Dietitian, Registered | 333 Laws Ave, Ukiah, CA 95482-6540 | 2017-04-26 |
| 1821520487 | Connie L Austin | Dentist | 333 Laws Ave, Ukiah, CA 95482-6540 | 2017-03-31 |
| Find all providers in the same location | ||||
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942379391 | Justin Ebert | Physician Assistant | 333 Laws Ave, Ukiah, CA 95482-6540 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on THOMAS FEIERTAG.
| 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.