MR. MITCHELL PAUL KERMAN (NPI# 1104941160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104941160 |
| Entity Type | Individual |
| Full Name | MR. MITCHELL PAUL KERMAN |
| Credential | ACUPUNCTURIST |
| Practice Address |
205 South St Fort Bragg CA 95437-5540 |
| Practice Telephone | 7079641251 |
| Practice Fax Number | 7079612722 |
| Mailing Telephone | 7079641251 |
| Mailing Fax Number | 7079612722 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC3055 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC03967F | 05 |
| Street Address |
205 SOUTH ST |
| City | FORT BRAGG |
| State | CA |
| Zip Code | 95437-5540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861782 | Wade Joseph Gray | Family Medicine | 205 South St, Fort Bragg, CA 95437-5540 | 2005-06-15 |
| 1477046027 | Roy Campbell | Dental Hygienist | 205 South St, Fort Bragg, CA 95437-5540 | 2018-06-08 |
| 1457861783 | Andrea Masters | Nurse Practitioner | 205 South St, Fort Bragg, CA 95437-5540 | 2017-09-29 |
| 1437501566 | Jae Do Kim | Dentist | 205 South St, Fort Bragg, CA 95437-5540 | 2016-07-13 |
| 1558790774 | Nadege Nerette | Physician Assistant | 205 South St, Fort Bragg, CA 95437-5540 | 2013-11-07 |
| 1932532272 | Svetlana Romanovna Mulcahy | Nurse Practitioner | 205 South St, Fort Bragg, CA 95437-5540 | 2013-08-09 |
| 1013257831 | Kimberly Jill Celeri | Dental Hygienist | 205 South St, Fort Bragg, CA 95437-5540 | 2013-02-15 |
| 1821340480 | Genevieve Marilyn Gonzalez | Counselor | 205 South St, Fort Bragg, CA 95437 | 2012-10-08 |
| 1447500988 | Ted Michael Aames | Counselor | 205 South St, Fort Bragg, CA 95437-5540 | 2012-09-12 |
| 1740587229 | Wendy J Carvajal | Dentist | 205 South St, Fort Bragg, CA 95437-5540 | 2011-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902357437 | Mendocino Coast Hospitality Center | Community/Behavioral Health | 137 E. Oak Street, Fort Bragg, CA 95437 | 2016-10-19 |
| 1144604570 | Erin Paul | Community Health Worker | 474 South Franklin Street, Fort Bragg, CA 95437 | 2015-07-15 |
| 1508125790 | Joel Macgregor Green | Marriage & Family Therapist | 331- G Redwood Ave., Fort Bragg, CA 95437 | 2012-05-09 |
| 1013244102 | Jenna Glasscock | Counselor | 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | 2009-11-10 |
| 1770819641 | Patrick Lenaghan | Emergency Medicine | 707 River Dr, Fort Bragg, CA 95437 | 2009-10-27 |
| 1043455827 | M. Lee Baker | Dentist | 890 River Dr, Fort Bragg, CA 95437 | 2008-12-09 |
| 1528250495 | Christine Anne Samas | Social Worker | 656a Harrison St., Fort Bragg, CA 95437 | 2007-08-15 |
| 1083822811 | Katharine L. White | Marriage & Family Therapist | 137 E Oak Street, Fort Bragg, CA 95437 | 2007-05-17 |
| 1053525873 | Marty Christine Johnson | Marriage & Family Therapist | 331 E. Redwood Ave, Fort Bragg, CA 95437 | 2007-05-10 |
| 1528114741 | Kate Teresa Donohue | Psychologist | 19201 Noyo Acres Dr, Fort Bragg, CA 95437 | 2007-01-29 |
| Find all providers in zip 95437 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750925681 | Skyler Thomas | Acupuncturist | 244 N Franklin St, Fort Bragg, CA 95437-3605 | 2019-11-04 |
| 1962977595 | Jason D Moore | Acupuncturist | 510 Cypress St Ste C200, Fort Bragg, CA 95437-5411 | 2018-10-10 |
| 1255705265 | Clara Laurence | Acupuncturist | 100 E Manzanita St, Suite C, Fort Bragg, CA 95437-3054 | 2015-11-15 |
| 1174707343 | Donna Maria Call | Acupuncturist | 18300 Old Coast Hwy, Fort Bragg, CA 95437-8205 | 2007-12-24 |
| 1033405147 | Jennifer Mary Williams | Acupuncturist | 2817 Reilly Road Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2011-06-27 |
| 1982917571 | Jason David Moore | Acupuncturist | 510 Cypress St, Suite C, Fort Bragg, CA 95437-5411 | 2010-07-23 |
| 1528386505 | Emily Jasmine Head | Acupuncturist | 250 N Main St, Suite E, Fort Bragg, CA 95437-3622 | 2010-05-14 |
| 1912157264 | Andrea Lynn Shafir | Acupuncturist | 510 Cypress St, Suite C200, Fort Bragg, CA 95437-5411 | 2008-09-23 |
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| 1801497557 | Golden Yung | Acupuncturist | 155 E 5th Ave, San Mateo, CA 94401-4108 | 2020-11-07 |
| 1316548951 | Sooyeon Yoon | Acupuncturist | 18765 Colima Rd, Rowland Heights, CA 91748-2949 | 2020-11-02 |
| 1497356083 | Pyung Doo Nam | Acupuncturist | 7097 Alvern St Apt D212, Los Angeles, CA 90045-1867 | 2020-11-02 |
| 1114528742 | Tao of Medicine Inc. | Acupuncturist | 2901 Wilshire Blvd Ste 335, Santa Monica, CA 90403-4930 | 2020-11-02 |
| 1518567643 | Jewel In The Lotus Healing | Acupuncturist | 1828 Felton St, San Diego, CA 92102-1230 | 2020-10-28 |
| 1700486784 | Srotas | Acupuncturist | 14758 Beach Blvd, La Mirada, CA 90638-4250 | 2020-10-28 |
| 1134728603 | Philip Reh | Acupuncturist | 451 Indian Springs Rd., Novato, CA 94947-4238 | 2020-10-25 |
| 1417556051 | Sharon Chen | Acupuncturist | 2440 S Hacienda Blvd Ste 231, Hacienda Heights, CA 91745-4774 | 2020-10-24 |
| 1609475078 | Marysa Kavalec | Acupuncturist | 2302 Oak St Apt 3, Santa Monica, CA 90405-5130 | 2020-10-18 |
| 1336747344 | Xiao Yan Liu | Acupuncturist | 16790 Ventry Way, San Lorenzo, CA 94580-1244 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | FORT BRAGG |
| Zip Code | 95437 |
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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.