O L PUTTLER JR MD A PROFESSIONAL CORPORATION (NPI# 1275812091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275812091 |
| Entity Type | Organization |
| Organization Name | O L PUTTLER JR MD A PROFESSIONAL CORPORATION |
| Practice Address |
3798 Janes Rd Suite 15 Arcata CA 95521-4753 |
| Practice Telephone | 7078221131 |
| Practice Fax Number | 7078220746 |
| Mailing Telephone | 7078221131 |
| Mailing Fax Number | 7078220746 |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2017-09-12 |
| Authorized Official Name | OLIVER L PUTTLER JR. (OWNER) |
| Authorized Official Telephone | 7078221131 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
G13904 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G139040 | 05 |
| Street Address |
3798 JANES RD SUITE 15 |
| City | ARCATA |
| State | CA |
| Zip Code | 95521-4753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700885977 | Oliver L Puttler Jr. | Specialist | 3798 Janes Rd, Suite 15, Arcata, CA 95521-4753 | 2005-07-19 |
| 1902202344 | Eureka Family Practice | Family Medicine | 3798 Janes Rd, Arcata, CA 95521-4753 | 2014-11-12 |
| 1629497060 | Everard H Hughes M.d Professional Medical Corporation | Clinic/Center | 3798 Janes Rd, Suite 10, Arcata, CA 95521-4753 | 2014-04-14 |
| 1225450919 | Marja Kristiina Hale | Registered Nurse | 3798 Janes Rd, Ste 6, Arcata, CA 95521 | 2014-01-14 |
| 1861689044 | David S Gans Md | Internal Medicine | 3798 Janes Rd, #18, Arcata, CA 95521-4753 | 2007-10-01 |
| 1982726576 | Bay Surgeons Medical Group | Surgery | 3798 Janes Rd, Ste 6, Arcata, CA 95521-4753 | 2007-04-04 |
| 1801938881 | Stephen J. Clark, M.d., Inc | Internal Medicine | 3798 Janes Rd, Suite 7, Arcata, CA 95521-4753 | 2007-02-13 |
| 1427190495 | William S. Sogaard, M.d., Inc | Internal Medicine | 3798 Janes Rd, Suite 6, Arcata, CA 95521-4753 | 2007-02-13 |
| 1417099466 | Northcoast Internal Medicine, A Medical Corporation | Internal Medicine | 3798 Janes Rd, Suite 6, Arcata, CA 95521-4753 | 2007-02-13 |
| 1184720740 | Sheldon Meshulam | Internal Medicine | 3798 Janes Rd, Suite 20, Arcata, CA 95521-4753 | 2006-09-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912553736 | Mcc Medical, LLC | Durable Medical Equipment & Medical Supplies | Mcc Medical, LLC, 1565 J Street, Arcata, CA 95521 | 2019-08-16 |
| 1376008599 | Nathan Klier | Behavior Technician | 901 Ost, Arcata, CA 95521 | 2019-02-01 |
| 1740753995 | Maria Sophia Stathos | Behavior Technician | 901 0 Street, Suite C, Arcata, CA 95521 | 2019-01-09 |
| 1639674146 | Choong Yuk Kim | Psychologist | 381 Bayside Rd Ste B, Arcata, CA 95521 | 2018-03-27 |
| 1194089805 | Gary Wilson Barsuaskas | Nurse Practitioner | 4677 Valley West Blvd., Arcata, CA 95521 | 2012-06-27 |
| 1265708424 | Alison Marie Palacios | Family Medicine | 3798 Janes Rd. Suite 10, Arcata, CA 95521 | 2012-03-31 |
| 1538434857 | Kristen Noell Kelley | Behavioral Analyst | 901 O Street, Suite C, Arcata, CA 95521 | 2012-03-20 |
| 1518241264 | Brian D. Lieberman | Psychologist | 730 Bayside Rd, Apt A, Arcata, CA 95521 | 2011-09-29 |
| 1427369412 | John S Yamas | Acupuncturist | 1460 G. Street, Arcata, CA 95521 | 2010-06-24 |
| 1669619391 | Kevin John Mcalerney | Massage Therapist | 770 11th Street, Lost Coast Healing Arts, Arcata, CA 95521 | 2009-01-16 |
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| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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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.