NORTH JETTY HOSPITALISTS INC A MEDICAL CORPORATION (NPI# 1306887765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306887765 |
| Entity Type | Organization |
| Organization Name | NORTH JETTY HOSPITALISTS INC A MEDICAL CORPORATION |
| Practice Address |
3800 Janes Road Arcata CA 95521-4742 |
| Mailing Address |
Po Box 60039 Arcadia CA 91066-6039 |
| Practice Telephone | 7078223621 |
| Mailing Telephone | 6264470296 |
| Mailing Fax Number | 6264476057 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | STEFAN E SCHUNK (PRESIDENT) |
| Authorized Official Telephone | 7078223621 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 202545078 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0100520 | 05 |
| Street Address |
3800 JANES ROAD |
| City | ARCATA |
| State | CA |
| Zip Code | 95521-4742 |
| 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 |
| Find all providers in zip 95521 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821032962 | Christopher Elliot Lee | Emergency Medicine | 3798 Janes Rd Ste 18, Arcata, CA 95521-4746 | 2006-06-16 |
| 1710445879 | Crystal Springs Emergency Physicians Medical Group, Inc. | Emergency Medicine | 3800 Janes Rd, Arcata, CA 95521-4742 | 2019-03-07 |
| 1093109480 | Jeremy Semeiks | Emergency Medicine | 3800 Janes Rd, Arcata, CA 95521-4742 | 2015-03-24 |
| 1528207461 | Premier Emergency Physicians | Emergency Medicine | 3800 Janes Rd, Arcata, CA 95521-4742 | 2009-02-17 |
| 1184896615 | Jerry R. Hughes | Emergency Medicine | 3800 Janes Rd, Arcata, CA 95521-4742 | 2008-03-25 |
| 1417169269 | Kevan Edward Long | Emergency Medicine | 3800 Janes Rd, Arcata, CA 95521-4742 | 2007-05-04 |
| 1902817059 | North Pacific Cardiology Medical Group | Emergency Medicine | 3800 Janes Rd, Arcata, CA 95521-4742 | 2006-08-11 |
| 1942244967 | Thomas Harry Taylor | Emergency Medicine | 3800 Janes Rd, Arcata, CA 95521-4742 | 2006-06-16 |
| 1245275270 | Virgil Welch Davis IIi | Emergency Medicine | 3800 Janes Rd, Arcata, CA 95521-4742 | 2006-06-16 |
| 1396786026 | Six Rivers Emergency Physicians | Emergency Medicine | 3800 Janes Rd, Arcata, CA 95521-4742 | 2006-06-10 |
| Find all providers in ARCATA | ||||
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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.