DR. LAURENCE EUGENE BADGLEY (NPI# 1477647287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477647287 |
| Entity Type | Individual |
| Full Name | DR. LAURENCE EUGENE BADGLEY |
| Credential | M.D. |
| Practice Address |
2504 Harrison Avenue Suite B Eureka CA 95501 |
| Practice Telephone | 7074412113 |
| Practice Fax Number | 7074440920 |
| Mailing Telephone | 7074412113 |
| Mailing Fax Number | 7074440920 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 2385 | HI | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | G18042 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CORPORATION TAX ID # | 943366913 | 01 |
| CA | RHM53963F | 05 |
| Street Address |
2504 HARRISON AVENUE SUITE B |
| City | EUREKA |
| State | CA |
| Zip Code | 95501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
| 1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
| 1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
| 1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
| 1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
| 1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
| 1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
| 1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
| 1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
| 1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
| Find all providers in zip 95501 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497257281 | Primary Care of Cedar Hill LLC | Family Medicine | 103 Hilltop Village Center Dr, Eureka, MO 63025-1108 | 2018-03-07 |
| 1124407341 | Basham Clinic, P.a. | Family Medicine | 100 E 16th St, Eureka, KS 67045-1067 | 2015-05-20 |
| 1669780433 | Jason Wayne Defluiter | Family Medicine | 1343 Highway 93 North, Eureka, MT 59917-9503 | 2010-09-15 |
| 1548388077 | Heather D Gjorgjievski | Family Medicine | 103 Hilltop Village Shopping Center Dr., Eureka, MO 63025 | 2007-03-26 |
| 1285780916 | Douglas Wilson Wimer | Family Medicine | 2504 Harrison Ave Ste A, Eureka, CA 95501-3221 | 2007-01-26 |
| 1083775373 | Scott Louis Sattler | Family Medicine | 2466 Russell St, Eureka, CA 95503-5648 | 2006-12-12 |
| 1629173398 | David Lawrence Pittenger | Family Medicine | 97 Hill Top Village Center, Suite E & F, Eureka, MO 63025-1184 | 2006-09-14 |
| 1881601615 | Gregory S Holst | Family Medicine | 2675 Harris Street, Eureka, CA 95503 | 2006-08-02 |
| 1477589323 | Willard Merrell Hunter | Family Medicine | 2412 Buhne St, Eureka, CA 95501-3207 | 2006-06-23 |
| 1104860519 | Diane Dickinson | Family Medicine | 4058 D St, Eureka, CA 95503-6025 | 2006-06-15 |
| Find all providers in EUREKA | ||||
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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.