Ted Humphry, M.D., Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G33651 Issued in CA

Legal business name

TED HUMPHRY, M.D., INC.

Practice address

827 Bayside Rd
Arcata, CA 95521-6403

Phone

(707) 822-2441

Fax

(707) 826-1026

NPI assigned

Oct 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Theodore Riggs Humphry, M.D.

Title

President

Phone

(707) 822-2441

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023193075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 BAYSIDE RD",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216403",
            "telephone_number": "707-822-2441",
            "fax_number": "707-826-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 BAYSIDE RD",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216403",
            "telephone_number": "707-822-2441",
            "fax_number": "707-826-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED HUMPHRY, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUMPHRY",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "RIGGS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-822-2441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G33651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Taulbee, LCSW
• Alberto Taylor
• Bethany Taylor
• Jennifer F. Taylor, PH. D.
• Thomas Harry Taylor, M.D.
• Chelsea L Terram, DOULA
• Russell Thomas Terrill, AU.D,
• Tess Keller Family Therapist Professional Corporation
• Irving M Tessler, M.D.
• Shelyna A Thawer-Rice, FNP-C

• Pediatrics Physician in Arcata, CA
• Providers in Arcata, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.