Stephen H. Embury, M.D.

Primary specialty

Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X

License

GFE24444 Issued in CA

Practice address

108 Eagle Trace Dr
Half Moon Bay, CA 94019-2286

Phone

(415) 203-0436

Fax

(650) 560-0097

NPI assigned

Jun 14, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1093154841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 EAGLE TRACE DR",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940192286",
            "telephone_number": "415-203-0436",
            "fax_number": "650-560-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 EAGLE TRACE DR",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940192286",
            "telephone_number": "415-203-0436",
            "fax_number": "650-560-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMBURY",
        "first_name": "STEPHEN",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "CA",
            "license": "GFE24444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hematology (Internal Medicine) Physician in Half Moon Bay, CA
• Providers in Half Moon Bay, CA by specialty
• Hematology (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.