Stephen Pinsk, M.D., Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF3829 Issued in CA

Legal business name

STEPHEN PINSK, M.D., INC.

Practice address

1375 University St
Healdsburg, CA 95448-3382

Phone

(707) 829-5883

Fax

(707) 829-5895

NPI assigned

Jan 19, 2007

Organization subpart

Yes

Parent organization

STEPHEN PINSK, M.D., INC.As reported in NPPES

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

Authorized official

Name

Mr. Steve C. Mertens, M.D.

Title

President

Phone

(707) 829-5883

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pathology Services Doing business as

Part of

Palm Drive Hospital

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1104979608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1676",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954731676",
            "telephone_number": "707-829-5883",
            "fax_number": "707-829-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 UNIVERSITY ST",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483382",
            "telephone_number": "707-829-5883",
            "fax_number": "707-829-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN PINSK, M.D., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEPHEN PINSK, M.D., INC.",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "MERTENS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-829-5883",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF3829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0103110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathology Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Healdsburg, CA
• Providers in Healdsburg, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.