Correctional Medical Service, P.C.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

CORRECTIONAL MEDICAL SERVICE, P.C.

Practice address

475 Rice Canyon Rd
Susanville, CA 96130

Phone

(916) 441-0400

NPI assigned

Jul 8, 2021

Organization subpart

No

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

Authorized official

Name

Sean M Reed, JD

Title

Director of Legal Affairs

Phone

(916) 441-0400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1275104531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 DEL PASO RD STE 250",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958349667",
            "telephone_number": "916-441-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 RICE CANYON RD",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "96130",
            "telephone_number": "916-441-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIONAL MEDICAL SERVICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF LEGAL AFFAIRS",
        "authorized_official_telephone_number": "916-441-0400",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mike Chihwai I, LVN
• Rorie Beth Chittock, D.C.
• Keith Floyd Coker
• Roberta Colman, RASI
• Angela Copeland, PT, DPT
• Corrections and Rehabilitation-Headquarters
• Corrections and Rehabilitation-Headquarters
• Sarah M Cottrell, R.N.
• Nena Coulombe, PA-C
• County of Lassen

• Orthopaedic Surgery Physician in Susanville, CA
• Providers in Susanville, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.