NPIMap

Organization Active NPI

Donald L Coursey MD Medical Corporation

  • Specialist
  • Ukiah, CA
National Provider Identifier
1306135603
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G16584 Issued in CA
Legal business name
DONALD L COURSEY MD MEDICAL CORPORATION
Practice address
1165 S Dora St Ste C2
Ukiah, CA 95482-6353
Phone
(707) 462-8855
NPI assigned
Apr 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Authorized official

Name
Donald L Coursey, M.D.NPI 1689770364
Title
President/Owner
Phone
(707) 462-8855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G16584 CA Primary

Addresses

Primary practice location

1165 S Dora St Ste C2
Ukiah, CA 95482-6353

Mailing address

1165 S Dora St Ste C2
Ukiah, CA 95482-6353
Phone (707) 462-8855

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1306135603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 S DORA ST STE C2",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826353",
            "telephone_number": "707-462-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 S DORA ST STE C2",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826353",
            "telephone_number": "707-462-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD L COURSEY MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "COURSEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "707-462-8855",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G16584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.