Organization Active NPI

Eva Teresa Marshall, M.D., a Medical Corporation

  • Family Medicine Physician
  • Eureka, CA
National Provider Identifier
1366584328
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A63543 Issued in CA
Legal business name
EVA TERESA MARSHALL, M.D., A MEDICAL CORPORATION
Practice address
3020 H St
Eureka, CA 95501-4410
Phone
(707) 445-5900
Fax
(707) 445-2686
NPI assigned
Feb 13, 2007
Last updated
Apr 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Eva Teresa Marshall, M.D.NPI 1326009820
Title
President
Phone
(707) 445-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A63543 CA Primary

Addresses

Primary practice location

3020 H St
Eureka, CA 95501-4410

Mailing address

PO Box 496084
Redding, CA 96049-6084
Phone (707) 445-5900

National Provider Directory

National Provider Directory

Locations

3020 H St
Eureka, CA 95501
Phone (707) 407-8850

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1366584328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496084",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960496084",
            "telephone_number": "707-445-5900",
            "fax_number": "707-445-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 H ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955014410",
            "telephone_number": "707-445-5900",
            "fax_number": "707-445-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVA TERESA MARSHALL, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-445-5900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A63543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.