Sierra Wound Care Group Medical Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SIERRA WOUND CARE GROUP MEDICAL CORPORATION

Practice address

12811 Covey Cir
Sonora, CA 95370-5935

Phone

(209) 536-1785

Fax

(209) 536-1607

NPI assigned

May 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Eden L Smith, M.D.

Title

M.D./Director

Phone

(209) 536-1785

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kimberlee Michele Reed, M.D.

  • Surgery Physician
  • Sonora, CA
  • NPI 1841396876
  NPD (past)

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1386878767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 GUZZI LN",
            "address_2": "SUITE 201",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705288",
            "telephone_number": "209-536-1785",
            "fax_number": "209-536-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12811 COVEY CIR",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705935",
            "telephone_number": "209-536-1785",
            "fax_number": "209-536-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA WOUND CARE GROUP MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EDEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "M.D./DIRECTOR",
        "authorized_official_telephone_number": "209-536-1785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Midwifery Professional Corporation
• Sierra Natural Birth Center LLC
• Sierra Orthopedic Institute Medical Corporation
• Sierra Orthopedic Institute Medical Corporation
• Sierra Specialty Call Group Medical Corporation
• Richard Edward Silva, DDS
• William Frank Silva, M.A.
• Rita Joyce Silverberg, LMFT
• Andrew James Skokan, FNP
• Pamela Slakey

• Surgery Physician in Sonora, CA
• Providers in Sonora, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.