Northcoast Internal Medicine, a Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G85762 Issued in CA

Legal business name

NORTHCOAST INTERNAL MEDICINE, A MEDICAL CORPORATION

Practice address

3798 Janes Rd
Suite 6
Arcata, CA 95521-4753

Phone

(707) 826-2210

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Stefan E. Schunk, M.D.NPI 1063473171

Title

President

Phone

(707) 826-2210

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Stefan Ernest Schunk, MD

  • Internal Medicine Physician
  • South Lake Tahoe, CA
  • NPI 1063473171
  NPD (past) Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417099466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 994032",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960994032",
            "telephone_number": "530-241-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3798 JANES RD",
            "address_2": "SUITE 6",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214753",
            "telephone_number": "707-826-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHCOAST INTERNAL MEDICINE, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHUNK",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-826-2210",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G85762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Arcata, CA
• Providers in Arcata, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.