Active NPI
Wendy Susan Ring, MD
- Family Medicine Physician
- Eureka, CA
National Provider Identifier
1639117716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G53392
- Practice address
- 1522 Third St
Eureka, CA 95501-0711 - Phone
- (707) 498-6183
- Fax
- (707) 443-6123
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G53392 | CA | Primary |
Addresses
Primary practice location
1522 Third St
Eureka, CA 95501-0711
Mailing address
PO Box 2020
Eureka, CA 95502-2020
Phone (707) 443-4666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RHM03931G | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G53392 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mobile Medical Office | Family Medicine | Past | Accepting new patients |
| Mobile Medical Office | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Health Clinic/Center
- Eureka, CA
- NPI 1326183054
-
- Family Medicine Physician
- Eureka, CA
- NPI 1639219298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220313600000",
"number": "1639117716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2020",
"city": "EUREKA",
"state": "CA",
"postal_code": "955022020",
"telephone_number": "707-443-4666",
"fax_number": "707-443-6123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1522 THIRD ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955010711",
"telephone_number": "707-498-6183",
"fax_number": "707-443-6123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RING",
"first_name": "WENDY",
"middle_name": "SUSAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2008-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G53392",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHM03931G",
"state": "CA"
}
],
"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 Sep 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.