Organization Active NPI

Michael a. Huie, MD, PHD Prof Medical Corp

  • Dermatology Physician
  • Half Moon Bay, CA
National Provider Identifier
1740322890
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G81413 Issued in CA
Legal business name
MICHAEL A. HUIE, MD, PHD PROF MEDICAL CORP
Practice address
617 Main St
Half Moon Bay, CA 94019-1923
Phone
(650) 712-1200
NPI assigned
Feb 13, 2007
Last updated
Jan 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Dr. Michael Andrew Huie, M.D.NPI 1457417172
Title
Ceo
Phone
(650) 712-1200

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X G81413 CA Primary

Addresses

Primary practice location

617 Main St
Half Moon Bay, CA 94019-1923

Mailing address

1032 Irving St
Ste 980
San Francisco, CA 94122-2216
Phone (650) 712-1200

National Provider Directory

National Provider Directory

Locations

617 Main St
Half Moon Bay, CA 94019
Phone (650) 712-1200

1032 Irving St
San Francisco, CA 94122
Phone (415) 254-1793

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": "1358294400000",
    "number": "1740322890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 IRVING ST",
            "address_2": "STE 980",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222216",
            "telephone_number": "650-712-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 MAIN ST",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191923",
            "telephone_number": "650-712-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. HUIE, MD, PHD PROF MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "HUIE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-712-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G81413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Half Moon Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.