Teri Bilhartz Medical Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

20A12229 Issued in CA

Legal business name

TERI BILHARTZ MEDICAL CORPORATION

Practice address

480 Redwood St
Suite 14
Vallejo, CA 94590-2958

Phone

(707) 654-9777

Fax

(707) 812-1910

NPI assigned

Mar 3, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Scott Maxwell

Title

Manager

Phone

(707) 654-9777

Specialties & licenses 2

Addresses

Other names 1

• Bilhartz Women's Health Center Doing business as

Locations

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1790100519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 REDWOOD ST",
            "address_2": "SUITE 14",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902958",
            "telephone_number": "707-654-9777",
            "fax_number": "707-812-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 REDWOOD ST",
            "address_2": "SUITE 14",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902958",
            "telephone_number": "707-654-9777",
            "fax_number": "707-812-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERI BILHARTZ MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "707-654-9777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "20A12229",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A12229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bilhartz Women's Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Vallejo, CA
• Providers in Vallejo, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.