Kimberly R Faucher MD Medical Corporation

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

G74987 Issued in CA

Legal business name

KIMBERLY R FAUCHER MD MEDICAL CORPORATION

Practice address

1155 South Main Street
Willits, CA 95490-4336

Phone

(707) 456-1100

NPI assigned

Dec 3, 2008

Last updated

Apr 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly R Faucher, MDNPI 1225147101

Title

Owner/MD

Phone

(707) 456-1100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Kimberly R Faucher, MD

  • Gynecology Physician
  • Willits, CA
  • NPI 1225147101
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1821233974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 TALMAGE ROAD",
            "address_2": "SUITE C",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954827486",
            "telephone_number": "707-468-0609",
            "fax_number": "707-468-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 SOUTH MAIN STREET",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "954904336",
            "telephone_number": "707-456-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY R FAUCHER MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "FAUCHER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "707-456-1100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G74987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John R Glyer D Mills Matheson & Margaret Arner MDS PTR (Baechtel Creek Medical Clinic)
• Jonathan J Linthicum MD Inc.
• Alexander Juarros
• Simantha Karp
• Alfred F Kerr, DDS
• Kaitlin Knoche
• Margaret Koster, LCSW
• Devon Krepela, MS
• Jordan Katsumi Kruse, RN, FNP
• James Leon Kurtz, D.D.S.

• Gynecology Physician in Willits, CA
• Providers in Willits, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.