Humboldt Medical and Neurological Rehabilitation, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

HUMBOLDT MEDICAL AND NEUROLOGICAL REHABILITATION, INC.

Practice address

2200 Harrison Ave
Eureka, CA 95501-3215

Phone

(707) 443-9577

NPI assigned

Jan 21, 2013

Last updated

Jan 21, 2013By 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

Thomas Krenek, M.D.NPI 1558329920

Title

Owner

Phone

(707) 443-9577

Specialties & licenses 1

Addresses

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.

• Thomas F Krenek IV, MD

  • Neurology Physician
  • Eureka, CA
  • NPI 1558329920
  Authorized official Same address or phone

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358726400000",
    "number": "1841538162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 692",
            "city": "BAYSIDE",
            "state": "CA",
            "postal_code": "955240692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013215",
            "telephone_number": "707-443-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT MEDICAL AND NEUROLOGICAL REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A",
        "authorized_official_last_name": "KRENEK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-443-9577",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humboldt Family Service Center
• Humboldt Family Service Center
• Humboldt Fanilyservicecenter
• Humboldt Foot & Ankle PC (Humboldt Foot and Ankle)
• Humboldt Hand and Foot Therapy
• Humboldt Medical Eye Associates
• Humboldt Medical Eye Associates
• Humboldt Medical Specialists, Inc
• Humboldt Mobile Massage, Inc (Mendocino Coast Doulas)
• Humboldt Neurological Medical Group Inc

• Physical Medicine & Rehabilitation Physician in Eureka, CA
• Providers in Eureka, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.