| Dr Kim Suzanne Ervin, MD | |
|
3798 Janes Rd Ste 5, Arcata, CA 95521-4745 | |
| (707) 825-7588 | |
| (707) 825-8203 |
| Full Name | Dr Kim Suzanne Ervin |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 3798 Janes Rd Ste 5, Arcata, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851331946 | NPI | - | NPPES |
| G654330 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | G65433 (California) | Primary |
| Entity Name | Open Door Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497840656 PECOS PAC ID: 9436067485 Enrollment ID: O20040414000890 |
| Entity Name | American Hospital Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609979707 PECOS PAC ID: 1052305331 Enrollment ID: O20041209000674 |
| Entity Name | North Pacific Cardiology Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093821837 PECOS PAC ID: 8426113341 Enrollment ID: O20090218000168 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kim Suzanne Ervin, MD 670 9th St Ste 203, Arcata, CA 95521-6249 Ph: (707) 826-8633 | Dr Kim Suzanne Ervin, MD 3798 Janes Rd Ste 5, Arcata, CA 95521-4745 Ph: (707) 825-7588 |
Dr. Elizabeth Ann Micks, MD, MPH Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3770 Janes Rd, Arcata, CA 95521 Phone: 707-825-7588 | |
Emma Hackett, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3798 Janes Rd Ste 5, Arcata, CA 95521 Phone: 707-825-7588 Fax: 707-825-8203 |