Theodore Riggs Humphry, MD is a
Pediatrics physician based in Mckinleyville, California. Theodore Riggs Humphry is licensed to practice in California (license number G33651) and his current practice location is 1644 Central Ave, Mckinleyville, California. He can be reached at his office (for appointments etc.) via phone at
(707) 839-2677.
NPI number for Theodore Riggs Humphry is 1467537415 and his current mailing address is 670 9th St, Suite 203, Arcata, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467537415.
Physician's Profile
Full Name | Theodore Riggs Humphry |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 1644 Central Ave, Mckinleyville, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467537415
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 03/12/2012
Medical Identifiers
Medical identifiers for Theodore Riggs Humphry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467537415 | NPI | - | NPPES |
00G336510 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | G33651 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theodore Riggs Humphry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Theodore Riggs Humphry, MD 670 9th St, Suite 203, Arcata, CA 95521-6248 Ph: (707) 826-8633 | Theodore Riggs Humphry, MD 1644 Central Ave, Mckinleyville, CA 95519-4342 Ph: (707) 839-2677 |
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