Provider Demographics
NPI:1538302633
Name:FRANCIS T. HEALY, M.D., F.C.C.P. A PRO CORP
Entity Type:Organization
Organization Name:FRANCIS T. HEALY, M.D., F.C.C.P. A PRO CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:HEALY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:707-252-1447
Mailing Address - Street 1:1100 TRANCAS STREET
Mailing Address - Street 2:SUITE 264
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-2921
Mailing Address - Country:US
Mailing Address - Phone:707-252-1447
Mailing Address - Fax:707-252-0650
Practice Address - Street 1:1100 TRANCAS STREET
Practice Address - Street 2:SUITE 264
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-2921
Practice Address - Country:US
Practice Address - Phone:707-252-1447
Practice Address - Fax:707-252-0650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-20
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG37366207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1477534881Medicaid
CA1477534881Medicaid
A47056Medicare UPIN