William M Mahon & Jeffrey M Kraut
Pediatric Adolescent Medicine
William M Mahon & Jeffrey M Kraut is a Fort Bragg, California based Pediatric center with medical specialization in
Pediatric Adolescent Medicine. William M Mahon & Jeffrey M Kraut is doing business as
Mendocino Coast Pediatric Mdcl Grp.
It is located at
510 Cypress St Ste D, Fort Bragg, California - 95437-5411. They can be contacted on phone at
707-964-5696 and fax number 707-964-6274.
NPI number (Unique professional ID) for William M Mahon & Jeffrey M Kraut is
1184644627 which was assigned by NPPES on 20 Jul, 2006 and it was last updated on 16 Dec, 2010.
William M Mahon & Jeffrey M Kraut specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
William M Mahon & Jeffrey M Kraut basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | William M Mahon & Jeffrey M Kraut |
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| Other Name : | Mendocino Coast Pediatric Mdcl Grp |
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Business Address:
William M Mahon & Jeffrey M Kraut address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 510 Cypress St Ste D
Fort Bragg, CA, 95437-5411
United States |
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| Phone Number : | 707-964-5696 |
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| Fax Number : | 707-964-6274 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1184644627 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 20 Jul, 2006 |
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| Last Updated On : | 16 Dec, 2010 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Williammatthew Mahon |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PARTNER/ADMINISTRATOR |
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| Phone Number : | 707-964-5696 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for William M Mahon & Jeffrey M Kraut are as mentioned. Primary taxonomy code for William M Mahon & Jeffrey M Kraut is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of William M Mahon & Jeffrey M Kraut such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| RHM53843F | MEDICAID | CA | |
| ZZZ79185Z | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 510 Cypress St Ste D
Fort Bragg, CA, 95437-5411
United States |
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| Phone Number : | 707-964-5696 |
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| Fax Number : | 707-964-6274 |
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Business Location:
Patients can refer following map for directions to
William M Mahon & Jeffrey M Kraut practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.