Dody Ufford, PA
Physician Assistant in Crescent City, CA. Individual provider (NPI-1).
NPI number1245304815
StatusActive
Last updated in NPPESOct 20, 2020
Details
- NPI
- 1245304815
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Dody Ufford
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2006
- Certification date
- Oct 20, 2020
- Last updated
- Oct 20, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA14677 | CA | Yes |
| 363AS0400X | Physician Assistant, Surgical | PA14677 | CA |
Practice location
550 E Washington BlvdCrescent City, CA 95531-8160
Phone 707-465-6925 · Fax 707-465-6070
Mailing address
670 9th StArcata, CA 95521-6248
Phone 707-826-8633 · Fax 707-826-8638
Other practice locations
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 13 Physician Assistant providers in Crescent City · All 579 providers in Crescent City
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