ELLEN BARNETT (NPI# 1184778094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184778094 |
| Entity Type | Individual |
| Full Name | ELLEN BARNETT |
| Credential | M.D. |
| Practice Address |
175 Concourse Blvd Santa Rosa CA 95403-8217 |
| Practice Telephone | 7072849206 |
| Practice Fax Number | 7072849254 |
| Mailing Telephone | 7072849206 |
| Mailing Fax Number | 7072849254 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2011-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A368950 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TAX ID# | 680452627 | 01 |
| CA | LICENSE # | A368950 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689949869 | Ellen Beth Barnett | Behavioral Analyst | 555 Main St Apt 1607, New York, NY 10044-0337 | 2012-03-20 |
| 1386784148 | Ellen H Barnett | Physical Therapist | 1600 E Jefferson St Ste A5, Seattle, WA 98122-5656 | 2007-02-08 |
| 1346316387 | Ellen Harrison Barnett | Psychologist | 58 Washington St Ste 1, Portsmouth, NH 03801-4639 | 2006-11-28 |
| 1538683446 | Ellen Barnett | Day Training/Habilitation Specialist | 3920 Woodland Heights Rd, Little Rock, AR 72212-2495 | 2017-08-01 |
| Street Address |
175 CONCOURSE BLVD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-8217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447303441 | Frank Ray Wilbur | Chiropractor | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2007-01-21 |
| 1922624113 | Andrea Mazzola | Naturopath | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2020-06-23 |
| 1972169480 | Integrated Diabetes Solutions A Professional Nursing Corporation | Clinic/Center | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2019-05-10 |
| 1427489277 | Barbara Birsinger | Dietitian, Registered | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2013-12-04 |
| 1912246760 | Pamela Susan Koppel | Social Worker | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2013-02-13 |
| 1073879292 | Dana Shelley Michaels | Naturopath | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2012-04-02 |
| 1316268386 | Charles Robert Pettit Md A Medical Corporation | Otolaryngology | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2010-06-14 |
| 1932395563 | Victoria Georgia Landes | Social Worker | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2007-09-18 |
| 1548314446 | Robert Bruce Dozor | General Practice | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2007-01-22 |
| 1619021433 | Moses David E Goldberg | Naturopath | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023352143 | Robert Torin Jaffe | General Practice | 3000 Cleveland Ave Ste 210, Santa Rosa, CA 95403-2117 | 2012-11-15 |
| 1265664866 | Jon Sterngold | General Practice | 5480 Diane Way, Santa Rosa, CA 95409-5552 | 2009-08-14 |
| 1235229006 | Shiroko Liles Sokitch | General Practice | 3471 Regional Pkwy Ste D, Santa Rosa, CA 95403-8269 | 2006-10-13 |
| 1619086246 | Zuo Fen Hauf | General Practice | 1580 Sebastopol Rd, Buliding A, Santa Rosa, CA 95407-6824 | 2006-08-29 |
| 1508850884 | James Leroy Thomson | General Practice | 1212 Farmers Ln, Santa Rosa, CA 95405-6747 | 2005-09-01 |
| 1720120116 | Sutter Medical Group of The Redwoods | General Practice | 4700 Hoen Ave, Santa Rosa, CA 95405-7824 | 2007-02-13 |
| 1548314446 | Robert Bruce Dozor | General Practice | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2007-01-22 |
| 1750435624 | Integrative Medical Clinic of Santa Rosa, A Professional Corporation | General Practice | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2007-01-22 |
| 1073689527 | Michael Anthony Klaper | General Practice | 1551 Pacific Ave, Santa Rosa, CA 95404-3568 | 2006-11-27 |
| 1205879681 | Robert P Heckey | General Practice | 4700 Hoen Ave, Santa Rosa, CA 95405 | 2006-06-14 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on ELLEN BARNETT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.