SUTTER MEDICAL GROUP OF THE REDWOODS (NPI# 1497842835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497842835 |
| Entity Type | Organization |
| Organization Name | SUTTER MEDICAL GROUP OF THE REDWOODS |
| Practice Address |
652 Petaluma Ave Suite F Sebastopol CA 95472-4256 |
| Mailing Address |
3883 Airway Dr Suite 300 Santa Rosa CA 95403-1670 |
| Practice Telephone | 7078232334 |
| Practice Fax Number | 7078233007 |
| Mailing Telephone | 7075218809 |
| Mailing Fax Number | 7075218835 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | LINDA E ROCKSTROH (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 7075218809 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | ========= | CA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | ========= | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679711857 | Sutter Medical Group of The Redwoods | Internal Medicine | 5150 Hill Rd Ste C, Suite C, Lakeport, CA 95453-5100 | 2009-01-27 |
| 1144479841 | Sutter Medical Group of The Redwoods | Surgery | 451 March Ave Ste B, Healdsburg, CA 95448-3387 | 2008-09-17 |
| 1154577831 | Sutter Medical Group of The Redwoods | Family Medicine | 500 Doyle Park D., 200, Santa Rosa, CA 95405 | 2008-08-13 |
| 1003072851 | Sutter Medical Group of The Redwoods | Internal Medicine | 4725a Hoen Ave, Santa Rosa, CA 95405-7862 | 2008-07-31 |
| 1639330913 | Sutter Medical Group of The Redwoods | Family Medicine | 5150 East Hill Road, Suite D, Lakeport, CA 95453-5101 | 2008-06-19 |
| 1861589483 | Sutter Medical Group of The Redwoods | Obstetrics & Gynecology | 1400 Medical Center Dr, Suite A, Rohnert Park, CA 94928-2924 | 2006-10-06 |
| 1558396986 | Sutter Medical Group of The Redwoods | Family Medicine | 3324 Chanate Rd, Santa Rosa, CA 95404 | 2006-07-12 |
| 1760638449 | Sutter Medical Group of The Redwoods | Pediatrics | 255 Farmers Ln, Santa Rosa, CA 95405-4721 | 2008-08-13 |
| 1639334436 | Sutter Medical Group of The Redwoods | Family Medicine | 8465 Old Redwood Hwy, Suite 320, Windsor, CA 95492-8090 | 2008-07-22 |
| 1366628224 | Sutter Medical Group of The Redwoods | Urology | 500 Doyle Park Dr, Ste. 303, Santa Rosa, CA 95405-4558 | 2008-01-10 |
| Street Address |
652 PETALUMA AVE SUITE F |
| City | SEBASTOPOL |
| State | CA |
| Zip Code | 95472-4256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401463 | Misty Michelle Zelk | Internal Medicine | 652 Petaluma Ave, Suite H, Sebastopol, CA 95472-4256 | 2005-07-18 |
| 1275016230 | Connie Alejandrina Moreno | Nurse Practitioner | 652 Petaluma Ave, Sebastopol, CA 95472-4256 | 2018-09-14 |
| 1114382751 | Shelleen E Denno Md Inc. | Internal Medicine | 652 Petaluma Ave, Suite D, Sebastopol, CA 95472-4256 | 2015-12-28 |
| 1861809501 | West County Health Centers, Inc. | Clinic/Center | 652 Petaluma Ave, Sebastopol, CA 95472-4256 | 2014-07-15 |
| 1902244528 | Prima Medical Foundation | General Practice | 652 Petaluma Ave, Suite H, Sebastopol, CA 95472-4256 | 2013-06-05 |
| 1336496710 | Emilio Licea IIi | Psychologist | 652 Petaluma Ave, Sebastopol, CA 95472-4256 | 2012-08-05 |
| 1154590958 | Prima Medical Foundation Sebastopol | Clinic/Center | 652 Petaluma Ave, Suite H, Sebastopol, CA 95472-4256 | 2008-02-26 |
| 1184845182 | Northern California Medical Assoc Inc | Internal Medicine | 652 Petaluma Ave, Ste E, Sebastopol, CA 95472-4266 | 2007-05-01 |
| 1871665471 | Scott Benstock | Dentist | 652 Petaluma Ave, Suite A, Sebastopol, CA 95472-4256 | 2006-11-15 |
| 1992889067 | Allan L. Bernstein | Psychiatry & Neurology | 652 Petaluma Ave, Suite H, Sebastopol, CA 95472-4256 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558916791 | Mellisa Nicole Elrod | Occupational Therapist | 1935 Gravenstein Hwy, Sebastopol, CA 95472 | 2019-08-05 |
| 1457820987 | Isabel Brooke Martinez | Acupuncturist | 961 Gravenstein Hwy South, # 100, Sebastopol, CA 95472 | 2018-11-14 |
| 1275025470 | Shahbano Syeda | Specialist/Technologist | 846/848 Gravenstein Hwy South, Sebastopol, CA 95472 | 2018-06-04 |
| 1467990812 | Mathew Metzgar | Marriage & Family Therapist | 1800 N. Gravenstein Hwy, Sebastopol, CA 95472 | 2017-02-06 |
| 1760939318 | Andrea Kirk | Psychologist | 876 Gravenstein Hwy S., Suite 6, Sebastopol, CA 95472 | 2016-09-01 |
| 1548629371 | Stacy Simons | Massage Therapist | 103 Morris St Ste V, Sebastopol, CA 95472 | 2016-02-22 |
| 1619341880 | Carol Schmid | Counselor | 1800 N, Gravenstein Hwy, Sebastopol, CA 95472 | 2015-11-25 |
| 1801273727 | Aaron Martinez | Specialist/Technologist | 7441 Witter Road, Sebastopol, CA 95472 | 2015-04-29 |
| 1699167049 | Nia Kaye | Marriage & Family Therapist | 130 Petaluma Ave Ste 2c, Sebastopol, CA 95472 | 2015-02-23 |
| 1497091383 | Caitlin Marie Kirkman | Midwife | 5611 Hessel Ave, Sebastopol, CA 95472 | 2012-12-20 |
| Find all providers in zip 95472 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689873184 | Kambria Beck Holder | Family Medicine | 652 Petaluma Ave Ste F, Sebastopol, CA 95472-4266 | 2007-07-13 |
| 1598989832 | Yolanda Marie-madeleine Seys | Family Medicine | 2265 Schaeffer Rd, Sebastopol, CA 95472-5500 | 2007-04-11 |
| 1477676336 | Timothy J Smith | Family Medicine | 5281 Thomas Rd, Sebastopol, CA 95472-9374 | 2007-04-07 |
| 1366592172 | Lydia Hasbrouck Mertens | Family Medicine | 6800 Palm Avenue Suite C, Sebastopol, CA 95472 | 2007-01-12 |
| 1053483107 | Ralph Llewellyn Pendleton | Family Medicine | 10509 Mill Station Rd, Sebastopol, CA 95472-9657 | 2006-11-14 |
| 1316021645 | Constance J. Ayers | Family Medicine | 652 Petaluma Blved., Suite H, Sebastopol, CA 95472 | 2006-10-24 |
| 1285722819 | Andrew Stephen Wagner | Family Medicine | 819 Longwood Ln, Sebastopol, CA 95472-2734 | 2006-10-10 |
| 1235225194 | Gary Ronald Herzberg | Family Medicine | 591 Swain Woods Ter, Sebastopol, CA 95472-4379 | 2006-10-05 |
| 1871690057 | Siskiyou Rural Housecalls Medical Corporation | Family Medicine | 1296 Scheibel Ln, Sebastopol, CA 95472-4717 | 2006-09-20 |
| 1558474270 | Gerald Eugene Eliaser | Family Medicine | 258 Washington Ct, Sebastopol, CA 95472-3170 | 2006-08-16 |
| Find all providers in SEBASTOPOL | ||||
| City | SEBASTOPOL |
| Zip Code | 95472 |
Please comment or provide details below to improve the information on SUTTER MEDICAL GROUP OF THE REDWOODS.
| 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.