SUTTER MEDICAL GROUP OF THE REDWOODS (NPI# 1508927070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508927070 |
| Entity Type | Organization |
| Organization Name | SUTTER MEDICAL GROUP OF THE REDWOODS |
| Practice Address |
1111 Sonoma Ave Suite 316 Santa Rosa CA 95405-4819 |
| Mailing Address |
3883 Airway Dr Suite 300 Santa Rosa CA 95403-1670 |
| Practice Telephone | 7075759167 |
| Practice Fax Number | 7075754819 |
| Mailing Telephone | 7075218809 |
| Mailing Fax Number | 7075218835 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-04-09 |
| 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 | 176B00000X | Midwife | Other Service Providers | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0055422 | 05 |
| 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 |
1111 SONOMA AVE SUITE 316 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558360479 | Patrick Devlin | Internal Medicine | 1111 Sonoma Ave, Suite 302, Santa Rosa, CA 95405-4819 | 2005-07-21 |
| 1700312493 | Tina Page Afifi | Hearing Instrument Specialist | 1111 Sonoma Ave, Ste 316, Santa Rosa, CA 95405-4819 | 2017-05-02 |
| 1770995748 | Northern California Medical Assoc Inc | Dermatology | 1111 Sonoma Ave, Ste 202, Santa Rosa, CA 95405-4819 | 2014-05-27 |
| 1508164948 | Bryan M. Pereira, M.d., P.C. | Neurological Surgery | 1111 Sonoma Ave, Suite # 320, Santa Rosa, CA 95405 | 2011-03-09 |
| 1952603284 | Barry Neil Silberg, M.d., Inc. | Plastic Surgery | 1111 Sonoma Ave, Suite 210, Santa Rosa, CA 95405-4819 | 2010-11-18 |
| 1427362680 | Sonoma Memory Center Comprehensive Psychology Services Professional Co | Clinical Neuropsychologist | 1111 Sonoma Ave, Ste 322, Santa Rosa, CA 95405-4819 | 2010-07-29 |
| 1609056878 | Jiries Peter Mogannam | Dentist | 1111 Sonoma Ave, Suite #220, Santa Rosa, CA 95405-4819 | 2007-11-05 |
| 1023205713 | Northern California Medical Assoc | Orthopaedic Surgery | 1111 Sonoma Ave, Ste 202, Santa Rosa, CA 95405-4813 | 2007-09-27 |
| 1154523447 | Santa Rosa Cardiac Imaging | Nuclear Medicine | 1111 Sonoma Ave, Suite 108, Santa Rosa, CA 95405-4819 | 2007-05-31 |
| 1225158884 | Patrick G Devlin Md A Medical Corporation | Specialist | 1111 Sonoma Ave, Suite 302, Santa Rosa, CA 95405-4819 | 2007-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346696358 | Ira Golditch | Obstetrics & Gynecology | 1401 Fountaingrove Pkwy, #305, Santa Rosa, CA 95403-5757 | 2016-05-09 |
| 1962777318 | John P. Renfree | Obstetrics & Gynecology | 6010 Melita Rd, Santa Rosa, CA 95409-5725 | 2012-03-19 |
| 1427349869 | Nicole Boon Jung Kwon | Obstetrics & Gynecology | 34 Mark West Springs Road, Second Floor, Santa Rosa, CA 95403 | 2011-04-20 |
| 1285957936 | Sahar Doctorvaladan | Obstetrics & Gynecology | 500 Doyle Park Dr Ste 200, Santa Rosa, CA 95405-4559 | 2010-03-09 |
| 1801992128 | Womens Ob/gyn Medical Group | Obstetrics & Gynecology | 500 Doyle Park Drive, Suite 103, Santa Rosa, CA 95405-9559 | 2006-09-15 |
| 1811902612 | Lela M Emad | Obstetrics & Gynecology | 1111 Sonoma Avenue, Suite 202, Santa Rosa, CA 95405 | 2006-07-30 |
| 1437170065 | C.h. Wilkinson Physician Network | Obstetrics & Gynecology | Highway 107 & La Feria Avenue, Santa Rosa, TX 78593 | 2006-07-21 |
| 1831123447 | Leonard John Klay | Obstetrics & Gynecology | 1927 E Foothill Dr, Santa Rosa, CA 95404-3154 | 2006-07-10 |
| 1902422280 | Khawaja Md Inc | Obstetrics & Gynecology | 990 Sonoma Ave Ste 18, Santa Rosa, CA 95404-4813 | 2020-06-22 |
| 1164816252 | Estrelania S Williams | Obstetrics & Gynecology | 500 Doyle Park Dr Ste 103, Santa Rosa, CA 95405-4559 | 2015-03-26 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
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| 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.