REDWOOD REGIONAL MEDICAL GROUP, INC. (NPI# 1952582215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952582215 |
| Entity Type | Organization |
| Organization Name | REDWOOD REGIONAL MEDICAL GROUP, INC. |
| Other Organization Name | REDWOOD REGIONAL ONCOLOGY CENTER |
| Practice Address |
1312 Prentice Dr Healdsburg CA 95448-3381 |
| Practice Telephone | 7074730485 |
| Mailing Telephone | 7074730485 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |
| Authorized Official Name | DAVID H SCHMIDT (PRESIDENT) |
| Authorized Official Telephone | 7074730485 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | REDWOOD REGIONAL MEDICAL GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
Allopathic & Osteopathic Physicians | ||
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Redwood Regional Oncology Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477629855 | Redwood Regional Medical Group, Inc. | Internal Medicine | 652 Petaluma Ave Ste B, Sebastopol, CA 95472-4266 | 2006-11-28 |
| 1215016993 | Redwood Regional Medical Group, Inc. | Surgery | 625 Steele Ln, Santa Rosa, CA 95403-3127 | 2006-11-03 |
| 1679652358 | Redwood Regional Medical Group, Inc. | Radiology | 181 Lynch Creek Way Ste 102, Petaluma, CA 94954-2388 | 2006-11-03 |
| 1487739223 | Redwood Regional Medical Group, Inc. | Clinical Medical Laboratory | 110 Lynch Creek Way Ste 110, Petaluma, CA 94954-2337 | 2006-10-26 |
| 1619064920 | Redwood Regional Medical Group, Inc. | Internal Medicine | 5150 Hill Rd E Ste F, Lakeport, CA 95453-5100 | 2006-10-06 |
| 1316034630 | Redwood Regional Medical Group, Inc. | Radiology | 1165 S Dora St Bldg H, Ukiah, CA 95482-8325 | 2006-10-06 |
| 1659468973 | Redwood Regional Medical Group, Inc. | Surgery | 347 Andrieux St Ste 1, Sonoma, CA 95476-6811 | 2006-10-06 |
| 1245241462 | Redwood Regional Medical Group, Inc. | Radiology | 3540 Mendocino Ave Ste 100, Santa Rosa, CA 95403-2276 | 2006-08-11 |
| 1891705257 | Redwood Regional Medical Group, Inc. | Internal Medicine | 3555 Round Barn Cir Ste 100, Santa Rosa, CA 95403-1757 | 2006-08-09 |
| 1588743264 | Redwood Regional Medical Group, Inc. | Clinical Medical Laboratory | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2006-11-03 |
| Street Address |
1312 PRENTICE DR |
| City | HEALDSBURG |
| State | CA |
| Zip Code | 95448-3381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073570131 | Joseph M Tito | Surgery | 1312 Prentice Dr, Healdsburg, CA 95448-3381 | 2006-05-01 |
| 1932753761 | North Sonoma County Health Care District | Psychologist | 1312 Prentice Dr, Healdsburg, CA 95448-3381 | 2019-07-30 |
| 1205940228 | Tony David Veletto | Internal Medicine | 1312 Prentice Dr, Healdsburg, CA 95448-3381 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891342002 | Linda Lazzar Friend | Marriage & Family Therapist | 2800 Hilltop Rd., Healdsburg, CA 95448 | 2019-08-22 |
| 1184124513 | Pacifica Sl Grove Street Lp | Alzheimer Center (Dementia Center) | 725 Grove Street, Healdsburg, CA 95448 | 2018-02-12 |
| 1073049284 | Jennifer Gnass | Counselor | 536 March Ave, Healdsburg, CA 95448 | 2017-05-08 |
| 1538523105 | Zormeier Cosmetic Surgery & Longevity Center | Plastic Surgery | 431 East Street Ste B, Healdsburg, CA 95448 | 2016-04-11 |
| 1619180700 | Sharron Levinger Rudell | Marriage & Family Therapist | 459 Hudson St, Healdsburg, CA 95448 | 2007-05-07 |
| 1932224490 | Stanley Winstonj Jacobs | Specialist | 145 Foss Creek Cir., Healdsburg, CA 95448 | 2007-03-20 |
| 1821126491 | Eric Culbertson | Surgery | 145 Foss Creek Cir, Healdsburg, CA 95448 | 2007-03-02 |
| 1265508790 | Stanley D Davis | Psychiatry & Neurology | 451 A March Ave, Healdsburg, CA 95448 | 2006-11-27 |
| 1306910559 | Christine Naber | Clinical Neuropsychologist | 455 March Ave Ste A, Healdsburg, CA 95448 | 2006-11-20 |
| 1700978947 | Marc Alexander | Dentist | 125 Grant Street, Healdsburg, CA 95448 | 2006-09-28 |
| Find all providers in zip 95448 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
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| 1871141598 | Edward A, Wagner, M.d., Inc. | Internal Medicine | 25500 Rancho Niguel Rd Ste 240, Laguna Niguel, CA 92677-7373 | 2019-08-27 |
| 1255988341 | Christopher Lemieux | Internal Medicine | 300 Pasteur Dr # H1010, Stanford, CA 94305-2200 | 2019-08-22 |
| 1063972131 | Titfany Wang | Internal Medicine | 133 N Prairie Ave Ste C, Inglewood, CA 90301-4878 | 2019-03-23 |
| 1649736687 | Adventist Health Physicians Network | Internal Medicine | 95 Declaration Dr Ste 1, Chico, CA 95973-4916 | 2019-02-14 |
| 1518433762 | Teamx Medical Group | Internal Medicine | 7253 N Cherry Ln, Van Nuys, CA 91405-5477 | 2018-10-15 |
| 1508352675 | Oncology Physicians Network of California PC | Internal Medicine | 700 N Brand Blvd Ste 640, Glendale, CA 91203-4271 | 2018-07-02 |
| 1881184026 | R.w. Weber, M.d., A Medical Corporation | Internal Medicine | 1800 Sullivan Ave Rm 603, Daly City, CA 94015-2226 | 2018-05-14 |
| Find all providers with the same taxonomy | ||||
| City | HEALDSBURG |
| Zip Code | 95448 |
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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.