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SUTTER MEDICAL GROUP OF THE REDWOODS NPI 1740497072


NPI Information

NPI: 1740497072
Provider Name: SUTTER MEDICAL GROUP OF THE REDWOODS
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1140 SONOMA AVE
SUITE 2A
SANTA ROSA, CA
ZIP 95405
Phone: (707) 526-5034
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SUTTER MEDICAL GROUP OF THE REDWOODS is an obstetrics gynecology in Santa Rosa, CA. The provider is 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. SUTTER MEDICAL GROUP OF THE REDWOODS NPI is 1740497072. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1140 SONOMA AVE
SUITE 2A
SANTA ROSA, CA
ZIP 95405-817
Phone: (707) 526-5034
Fax: (707) 545-3984

The provider's authorized official is Linda E Rockstroh .
The authorized official title is Credentialing Specialist and has the following contact phone number (707) 521-8809.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11740497072MEDICAIDALABAMA
2ZZZ50462ZOTHERCALIFORNIABLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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