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N COAST FACULTY MEDICAL GROUP DBA SUTTER MEDICAL GROUP OF THE REDWOODS NPI 1124277686


NPI Information

NPI: 1124277686
Provider Name: N COAST FACULTY MEDICAL GROUP DBA SUTTER MEDICAL GROUP OF THE REDWOODS
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
3883 AIRWAY DR
SANTA ROSA, CA
ZIP 95403
Phone: (707) 521-8809
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N COAST FACULTY MEDICAL GROUP DBA 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. N COAST FACULTY MEDICAL GROUP DBA SUTTER MEDICAL GROUP OF THE REDWOODS NPI is 1124277686. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3883 AIRWAY DR
SANTA ROSA, CA
ZIP 95403-670
Phone: (707) 521-8809
Fax: (707) 521-8835

The provider's authorized official is Steven E Levenberg .
The authorized official title is President, Smgr and has the following contact phone number (707) 521-8879.

The enumeration date for this NPI number is 9/9/2008 and was last updated on 8/25/2009.


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
1207Q00000XFamily MedicineNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
3207RG0100XInternal MedicineGastroenterologyNo
4207V00000XObstetrics & GynecologyYes

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: 11/14/2023

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