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REDWOOD REGIONAL MEDICAL GROUP INC. NPI 1477629855


NPI Information

NPI: 1477629855
Provider Name: REDWOOD REGIONAL MEDICAL GROUP, INC.

Doing Business As: REDWOOD REGIONAL ONCOLOGY CENTER

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
652 PETALUMA AVE STE B
SEBASTOPOL, CA
ZIP 95472
Phone: (707) 823-8565
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REDWOOD REGIONAL MEDICAL GROUP, INC. is a hematology and oncology internal medicine in Sebastopol, CA. The provider is 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. REDWOOD REGIONAL MEDICAL GROUP, INC. NPI is 1477629855. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Redwood Regional Oncology Center.

The provider's business location address is:

652 PETALUMA AVE STE B
SEBASTOPOL, CA
ZIP 95472-266
Phone: (707) 823-8565
Fax: (707) 823-7851

The provider's authorized official is David H Schmidt .
The authorized official title is Md - Radiologist and has the following contact phone number (707) 546-4062.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 11/15/2007.


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
1207RH0000XInternal MedicineHematologyNo
2207RX0202XInternal MedicineMedical OncologyNo
3363L00000XNurse PractitionerNo
4207RH0003XInternal MedicineHematology & OncologyYes

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
1ZZZ45724ZMEDICARE ID-TYPE UNSPECIFIED
2GR0049208MEDICAIDCALIFORNIA

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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