Thomas C Degenhardt in Santa Rosa - Orthopaedic Surgery

Thomas C Degenhardt - NPI 1073556635

Thomas C Degenhardt is a Orthopaedic Surgery in Santa Rosa, California. Thomas C Degenhardt practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Thomas C Degenhardt is 1073556635. The last update date is 2023-07-14.

Thomas C Degenhardt's current location address is 1405 Montgomery Dr, Santa Rosa, California. You can contact this provider via phone number 7075461922 and fax number 7075461987. The mailing address for Thomas C Degenhardt is 1405 Montgomery Dr, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas C Degenhardt
Address 1405 Montgomery Dr, Santa Rosa, California
Phone Number 7075461922
Fax Number 7075461987
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1073556635
Provider Enumeration Date 2006-06-13
Last Updated Date 2023-07-14

Provider Mailing Address Detail

Address 1405 Montgomery Dr
City Santa Rosa
State California (CA)
Post Code 954054557
Phone Number 7075461922
Fax Number 7075461987

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No G25938
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G25938 CA LICENSE
00G259380 CA --
00G259380 CA CIGNA DME

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FAQs about Thomas C Degenhardt

What is the unique identifier code issued to Thomas C Degenhardt by the Centers for Medicare & Medicaid Services?

The Thomas C Degenhardt has been assigned the NPI (National Provider Identifier) 1073556635. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Thomas C Degenhardt?

The Thomas C Degenhardt is situated at 1405 Montgomery Dr, in the city of Santa Rosa, state of CA, with the zip code 954054557.

What is the area of specialization for Thomas C Degenhardt, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Thomas C Degenhardt is Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 207X00000X.

When did Thomas C Degenhardt receive its 1073556635 assignment?

The Thomas C Degenhardt was assigned its 1073556635 on 2006-06-13, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Thomas C Degenhardt most recently updated or revised?

The information pertaining to Thomas C Degenhardt, including its address, specialty, and other relevant details, was last updated or revised on 2023-07-14.

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