Santa Rosa Orthopaedic Medical Group, Inc. in Santa Rosa - Orthopaedic Surgery
Santa Rosa Orthopaedic Medical Group, Inc. - NPI 1518907336
Santa Rosa Orthopaedic Medical Group, Inc. is a Orthopaedic Surgery in Santa Rosa, California. Santa Rosa Orthopaedic Medical Group, Inc. practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Santa Rosa Orthopaedic Medical Group, Inc. is 1518907336. The last update date is 2023-07-14.
Santa Rosa Orthopaedic Medical Group, Inc.'s current location address is 1405 Montgomery Dr, Santa Rosa, California. You can contact this provider via phone number 7075461922 and fax number 7075461897. The mailing address for Santa Rosa Orthopaedic Medical Group, Inc. is 1405 Montgomery Dr, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Santa Rosa Orthopaedic Medical Group, Inc. |
|---|---|
| Address | 1405 Montgomery Dr, Santa Rosa, California |
| Phone Number | 7075461922 |
| Fax Number | 7075461897 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE M |
|---|---|
| Authorized Official Name | Brophy Alicia |
| Telephone Number | 7075461922 |
NPI Number Detail
| NPI Number | 1518907336 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| 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 | 7075461897 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
|
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 |
|---|---|---|---|
| 379618500 | CA | US DEPT OF LABOR (OWCP) | |
| ZZZ92332Z | CA | BLUE SHIELD GRP # 1405 | |
| GR0012520 | CA | -- | |
| 166366 | CA | DEPT OF LABOR WASH STATE | |
| 1518907336 | NPI |
Post Comment/ Review Below
What is the Santa Rosa Orthopaedic Medical Group, Inc.'s 1518907336?
The Santa Rosa Orthopaedic Medical Group, Inc.'s NPI (National Provider Identifier) Number is 1518907336. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Santa Rosa Orthopaedic Medical Group, Inc. is physically located?
The Santa Rosa Orthopaedic Medical Group, Inc. is physically situated at the following address: 1405 Montgomery Dr, Santa Rosa, CA, 954054557.
What is Santa Rosa Orthopaedic Medical Group, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Santa Rosa Orthopaedic Medical Group, Inc.'s specialized field of practice is Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 207X00000X.
On what date did the Santa Rosa Orthopaedic Medical Group, Inc. receive its 1518907336 assignment from the Centers for Medicare & Medicaid Services?
The Santa Rosa Orthopaedic Medical Group, Inc. was assigned its 1518907336 by the Centers for Medicare & Medicaid Services on 2006-06-08.
As of what date was the information regarding Santa Rosa Orthopaedic Medical Group, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Santa Rosa Orthopaedic Medical Group, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-07-14.
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