North Bay Medical Group Surgery Center in Santa Rosa - Ambulatory Surgical
North Bay Medical Group Surgery Center - NPI 1639220189
North Bay Medical Group Surgery Center is a Ambulatory Surgical in Santa Rosa, California. North Bay Medical Group Surgery Center practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for North Bay Medical Group Surgery Center is 1639220189. The last update date is 2008-07-21.
North Bay Medical Group Surgery Center's current location address is 3850 Montgomery Dr, Santa Rosa, California. You can contact this provider via phone number 7075910619 and fax number 7075910617. The mailing address for North Bay Medical Group Surgery Center is 3850 Montgomery Dr, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | North Bay Medical Group Surgery Center |
|---|---|
| Address | 3850 Montgomery Dr, Santa Rosa, California |
| Phone Number | 7075910619 |
| Fax Number | 7075910617 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kraut James Eric |
| Credentials | M.D. |
| Telephone Number | 7075910619 |
NPI Number Detail
| NPI Number | 1639220189 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2008-07-21 |
Provider Mailing Address Detail
| Address | 3850 Montgomery Dr |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954055207 |
| Phone Number | 7075910619 |
| Fax Number | 7075910617 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | AS1628 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
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What is the unique 10-digit identification code assigned to North Bay Medical Group Surgery Center by the Centers for Medicare & Medicaid Services?
The North Bay Medical Group Surgery Center has been issued the NPI (National Provider Identifier) 1639220189, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of North Bay Medical Group Surgery Center?
The North Bay Medical Group Surgery Center is situated at 3850 Montgomery Dr, in the city of Santa Rosa, state of CA, with the zip code 954055207.
What is North Bay Medical Group Surgery Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for North Bay Medical Group Surgery Center is Ambulatory Surgical, and the taxonomy code that classifies this field of practice is 261Qa1903X.
On what date did North Bay Medical Group Surgery Center receive its 1639220189 assignment from the Centers for Medicare & Medicaid Services?
The North Bay Medical Group Surgery Center was assigned its 1639220189 on 2007-01-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to North Bay Medical Group Surgery Center most recently updated or revised?
The details related to North Bay Medical Group Surgery Center, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-21.
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