Primary Care Associates Of The Redwood Empire Medical Group, Inc. in Santa Rosa - Pediatrics
Primary Care Associates Of The Redwood Empire Medical Group, Inc. - NPI 1245348820
Primary Care Associates Of The Redwood Empire Medical Group, Inc. is a Pediatrics in Santa Rosa, California. Primary Care Associates Of The Redwood Empire Medical Group, Inc. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Primary Care Associates Of The Redwood Empire Medical Group, Inc. is 1245348820. The last update date is 2018-06-21.
Primary Care Associates Of The Redwood Empire Medical Group, Inc.'s current location address is 500 Doyle Park Dr, Santa Rosa, California. You can contact this provider via phone number 7075451300 and fax number 7073038304. The mailing address for Primary Care Associates Of The Redwood Empire Medical Group, Inc. is 500 Doyle Park Dr, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Primary Care Associates Of The Redwood Empire Medical Group, Inc. |
|---|---|
| Address | 500 Doyle Park Dr, Santa Rosa, California |
| Phone Number | 7075451300 |
| Fax Number | 7073038304 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Greaves Bowen Lyman |
| Credentials | M.D. |
| Telephone Number | 7075451300 |
NPI Number Detail
| NPI Number | 1245348820 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2018-06-21 |
Provider Mailing Address Detail
| Address | 500 Doyle Park Dr |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954054558 |
| Phone Number | 7075451300 |
| Fax Number | 7073038304 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0061380 | CA | -- | |
| GR0061383 | CA | -- | |
| GR0061381 | CA | -- | |
| GR0061382 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Primary Care Associates Of The Redwood Empire Medical Group, Inc. by the Centers for Medicare & Medicaid Services?
The Primary Care Associates Of The Redwood Empire Medical Group, Inc. has been assigned the NPI (National Provider Identifier) 1245348820 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Primary Care Associates Of The Redwood Empire Medical Group, Inc. located?
The Primary Care Associates Of The Redwood Empire Medical Group, Inc. is located at 500 Doyle Park Dr, Santa Rosa, CA 954054558.
What is Primary Care Associates Of The Redwood Empire Medical Group, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Primary Care Associates Of The Redwood Empire Medical Group, Inc. is Pediatrics, and the taxonomy code that categorizes this field of expertise is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1245348820 to Primary Care Associates Of The Redwood Empire Medical Group, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1245348820 to Primary Care Associates Of The Redwood Empire Medical Group, Inc. on 2006-08-25.
When was the information pertaining to Primary Care Associates Of The Redwood Empire Medical Group, Inc. most recently updated or revised?
The details related to Primary Care Associates Of The Redwood Empire Medical Group, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2018-06-21.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN