SPINE AND NEUROSURGICAL TRAUMA ASSOCIATES OF NORTHERN CALIFORNIA


Address: 4690 Hoen Ave, Santa Rosa, CA 95405-7823
Phone: 7077995911

SPINE AND NEUROSURGICAL TRAUMA ASSOCIATES OF NORTHERN CALIFORNIA (NPI# 1174925697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174925697
Entity Type Organization
Organization Name SPINE AND NEUROSURGICAL TRAUMA ASSOCIATES OF NORTHERN CALIFORNIA
Other Organization Name NORCAL NEUROSURGERY GROUP
Practice Address 4690 Hoen Ave
Santa Rosa
CA 95405-7823
Mailing Address 1275 4th St
Pmb 646
Santa Rosa
CA 95404-4057
Practice Telephone 7077995911
Mailing Telephone 7077995911
Enumeration Date 2014-09-17
Last Update Date 2014-09-17
Authorized Official Name DR. SCOTT GLICKMAN (PRESIDENT)
Authorized Official Telephone 7077995911
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084V0102X Psychiatry & Neurology
Specialization: Vascular Neurology
13305 CA Allopathic & Osteopathic Physicians
Y 207T00000X Neurological Surgery 13305 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 3102403 05

Other Provider/Organization Names

Other Name Type Code
NorCal Neurosurgery Group Doing Business As Name - Organization

Office Location

Street Address 4690 HOEN AVE
City SANTA ROSA
State CA
Zip Code 95405-7823

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891344305 Northern California Medical Assoc Inc Internal Medicine 4690 Hoen Ave, Santa Rosa, CA 95405-7823 2019-09-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083230486 Lizett Camacho Counselor 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 2020-06-22
1346768918 Ingrid Tsong Student in an Organized Health Care Education/Training Program 3447 Summerfield Road, Santa Rosa, CA 95405 2017-09-05
1275051898 Jessica Peters Malmberg Student in an Organized Health Care Education/Training Program 2447 Summerfield Rd, Santa Rosa, CA 95405 2017-09-04
1306246772 Kirsten Eckert Advanced Practice Midwife 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 2014-09-03
1982034294 Mohammad Reza Saeidi Dentist 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 2013-11-22
1851631642 Debi M. Emmons Marriage & Family Therapist 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 2013-02-15
1841549979 Karie Louise Klim Marriage & Family Therapist 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 2012-09-05
1427314400 Rachel E. Page Counselor 2447 Summerfield Rd., Santa Rosa, CA 95405 2012-04-04
1689991572 Center for Integral Healing Inc. Community Health Worker 182 Farmers Lane, #203, Santa Rosa, CA 95405 2010-04-30
1588997647 Kai Morgan Dentist 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 2009-09-08
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Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124208277 Giac Donati Consiglieri Neurological Surgery 252 Doyle Park Dr, Ste 102, Santa Rosa, CA 95405 2007-11-06
1073567020 Alan T. Hunstock Neurological Surgery 525 Doyle Park Drive, Suite 102, Santa Rosa, CA 95405 2006-05-22
1508164948 Bryan M. Pereira, M.d., P.C. Neurological Surgery 1111 Sonoma Ave, Suite # 320, Santa Rosa, CA 95405 2011-03-09
1356521389 Rasha S Germain Neurological Surgery 525 Doyle Park Dr, Suite 102, Santa Rosa, CA 95405-4556 2007-11-07
1801914163 North Bay Neurosurgical Associates Medical Group Neurological Surgery 525 Doyle Park Dr, Suite 102, Santa Rosa, CA 95405-4516 2007-03-26
1891728788 Mahmoud Rashidi-naimabadi Neurological Surgery 95 Montgomery Dr, Suite 118, Santa Rosa, CA 95404-6617 2006-07-07
1851337380 John M. Grollmus, M.d., Inc. Neurological Surgery 990 Sonoma Ave, Ste. 20 &21, Santa Rosa, CA 95404-4802 2006-06-22
1356318232 Thomas Mcneese Keller Neurological Surgery 1212 Farmers Ln, Suite 4, Santa Rosa, CA 95405-6747 2006-03-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376144477 Faculty Physicians and Surgeons of Llusm Neurological Surgery 35400 Bob Hope Dr Ste 110, Rancho Mirage, CA 92270-1772 2020-11-04
1013524123 Hubert Tsun-yin Lee Neurological Surgery 1201 Welch Road, Stanford, CA 94305-5327 2020-09-24
1811500267 Chaparral Medical Group, Inc. Neurological Surgery 9120 Haven Ave Ste 201, Rancho Cucamonga, CA 91730-5413 2020-08-26
1982259461 Mauricio Mandel Brigido Neurological Surgery 300 Pasteur Dr # R281, Stanford, CA 94305-2200 2019-08-01
1538713227 Sylvain Palmer Md Inc Neurological Surgery 26732 Crown Valley Pkwy Ste 541, Mission Viejo, CA 92691-6376 2019-07-31
1851945877 X.sean Xin, Do Inc. Neurological Surgery 7230 Med Ctr Dr Ste 600, West Hills, CA 91307-4017 2019-07-29
1154974525 Jan M. Eckermann, Md Inc. Neurological Surgery 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 2019-07-24
1598317711 Newport Beach Neurosurgical Institute Neurological Surgery 1501 Superior Ave Ste 214b, Newport Beach, CA 92663-3600 2019-07-09
1609438761 Py26 Neurosurgery, PC Neurological Surgery 120 S Spalding Dr Ste 305, Beverly Hills, CA 90212-1800 2019-06-28
1679133664 Sequoia Neurosurgery, Inc. Neurological Surgery 306 N Conyer St Ste A, Visalia, CA 93291-4704 2019-06-20
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City SANTA ROSA
Zip Code 95405

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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