DR. URMILA A. SHENDE (NPI# 1225141245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225141245 |
Entity Type | Individual |
Full Name | DR. URMILA A. SHENDE |
Credential | M.D. |
Practice Address |
255 Farmers Ln Santa Rosa CA 95405-4721 |
Mailing Address |
1179 N Mcdowell Blvd Petaluma CA 94954-6559 |
Practice Telephone | 7075452255 |
Practice Fax Number | 7075450456 |
Mailing Telephone | 7075597500 |
Mailing Fax Number | 7075597620 |
Enumeration Date | 2006-08-16 |
Last Update Date | 2019-09-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | A60391 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GR0061383 | 05 | |
CA | 00A603910 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1179 N Mcdowell Blvd, Petaluma, CA 949546559 | 7075597500 | 7075597620 |
Street Address |
255 FARMERS LN |
City | SANTA ROSA |
State | CA |
Zip Code | 95405-4721 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093347528 | Acacia Mason | Chiropractor | 255 Farmers Ln, Santa Rosa, CA 95405-4721 | 2020-02-12 |
1508380650 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 255 Farmers Ln, Santa Rosa, CA 95405-4721 | 2017-07-31 |
1861922965 | Mark Carroll | Acupuncturist | 255 Farmers Ln, Santa Rosa, CA 95405-4721 | 2017-06-13 |
1205234614 | Devin Weatherley | Chiropractor | 255 Farmers Ln, Santa Rosa, CA 95405-4721 | 2014-12-17 |
1760638449 | Sutter Medical Group of The Redwoods | Pediatrics | 255 Farmers Ln, Santa Rosa, CA 95405-4721 | 2008-08-13 |
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 |
Find all providers in zip 95405 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477709723 | Michael A Davis | Pediatrics | 575 Los Alamos Rd, Santa Rosa, CA 95409-4430 | 2008-08-18 |
1710014725 | Adrienne M Silver | Pediatrics | 3925 Old Redwood Highway, Santa Rosa, CA 95403 | 2007-02-27 |
1255490876 | Meredith Jane Kieschnick | Pediatrics | 962 Sebastopol Rd, Roseland Clinic, Santa Rosa, CA 95407 | 2006-12-08 |
1861576845 | Scott W. Fisher | Pediatrics | 3298 Montecito Meadow Dr, Santa Rosa, CA 95404-1849 | 2006-10-25 |
1548299266 | Morton Fredrick Brewer | Pediatrics | 3883 Airway Dr Ste 120, Santa Rosa, CA 95403-1678 | 2006-07-03 |
1124066808 | Drs. Ackley, Davis, Brewer, Miraglia, Anaka, Et Al. | Pediatrics | 1200 Sonoma Ave Ste 6, Santa Rosa, CA 95405-6664 | 2006-06-03 |
1881646677 | Pitr Gerard Conroy | Pediatrics | 98 Hendley St, Santa Rosa, CA 95404-5025 | 2006-05-17 |
1538138623 | Cynthia Wu | Pediatrics | 5794 Owl Hill Ave, Santa Rosa, CA 95409-4363 | 2006-03-14 |
1649259615 | Kristin Renee Steuerle | Pediatrics | 3925 Old Redwood Hwy, Stein Building, Kaiser Permanente Pediatrics, Santa Rosa, CA 95403-1719 | 2006-01-10 |
1043203946 | Daniel J Greenfield | Pediatrics | 500 Doyle Park Dr Ste 100, Santa Rosa, CA 95405 | 2005-08-25 |
Find all providers in SANTA ROSA |
City | SANTA ROSA |
Zip Code | 95405 |
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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.