WALTER C. PREHN M.D. A PROFESSIONAL CORPORATION (NPI# 1306143169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306143169 |
| Entity Type | Organization |
| Organization Name | WALTER C. PREHN M.D. A PROFESSIONAL CORPORATION |
| Practice Address |
181 Andrieux St Suite 206 Sonoma CA 95476-6920 |
| Practice Telephone | 7074957762 |
| Practice Fax Number | 7079387337 |
| Mailing Telephone | 7074957762 |
| Mailing Fax Number | 7079387337 |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2012-10-05 |
| Authorized Official Name | DR. WALTER CRAIG PREHN (PRESIDENT) |
| Authorized Official Telephone | 7074957762 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G25454 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G254540 | 05 |
| Street Address |
181 ANDRIEUX ST SUITE 206 |
| City | SONOMA |
| State | CA |
| Zip Code | 95476-6920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518958313 | Dominic Paul Amara | Obstetrics & Gynecology | 181 Andrieux St, Suite108, Sonoma, CA 95476-6932 | 2005-10-31 |
| 1649713181 | Douglas Anderson | Community Health Worker | 181 Andrieux St, Suite 210, Sonoma, CA 95476-6932 | 2016-12-01 |
| 1326581331 | Margaret Frances Leisz | Nurse Practitioner | 181 Andrieux St, Suite #202, Sonoma, CA 95476-6932 | 2016-11-22 |
| 1285077677 | Jennifer Ann Jensen | Acupuncturist | 181 Andrieux St, #105, Sonoma, CA 95476-6932 | 2013-04-16 |
| 1750653473 | Susan Karle | Marriage & Family Therapist | 181 Andrieux St, 210, Sonoma, CA 95476-6932 | 2012-01-27 |
| 1386935039 | Sonoma Pain Management, Inc | Psychiatry & Neurology | 181 Andrieux St, Suite 206, Sonoma, CA 95476-6932 | 2011-04-28 |
| 1437456217 | Allison Furchner-evanson | Dietitian, Registered | 181 Andrieux St, Suite 208, Sonoma, CA 95476-6932 | 2011-02-14 |
| 1639474356 | Robert Harf Orthopaedics A Professional Corporation | Orthopaedic Surgery | 181 Andrieux St, Suite 111, Sonoma, CA 95476-6932 | 2011-01-12 |
| 1932416781 | Daniel Ahn | Ophthalmology | 181 Andrieux St, Suite 100, Sonoma, CA 95476-6932 | 2010-08-31 |
| 1942512454 | Christopher Stanley Teich | Physician Assistant | 181 Andrieux St, Sonoma, CA 95476-6932 | 2010-07-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790325694 | Pacific Forensic Psychology Associates, Inc | Psychologist | 19230 Sonoma Highway, Building 200, Sonoma, CA 95476 | 2020-01-09 |
| 1003315169 | Kevin Mccarthy | Occupational Therapist | 19312 Sonoma Hwy, Ste B Sonoma, Sonoma, CA 95476 | 2018-02-05 |
| 1558895318 | Christy Murphy | Pharmacist | 19205 Sonoma Hwy, Sonoma, CA 95476 | 2017-04-18 |
| 1003355835 | Eric Wilson Garcia | Physical Therapist | 1331 Medical Center Dr, Rohnert Park, CA 95476 | 2017-02-13 |
| 1952759664 | Imgrx Sonoma Inc | Pharmacy | 19270 Sonoma Hwy, Suite A, Sonoma, CA 95476 | 2016-06-03 |
| 1790039121 | Joslyn Metzger | Social Worker | 10270 Sonoma Highway, Sonoma, CA 95476 | 2012-11-07 |
| 1477853182 | Marcy Swiatek Brandner | Counselor | 19343 Sonoma Highway, Sonoma, CA 95476 | 2010-10-27 |
| 1477784890 | Peter G. Meyerhof | Dentist | 684 W. Napa St., Sonoma, CA 95476 | 2009-08-03 |
| 1467692855 | Rebeca Fiske Bailey | Psychologist | 793 First St West, Sonoma, CA 95476 | 2009-02-25 |
| 1306099056 | Hubenette Dental Corporation | Dentist | 660 Third Street West, Sonoma, CA 95476 | 2008-10-28 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619512548 | Joshua H Rassen Md Inc | Internal Medicine | 181 Andrieux St Ste 202, Sonoma, CA 95476-6920 | 2019-11-14 |
| 1952426421 | Guy Delorefice | Internal Medicine | 370 Perkins St, Sonoma, CA 95476-6827 | 2007-03-20 |
| 1356419931 | Campbell & Verducci | Internal Medicine | 670 Third St West, Sonoma, CA 95476 | 2006-12-01 |
| 1437265360 | Dennis James Verducci | Internal Medicine | 670 3rd St W, Sonoma, CA 95476-6805 | 2006-08-22 |
| 1053427989 | S Douglas Campbell | Internal Medicine | 670 Third Street West, Sonoma, CA 95476 | 2006-08-22 |
| 1225042088 | Walter C Prehn | Internal Medicine | 181 Andrieux Street, Suite 206, Sonoma, CA 95476-6920 | 2006-07-28 |
| 1679564611 | Clinton Lane Vi | Internal Medicine | 377 Perkins St, Sonoma, CA 95476-6826 | 2005-10-31 |
| 1184624637 | Brian Martin Sebastian | Internal Medicine | 651 1st St W, Suite H, Sonoma, CA 95476-7045 | 2005-07-27 |
| 1437532652 | Tyler Mark Nixon Do, Inc | Internal Medicine | 1250 Broadway, Sonoma, CA 95476-7500 | 2015-07-07 |
| 1033446125 | Guy Delorefice M.d. Inc. | Internal Medicine | 370 Perkins St, Sonoma, CA 95476-6827 | 2009-11-10 |
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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.