SUTTER MEDICAL GROUP OF THE REDWOODS (NPI# 1639330913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639330913 |
| Entity Type | Organization |
| Organization Name | SUTTER MEDICAL GROUP OF THE REDWOODS |
| Practice Address |
5150 East Hill Road Suite D Lakeport CA 95453-5101 |
| Mailing Address |
3883 Airway Dr Suite 300 Santa Rosa CA 95403-1670 |
| Practice Telephone | 7072625000 |
| Practice Fax Number | 7072625064 |
| Mailing Telephone | 7075218809 |
| Mailing Fax Number | 7075218835 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-07-31 |
| Authorized Official Name | DR. STEVEN E LEVENBERG (PRESIDENT) |
| Authorized Official Telephone | 7075218879 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679711857 | Sutter Medical Group of The Redwoods | Internal Medicine | 5150 Hill Rd Ste C, Suite C, Lakeport, CA 95453-5100 | 2009-01-27 |
| 1144479841 | Sutter Medical Group of The Redwoods | Surgery | 451 March Ave Ste B, Healdsburg, CA 95448-3387 | 2008-09-17 |
| 1154577831 | Sutter Medical Group of The Redwoods | Family Medicine | 500 Doyle Park D., 200, Santa Rosa, CA 95405 | 2008-08-13 |
| 1003072851 | Sutter Medical Group of The Redwoods | Internal Medicine | 4725a Hoen Ave, Santa Rosa, CA 95405-7862 | 2008-07-31 |
| 1861589483 | Sutter Medical Group of The Redwoods | Obstetrics & Gynecology | 1400 Medical Center Dr, Suite A, Rohnert Park, CA 94928-2924 | 2006-10-06 |
| 1558396986 | Sutter Medical Group of The Redwoods | Family Medicine | 3324 Chanate Rd, Santa Rosa, CA 95404 | 2006-07-12 |
| 1760638449 | Sutter Medical Group of The Redwoods | Pediatrics | 255 Farmers Ln, Santa Rosa, CA 95405-4721 | 2008-08-13 |
| 1639334436 | Sutter Medical Group of The Redwoods | Family Medicine | 8465 Old Redwood Hwy, Suite 320, Windsor, CA 95492-8090 | 2008-07-22 |
| 1366628224 | Sutter Medical Group of The Redwoods | Urology | 500 Doyle Park Dr, Ste. 303, Santa Rosa, CA 95405-4558 | 2008-01-10 |
| 1508052572 | Sutter Medical Group of The Redwoods | Radiology | 625 Steele Ln, Santa Rosa, CA 95403-3127 | 2007-09-24 |
| Street Address |
5150 EAST HILL ROAD SUITE D |
| City | LAKEPORT |
| State | CA |
| Zip Code | 95453-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427526847 | Easter Seals Bay Area | Early Intervention Provider Agency | 1950 Parallel Drive, Lakeport, CA 95453 | 2018-11-03 |
| 1285000810 | Lake County Tribal Health Consortium, Inc. | Clinic/Center | 14678 Lakeshore Boulevard, Clearlake, CA 95453 | 2015-08-18 |
| 1942558721 | Lorena A Watson | Nurse Practitioner | 5108 Hill Road East, Lakeport, CA 95453 | 2012-08-27 |
| 1992024657 | Jennifer Stolworthy Smith | Case Manager/Care Coordinator | 991 Parallel Dr. Ste. B, County of Lake, Mental Health, Lakeport, CA 95453 | 2010-05-20 |
| 1376720664 | June Arisa Masato | Marriage & Family Therapist | 1152 S. Main St, Lakeport, CA 95453 | 2008-01-29 |
| 1245417021 | Robert Ryan Taylor Sr. | Physical Therapist | 1285 S Main Street, Lakeport, CA 95453 | 2008-01-24 |
| 1760669618 | Joan Kammerer | Registered Nurse | 922 Bevins Court, Lakeport, CA 95453 | 2008-01-23 |
| 1881878353 | Mary Theresa Mcmillan | Marriage & Family Therapist | 75 Fourth Street, Lakeport, CA 95453 | 2007-12-19 |
| 1922288984 | Robert William Krause | Family Medicine | 755 Eleventh St, Lakeport, CA 95453 | 2007-11-07 |
| 1568683092 | Dan Sleeth | Marriage & Family Therapist | 991 Parallel Dr., Lakeport, CA 95453 | 2007-05-01 |
| Find all providers in zip 95453 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922288984 | Robert William Krause | Family Medicine | 755 Eleventh St, Lakeport, CA 95453 | 2007-11-07 |
| 1538233515 | Peter George Stanley | Family Medicine | 166 D St, Lakeport, CA 95453-5301 | 2006-11-20 |
| 1265431084 | Northern California Medical Assoc Inc | Family Medicine | 5108 Hill Rd E, Lakeport, CA 95453-6300 | 2005-07-14 |
| 1851687602 | Marc Seeley | Family Medicine | 5196 Hill Rd E Ste 300, Lakeport, CA 95453-6374 | 2011-06-21 |
| 1760505630 | Karen Tait | Family Medicine | 991 Parallel Dr Ste B, Lakeport, CA 95453-5717 | 2007-04-07 |
| 1780714584 | Lakeport Medical Group | Family Medicine | 166 D St, Lakeport, CA 95453-5301 | 2007-03-07 |
| 1881607018 | Roseline S Michel | Family Medicine | 925 Bevins Ct, Lakeport, CA 95453-9754 | 2006-08-15 |
| 1659387512 | David Betat | Family Medicine | 801 11th St, Lakeport, CA 95453-4100 | 2006-07-31 |
| 1881628576 | Daniel C. Bouwmeester | Family Medicine | 5335 Lakeshore Blvd, Lakeport, CA 95453-6123 | 2006-07-10 |
| 1245272004 | Andrew Ira Schwartz | Family Medicine | 5196 Hill Rd E, Suite 300, Lakeport, CA 95453-6360 | 2006-06-13 |
| Find all providers in LAKEPORT | ||||
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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.