SUTTER MEDICAL GROUP OF THE REDWOODS (NPI# 1639334436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639334436 |
| Entity Type | Organization |
| Organization Name | SUTTER MEDICAL GROUP OF THE REDWOODS |
| Practice Address |
8465 Old Redwood Hwy Suite 320 Windsor CA 95492-8090 |
| Mailing Address |
3883 Airway Dr Suite 300 Santa Rosa CA 95403-1670 |
| Practice Telephone | 7075218809 |
| Practice Fax Number | 7075218835 |
| Mailing Telephone | 7075218809 |
| Mailing Fax Number | 7075218835 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |
| Authorized Official Name | DR. STEVEN E LEVENBERG (PRESIDENT, SMGR) |
| Authorized Official Telephone | 7075218809 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZ013170Z | 01 |
| CA | GR0091420 | 05 |
| 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 |
| 1639330913 | Sutter Medical Group of The Redwoods | Family Medicine | 5150 East Hill Road, Suite D, Lakeport, CA 95453-5101 | 2008-06-19 |
| 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 |
| 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 |
8465 OLD REDWOOD HWY SUITE 320 |
| City | WINDSOR |
| State | CA |
| Zip Code | 95492-8090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093785826 | Windsor Primary Care Medical Group Inc | Family Medicine | 8465 Old Redwood Hwy, #320, Windsor, CA 95492 | 2006-01-24 |
| 1073693354 | Vivian Emily Worn | Pediatrics | 8465 Old Redwood Hwy, Suite 400, Windsor, CA 95492-8090 | 2006-10-17 |
| 1104894732 | Ellis Miles | Optometrist | 8465 Old Redwood Hwy, Suite 615, Windsor, CA 95492-8090 | 2006-03-09 |
| 1033181417 | Jann M Hanscome | Family Medicine | 8465 Old Redwood Hwy, Ste 320, Windsor, CA 95492 | 2006-02-01 |
| 1316918857 | Bonnie Kneibler | Family Medicine | 8465 Old Redwood Hwy, Ste 320, Windsor, CA 95492 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235368572 | Kelly Vanzutphen | Clinical Neuropsychologist | 9940 Starr Rd., Ste 140, Windsor, CA 95492 | 2009-07-08 |
| 1932315934 | Charles Henry Aikawa | Dentist | 8741 Brooks Road South Ste 201, Windsor, CA 95492 | 2007-05-15 |
| 1417025701 | Barbara W Franzen | Family Medicine | 404 Gordon Ct, Windsor, CA 95492 | 2006-12-02 |
| 1780768382 | Joyce Yu Chang | Dentist | 8886 Lakewood Dr, Windsor, CA 95492 | 2006-10-24 |
| 1477564946 | Jamila M Benn | Family Medicine | 8465 Old Redwood Hwy Ste 320, Windsor, CA 95492 | 2006-08-10 |
| 1538173141 | Elizabeth Flower | Family Medicine | 6580 Hembree Ln Ste 270, Windsor, CA 95492 | 2006-07-28 |
| 1093288995 | Elizabeth Vasquez Quiroz | Counselor | 3555 Sonoma Hwy, Santa Rosa, CA 95492 | 2019-01-03 |
| 1336488071 | Jennifer L Price | Chiropractor | 8499 Old Redwood Hwy, Suite 204, Windsor, CA 95492 | 2013-01-31 |
| 1104163815 | Rael Bernstein Dds Apc | Dentist | 8741 Brooks Rd S, Windsor, CA 95492 | 2013-01-15 |
| 1730263716 | Stephen M. Rich | Internal Medicine | 8465 Old Redwood Hwy Ste 320, Windsor, CA 95492 | 2006-10-25 |
| Find all providers in zip 95492 | ||||
| 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 |
|---|---|---|---|---|
| 1023582087 | Dina Yvonne Ozols | Family Medicine | 121-2224 Walker Rd, Windsor, ONTARIO N8W 5L7 | 2019-01-13 |
| 1073929881 | Ashley Cook | Family Medicine | 2710 Howard Ave, Windsor, ONTARIO N8X 3X5 | 2014-07-01 |
| 1952563231 | Jacqueline L Gerhart | Family Medicine | 4131 Meridian Lane, Windsor, WI 53278-0864 | 2008-06-27 |
| 1720209372 | William Goddard Harris | Family Medicine | 8 Alford Drive, Windsor, CT 06095-1629 | 2007-05-01 |
| 1639227184 | Gilbert D Arenas | Family Medicine | 104 Rhodes Ave, Windsor, NC 27983-9656 | 2007-01-08 |
| 1417025701 | Barbara W Franzen | Family Medicine | 404 Gordon Ct, Windsor, CA 95492 | 2006-12-02 |
| 1033219639 | Kathleen Nugent Mueller | Family Medicine | 61 Bloomfield Ave, Holistic Health Partnering, Windsor, CT 06095-1915 | 2006-09-23 |
| 1477564946 | Jamila M Benn | Family Medicine | 8465 Old Redwood Hwy Ste 320, Windsor, CA 95492 | 2006-08-10 |
| 1538173141 | Elizabeth Flower | Family Medicine | 6580 Hembree Ln Ste 270, Windsor, CA 95492 | 2006-07-28 |
| 1508821273 | Lawrence James Williamson | Family Medicine | 911 Medical Center Plaza, Suite 23, Windsor, CA 95492-7817 | 2006-04-18 |
| Find all providers in WINDSOR | ||||
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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.