STEPHEN J DENIGRIS (NPI# 1699888610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699888610 |
| Entity Type | Individual |
| Full Name | STEPHEN J DENIGRIS |
| Credential | MD |
| Practice Address |
1383 N Mcdowell Blvd Ste110 Petaluma CA 94954-1187 |
| Mailing Address |
Po Box 27385 San Francisco CA 94127-0385 |
| Practice Telephone | 7077669852 |
| Practice Fax Number | 7077661749 |
| Mailing Telephone | 4156689371 |
| Mailing Fax Number | 4156689191 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2012-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
G87469 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G874690 | 05 |
| Street Address |
1383 N MCDOWELL BLVD STE110 |
| City | PETALUMA |
| State | CA |
| Zip Code | 94954-1187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659353555 | Eiler John Sommerhaug | Surgery | 1383 N Mcdowell Blvd, Suite 110, Petaluma, CA 94954-1187 | 2005-11-16 |
| 1124467006 | Northern California Medical Assoc Inc | Ophthalmology | 1383 N Mcdowell Blvd, Ste 100, Petaluma, CA 94954-1190 | 2013-06-24 |
| 1427212919 | North Bay Endoscopy Center LLC | Clinic/Center | 1383 N Mcdowell Blvd, Petaluma, CA 94954-1187 | 2008-07-14 |
| 1609037951 | Kimberly J Sommerhaug | Nurse Practitioner | 1383 N Mcdowell Blvd, Suite 110, Petaluma, CA 94954-1187 | 2008-06-19 |
| 1801076278 | Stephen Denigris Md Phd | Internal Medicine | 1383 N Mcdowell Blvd, Ste 110, Petaluma, CA 94954-1187 | 2007-11-13 |
| 1902086374 | Hepatology and Gastroenterology Associates Inc | Internal Medicine | 1383 N Mcdowell Blvd, Ste 110, Petaluma, CA 94954-1190 | 2007-11-13 |
| 1902919004 | Stephen Leo Steady | Internal Medicine | 1383 N Mcdowell Blvd, Ste 110a, Petaluma, CA 94954-1190 | 2006-08-16 |
| 1437173051 | Kenneth Michael Piters | Anesthesiology | 1383 N Mcdowell Blvd, Petaluma, CA 94954-1187 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883840 | Miguel Ibarra | Counselor | 5350 Old Redwood Highway, Petaluma, CA 94954 | 2019-10-28 |
| 1073169223 | Monica Renee Najera | Behavior Technician | 1670 Corporate Circle, Ste. 100, Petaluma, CA 94954 | 2019-08-14 |
| 1326607201 | Making Magic Happen - People Helping People, Inc. | Marriage & Family Therapist | 1318 Redwood Way, Suite 260, Petaluma, CA 94954 | 2019-06-13 |
| 1477019917 | Rubi Isela Cruz Mendoza I | Behavioral Analyst | 8 Round Walk Circle, Petaluma, CA 94954 | 2019-02-20 |
| 1932679511 | Karen Christianson | Behavior Technician | 1670 Corporate Circle Suite 100, Petaluma, CA 94954 | 2018-11-27 |
| 1669956967 | Alyssa Messer | Assistant Behavior Analyst | 1670 Corporate Cir, Petaluma, CA 94954 | 2018-09-21 |
| 1235620592 | Mallory Paige Mullikin | Nurse Practitioner | 141 Lynch Creek Trail, Ste C, Petaluma, CA 94954 | 2018-05-22 |
| 1457723710 | Lisabel Dolne | Counselor | 1360 N. Mcdowell Blvd.1a, Petaluma, CA 94954 | 2015-10-27 |
| 1083080717 | Pacific Restorative Center | Clinic/Center | 1456 Professional Drive, Suite 404, Petaluma, CA 94954 | 2015-08-17 |
| 1619354198 | Accu Quest Hearing Centers | Clinic/Center | 1456 Professional Dr., Suite 404, Petaluma, CA 94954 | 2015-05-04 |
| Find all providers in zip 94954 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1801076278 | Stephen Denigris Md Phd | Internal Medicine | 1383 N Mcdowell Blvd, Ste 110, Petaluma, CA 94954-1187 | 2007-11-13 |
| 1902086374 | Hepatology and Gastroenterology Associates Inc | Internal Medicine | 1383 N Mcdowell Blvd, Ste 110, Petaluma, CA 94954-1190 | 2007-11-13 |
| 1902919004 | Stephen Leo Steady | Internal Medicine | 1383 N Mcdowell Blvd, Ste 110a, Petaluma, CA 94954-1190 | 2006-08-16 |
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| 1316581390 | Premier Digestive Health A Medical Corporation | Internal Medicine | 16350 Ventura Blvd # D539, Encino, CA 91436-5300 | 2019-11-01 |
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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.