F. OTIS STEPHEN (NPI# 1780615906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780615906 |
| Entity Type | Individual |
| Full Name | F. OTIS STEPHEN |
| Credential | M.D. |
| Practice Address |
500 Doyle Park Dr Suite G04 Santa Rosa CA 95405-4558 |
| Practice Telephone | 7073038360 |
| Practice Fax Number | 7073038361 |
| Mailing Telephone | 7073038360 |
| Mailing Fax Number | 7073038361 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2017-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
A76669 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
500 DOYLE PARK DR SUITE G04 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-4558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599852 | David Finnigan | Pediatrics | 500 Doyle Park Dr, Santa Rosa, CA 95405-4558 | 2005-06-23 |
| 1659807170 | Peter Chang-sing, Md | Internal Medicine | 500 Doyle Park Dr, Suite 302, Santa Rosa, CA 95405-4558 | 2017-05-03 |
| 1255738803 | Adventist Health Physicians Network | Clinic/Center | 500 Doyle Park Dr, Suite 106a, Santa Rosa, CA 95405-4558 | 2014-11-25 |
| 1528481983 | Northern California Medical Assoc Inc | Obstetrics & Gynecology | 500 Doyle Park Dr, Ste 103, Santa Rosa, CA 95405-4559 | 2014-01-21 |
| 1073857439 | Allison Cali Paine | Pediatrics | 500 Doyle Park Dr, Suite 100, Santa Rosa, CA 95405-4558 | 2012-11-23 |
| 1154685121 | Jonathan Michael Kurss | Obstetrics & Gynecology | 500 Doyle Park Dr, Suite 200, Santa Rosa, CA 95405-4558 | 2012-06-25 |
| 1619236452 | Northern California Minimally Invasive Cardiovascular Surgery Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 500 Doyle Park Dr, Suite G-05, Santa Rosa, CA 95405-4558 | 2012-05-14 |
| 1578838298 | Jennifer Ellen Johnson Byer | Obstetrics & Gynecology | 500 Doyle Park Dr, Suite G06, Santa Rosa, CA 95405-4558 | 2012-03-13 |
| 1023397155 | Cynthia R. Ingels | Nurse Practitioner | 500 Doyle Park Dr, Suite 103, Santa Rosa, CA 95405-4558 | 2011-08-07 |
| 1598051575 | Dina Vaynberg | Obstetrics & Gynecology | 500 Doyle Park Dr, Santa Rosa, CA 95405-4558 | 2011-06-28 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1770853806 | Jay Michael Gospe | Internal Medicine | 1701 Pamela Dr, Santa Rosa, CA 95404-3140 | 2012-01-05 |
| 1790883080 | Paul T. Kefalides | Internal Medicine | 98 Montgomery Dr, Ste C, Santa Rosa, CA 95404-6615 | 2006-09-20 |
| 1144284290 | Richard Mcguire Auld Jr. | Internal Medicine | 1210 Sonoma Avenue, Suite B, Santa Rosa, CA 95405-6648 | 2006-04-14 |
| 1528037124 | Jeffrey Bruce Rothman | Internal Medicine | 4465 Abbey Ln, Santa Rosa, CA 95401-5617 | 2006-03-16 |
| 1366426587 | Sumit Kohli | Internal Medicine | 1210 Sonoma Ave, Suite B, Santa Rosa, CA 95405 | 2005-12-01 |
| 1023192093 | Scott M. Trahms | Internal Medicine | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| 1407930571 | Richard P. Permutt | Internal Medicine | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| 1831273804 | Timothy J. Hurley | Internal Medicine | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| 1972683654 | Santa Rosa Gastroenterology Medical Associates | Internal Medicine | 1210 Sonoma Ave, Suite B, Santa Rosa, CA 95405 | 2006-10-16 |
| 1831127885 | Thomas G Morales | Internal Medicine | 500 Doyle Park Dr, Suite G04, Santa Rosa, CA 95405-4558 | 2006-06-29 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
Please comment or provide details below to improve the information on F. OTIS STEPHEN.
| 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.