DR. PAUL T. KEFALIDES


Address: 98 Montgomery Dr, Ste C, Santa Rosa, CA 95404-6615
Phone: 7075910619

DR. PAUL T. KEFALIDES (NPI# 1790883080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790883080
Entity Type Individual
Full Name DR. PAUL T. KEFALIDES
Credential M.D.
Practice Address 98 Montgomery Dr
Ste C
Santa Rosa
CA 95404-6615
Practice Telephone 7075910619
Practice Fax Number 7075910617
Mailing Telephone 7075910619
Mailing Fax Number 7075910617
Enumeration Date 2006-09-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
A75614 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 98 MONTGOMERY DR
STE C
City SANTA ROSA
State CA
Zip Code 95404-6615

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598288060 Samantha Charlotte Lenzini Audiologist 98 Montgomery Dr, Santa Rosa, CA 95404-6615 2017-07-17
1396913877 Sean Scott Wilson Dentist 98 Montgomery Dr, Santa Rosa, CA 95404-6615 2008-02-18
1932207255 David J. Soto Surgery 98 Montgomery Dr, Ste C, Santa Rosa, CA 95404-6615 2006-09-20
1326146705 Natalia Balytsky Anesthesiology 98 Montgomery Dr, Ste.c, Santa Rosa, CA 95404-6615 2006-09-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205442217 David Lee Dutton Counselor 201 S. E Street, Santa Rosa, CA 95404 2020-09-16
1114492162 Jesse Earl Rathbun Jr. Ophthalmology 1920 Grace Dr., Santa Rosa, CA 95404 2018-10-05
1568958437 Bianca Avina Marriage & Family Therapist 95 Montgomery Dr. #112, Santa Rosa, CA 95404 2018-07-03
1366940504 New Leaf Counseling and Psychotherapy Marriage & Family Therapist 1030 2n Street, Suite B, Santa Rosa, CA 95404 2018-01-23
1659884864 Jessica Vargas Lopez Counselor 3333 Chanate Road, Santa Rosa, CA 95404 2017-11-09
1982135992 Gaea Keridwyn Coon Marriage & Family Therapist 884 Third Street, Suite D, Santa Rosa, CA 95404 2017-03-22
1376084699 Empire Traditional Chinese Medicine Acupuncturist 1030 Second St, Santa Rosa, CA 95404 2017-03-20
1356888705 Webster Surgery Center, Lp Clinic/Center 730 Bennett Valley Road, Santa Rosa, CA 95404 2017-01-24
1205295979 Sandra Lee Krikorian Social Worker 101 E Street, Suite 312, Santa Rosa, CA 95404 2016-02-23
1396134615 The Center for Body Oriented Psychotherapy & Wellness Psychologist 1626 Fourth Street, Santa Rosa, CA 95404 2015-01-12
Find all providers in zip 95404

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770853806 Jay Michael Gospe Internal Medicine 1701 Pamela Dr, Santa Rosa, CA 95404-3140 2012-01-05
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
1780615906 F. Otis Stephen Internal Medicine 500 Doyle Park Dr, Suite G04, Santa Rosa, CA 95405-4558 2006-07-05
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

Competitor

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City SANTA ROSA
Zip Code 95404

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Dataset Information

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.

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