LORRAINE A CHAMPION (NPI# 1932190949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932190949 |
Entity Type | Individual |
Full Name | LORRAINE A CHAMPION |
Credential | MD |
Practice Address |
3555 Round Barn Cir Santa Rosa CA 95403 |
Mailing Address |
3555 Round Barn Cir Santa Rosa CA 95403-1757 |
Practice Telephone | 7075281050 |
Practice Fax Number | 7075253874 |
Enumeration Date | 2005-10-31 |
Last Update Date | 2018-09-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | 062956 | GA | Other Service Providers |
Y | 174400000X | Specialist | A36803 | CA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 01318995 | 05 | |
CA | 00A368030 | 05 |
Street Address |
3555 ROUND BARN CIR |
City | SANTA ROSA |
State | CA |
Zip Code | 95403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043608805 | St Jude Hospital Yorba Linda | Durable Medical Equipment & Medical Supplies | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2015-01-02 |
1376963314 | St Jude Hospital Yorba Linda | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2014-04-17 |
1770743312 | Sara Ann Keck | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2008-06-16 |
1962587444 | Redwood Regional Medical Group, Inc. | Clinical Medical Laboratory | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2006-10-25 |
1972683753 | Theresa Louise Mortensen | Nurse Practitioner | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2006-10-16 |
1801986641 | Ralph Bailey Hanahan | Radiology | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2006-10-13 |
1376633149 | Wes Shen-lin Lee | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403 | 2006-10-13 |
1861582322 | Cindy Okada Scharfen | Radiology | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2006-10-13 |
1518055573 | Ian Churchill Anderson | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403 | 2006-10-11 |
1013018035 | Jarrod Paul Holmes | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403 | 2006-09-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
Find all providers in zip 95403 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558897538 | Maya's Massage Inc. | Specialist | 1955 Dogwood Dr, Santa Rosa, CA 95403-1577 | 2017-05-11 |
1972053114 | Peter John Holewinski | Specialist | 170 Farmers Ln Ste 11, Santa Rosa, CA 95405-4750 | 2016-10-12 |
1922425123 | Kellie Ann Hislop | Specialist | 320 Tesconi Circle, Suite G, Santa Rosa, CA 95401 | 2014-03-25 |
1841460698 | Julie Hindley | Specialist | 6574 Oakmont Drive, Santa Rosa, CA 95409 | 2008-03-07 |
1659553436 | David Moll | Specialist | 85 Brookwood Ave, Suite 22, Santa Rosa, CA 95404-4513 | 2007-12-03 |
1952591620 | Juliana Margarita Ribar | Specialist | 211 Ridgeway Ave., Santa Rosa, CA 95401 | 2007-07-30 |
1831302090 | Chris Everett Kerger | Specialist | 3855 Princeton Dr, Santa Rosa, CA 95405-7061 | 2007-05-07 |
1598977498 | Santa Rosa Cardiac Surgery | Specialist | 3536 Mendocino Ave., Suite 250, Santa Rosa, CA 95403 | 2007-05-04 |
1417086281 | John Martin Mcavoy | Specialist | 4773 Hoen Ave, Santa Rosa, CA 95405-7862 | 2007-03-05 |
1629103205 | David P Suchard IIi | Specialist | 1260 N Dutton Ave Ste 244, Santa Rosa, CA 95401-4672 | 2007-02-22 |
Find all providers in SANTA ROSA |
City | SANTA ROSA |
Zip Code | 95403 |
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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.