LORRAINE A CHAMPION


Address: 3555 Round Barn Cir, Santa Rosa, CA 95403
Phone: 7075281050

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
GA 01318995 05
CA 00A368030 05

Office Location

Street Address 3555 ROUND BARN CIR
City SANTA ROSA
State CA
Zip Code 95403

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

Search similar providers

City SANTA ROSA
Zip Code 95403

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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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