JOHN P. RENFREE (NPI# 1962777318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962777318 |
| Entity Type | Individual |
| Full Name | JOHN P. RENFREE |
| Credential | M.D. |
| Practice Address |
6010 Melita Rd Santa Rosa CA 95409-5725 |
| Practice Telephone | 7075392870 |
| Practice Fax Number | 7075382292 |
| Mailing Telephone | 7075392870 |
| Mailing Fax Number | 7075382292 |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | AFE20981 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
6010 MELITA RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95409-5725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568005205 | Angela Tejeda | Counselor | 35555 Sonoma Hwy, Santa Rosa, CA 95409 | 2019-10-25 |
| 1609335314 | Heidi Diebel | Marriage & Family Therapist | 9291 Oak Trail Cir, Santa Rosa, CA 95409 | 2019-03-13 |
| 1427525328 | Christopher William Schouest | Behavioral Analyst | 5424 Sharon St., Santa Rosa, CA 95409 | 2018-10-29 |
| 1194178756 | Ana Ceniceros | Registered Nurse | 7425 Los Guilucos Rd, Santa Rosa, CA 95409 | 2016-07-19 |
| 1669842878 | Kimberly Harris | Counselor | 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 | 2015-09-30 |
| 1568884849 | Christopher Cincotta | Counselor | 540 Middle Rincon Road, Santa Rosa, CA 95409 | 2014-01-06 |
| 1104186626 | Gina Ruth Sarpy | Marriage & Family Therapist | 7425 Los Guilicos Rd, Dept. H, Santa Rosa, CA 95409 | 2012-05-17 |
| 1467745950 | Courtney King | Family Medicine | 4702 Starbuck Ave, Santa Rosa, CA 95409 | 2011-05-17 |
| 1427351162 | Robert E Richardson Md Professional Corp. | Surgery | 1812 Happy Valley Road, Santa Rosa, CA 95409 | 2010-12-20 |
| 1497063564 | Edmundo Simon Martinez IIi IIi | Occupational Therapist | 5555 Montgomery Dr., Santa Rosa, CA 95409 | 2010-09-22 |
| Find all providers in zip 95409 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346696358 | Ira Golditch | Obstetrics & Gynecology | 1401 Fountaingrove Pkwy, #305, Santa Rosa, CA 95403-5757 | 2016-05-09 |
| 1427349869 | Nicole Boon Jung Kwon | Obstetrics & Gynecology | 34 Mark West Springs Road, Second Floor, Santa Rosa, CA 95403 | 2011-04-20 |
| 1285957936 | Sahar Doctorvaladan | Obstetrics & Gynecology | 500 Doyle Park Dr Ste 200, Santa Rosa, CA 95405-4559 | 2010-03-09 |
| 1801992128 | Womens Ob/gyn Medical Group | Obstetrics & Gynecology | 500 Doyle Park Drive, Suite 103, Santa Rosa, CA 95405-9559 | 2006-09-15 |
| 1811902612 | Lela M Emad | Obstetrics & Gynecology | 1111 Sonoma Avenue, Suite 202, Santa Rosa, CA 95405 | 2006-07-30 |
| 1437170065 | C.h. Wilkinson Physician Network | Obstetrics & Gynecology | Highway 107 & La Feria Avenue, Santa Rosa, TX 78593 | 2006-07-21 |
| 1831123447 | Leonard John Klay | Obstetrics & Gynecology | 1927 E Foothill Dr, Santa Rosa, CA 95404-3154 | 2006-07-10 |
| 1902422280 | Khawaja Md Inc | Obstetrics & Gynecology | 990 Sonoma Ave Ste 18, Santa Rosa, CA 95404-4813 | 2020-06-22 |
| 1164816252 | Estrelania S Williams | Obstetrics & Gynecology | 500 Doyle Park Dr Ste 103, Santa Rosa, CA 95405-4559 | 2015-03-26 |
| 1588000863 | Tara Corinne Bartlett | Obstetrics & Gynecology | 34 Mark West Springs Rd Fl 2, Santa Rosa, CA 95403 | 2013-05-14 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95409 |
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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.