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Contact Information

SANTA ROSA ORTHOPAEDIC MEDICAL GROUP, INC.
167 LYNCH CREEK WAY
PETALUMA, CA94954-2343
 Phone: 707-546-1922
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Hand Surgery

207XS0106X 02 Physician/General Surgery
 

Orthopaedic Trauma

207XX0801X 02 Physician/General Surgery
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SANTA ROSA ORTHOPAEDIC MEDICAL GROUP, INC.

NPI Number 1831753813
LBN Legal business name SANTA ROSA ORTHOPAEDIC MEDICAL GROUP, INC.
Authorized official ALICIA BROPHY - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2019
Last updated 07/14/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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