Synergy Medical Group a Professional Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SYNERGY MEDICAL GROUP A PROFESSIONAL CORPORATION

Practice address

4655 Hoen Ave Ste 4
Santa Rosa, CA 95405-7830

Phone

(707) 576-7000

NPI assigned

Sep 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joseph Liu, D.O.NPI 1396837993

Title

Managing Director

Phone

(707) 576-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Liu, D.C., QME

  • Chiropractor
  • Santa Rosa, CA
  • NPI 1396837993
  Medicare reassignment Care Compare group NPD Authorized official
• Richard Comb, R.P.T.

  • Physical Therapist
  • Santa Rosa, CA
  • NPI 1518059104
  Medicare reassignment Care Compare group NPD
• John W. Alchemy, MD

  • Family Medicine Physician
  • Santa Rosa, CA
  • NPI 1659443307
  Medicare reassignment NPD
• Maria N Cutler, D.O.

  • Chiropractor
  • Santa Rosa, CA
  • NPI 1295036713
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1083706683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 HOEN AVE STE 4",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057830",
            "telephone_number": "707-576-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 HOEN AVE STE 4",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057830",
            "telephone_number": "707-576-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY MEDICAL GROUP A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "707-576-7000",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ZZZ20427Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wanda Jean Swenson, P.T.
• Alysia Swint, MD, MPH
• Neelkamal Syal, DDS
• Peter Egon Sybert, MD
• Cynthia Rose Syiek, OT
• Stacey Danai Szczekocki, MFT
• Ahnayha-Lee T-Berhe
• Dana Taddei, PHARM.D.
• Marie Rachelle Pamulo Tadina, PHARMACIST
• Brenda Adele Tafolla

• Chiropractor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.