North Bay Cardiology Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

NORTH BAY CARDIOLOGY INC.

Practice address

4740 Hoen Ave
Santa Rosa, CA 95405-7824

Phone

(707) 542-2783

Fax

(707) 542-7976

NPI assigned

Nov 15, 2006

Last updated

Nov 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Wayne Halpern, MDNPI 1821160599

Title

President

Phone

(707) 542-2783

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Wayne Halpern, MD

  • Cardiovascular Disease Physician
  • Santa Rosa, CA
  • NPI 1821160599
  Authorized official Same address or phone
• Jody Lynn Pennycook, PA

  • Medical Physician Assistant
  • Santa Rosa, CA
  • NPI 1255696910
  NPD

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1114099884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057824",
            "telephone_number": "707-542-2783",
            "fax_number": "707-542-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057824",
            "telephone_number": "707-542-2783",
            "fax_number": "707-542-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY CARDIOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "HALPERN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-542-2783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0091060",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE  UNSPECIFIED",
            "identifier": "ZZZ17933Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norman Pang MD
• John Lawrence Norris, M.D.
• Rachel Hawley Norris, CMT
• North Bay Behavioral Health, Inc.
• North Bay Cardiac Imaging Inc
• North Bay Eye Associates a Medical Corporation (North Bay Eye Associates ASC)
• North Bay Eye Associates, a Medical Corporation (North Bay Eye Associates, Inc)
• North Bay Eye Associates, a Medical Corporation (North Bay Eye Associates, Inc)
• North Bay Foot and Ankle Clinic, Inc (Adelina B. Stateva)
• North Bay Medical Group Surgery Center

• Cardiovascular Disease Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.