John Phillip Hurwitz MD a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2OA6856 Issued in CA

Legal business name

JOHN PHILLIP HURWITZ MD A PROFESSIONAL CORPORATION

Practice address

3751 Montgomery Dr
Santa Rosa, CA 95405-5214

Phone

(707) 583-1805

NPI assigned

Jan 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John Hurwitz, D.O.NPI 1124018262

Title

Physician

Phone

(707) 583-1805

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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.

• John Phillip Hurwitz, DO

  • Internal Medicine Physician
  • Santa Rosa, CA
  • NPI 1124018262
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1366627788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CALISTOGA RD",
            "address_2": "SUITE 197",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954093702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 MONTGOMERY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954055214",
            "telephone_number": "707-583-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN PHILLIP HURWITZ MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "HURWITZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "707-583-1805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "2OA6856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9645038",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John D Hollander DPM Inc
• John Horton DC LLC
• John I. Rich, DDS, Inc.
• John M. Gray, M.D., Inc.
• John M. Grollmus, M.D., Inc.
• Robert Matthew Johns, MA, NCSP, BCBA
• Catherine Johnsen, DO
• Hailey Johnson Bastianon
• Betsy Johnson
• Bruce Johnson

• Internal Medicine Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.