Eiler Sommerhaug MD Inc

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

G81043 Issued in CA

Legal business name

EILER SOMMERHAUG MD INC

Practice address

1456 Professional Dr Ste 406
Petaluma, CA 94954-6639

Phone

(707) 766-9852

Fax

(707) 766-1749

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eiler John SommerhaugNPI 1659353555

Title

Ceo

Phone

(707) 766-9852

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Eiler John Sommerhaug, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Petaluma, CA
  • NPI 1659353555
  Medicare reassignment NPD Authorized official
• Stephen J Denigris, MD

  • Gastroenterology Physician
  • Petaluma, CA
  • NPI 1699888610
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1619166881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 PROFESSIONAL DR STE 406",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546639",
            "telephone_number": "707-766-9852",
            "fax_number": "707-766-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 PROFESSIONAL DR STE 406",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546639",
            "telephone_number": "707-766-9852",
            "fax_number": "707-766-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EILER SOMMERHAUG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "SOMMERHAUG",
        "authorized_official_first_name": "EILER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-766-9852",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "G81043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaila Alexandra Eddy-Cooke
• Johnna Marie Edmunds, FNP
• Philippe Edouard, MD
• Marina Elizabeth Eggleston
• Iverson M. Eicken, PH.D.
• Nikki Einfeld, MS, AMFT, APCC
• Eitan Homa and Jennifer Krasnoff MD Inc
• Carol A. Ekelund, MD
• El Rose Medical Group
• Emma Li Elliott

• Plastic and Reconstructive Surgery Physician in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.