Novamed Surgery Center of Santa Rosa, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

APPLIED FOR Issued in CA

Legal business name

NOVAMED SURGERY CENTER OF SANTA ROSA, LLC

Practice address

1720 4TH St
Santa Rosa, CA 95404-3602

Phone

(707) 546-8100

Fax

(707) 544-6438

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Scott T. Macomber

Title

Executive VP & Cfo

Phone

(312) 780-3234

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831200815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 4TH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043602",
            "telephone_number": "707-546-8100",
            "fax_number": "707-544-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 4TH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043602",
            "telephone_number": "707-546-8100",
            "fax_number": "707-544-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVAMED SURGERY CENTER OF SANTA ROSA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACOMBER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "EXECUTIVE VP & CFO",
        "authorized_official_telephone_number": "312-780-3234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selena Nourigna
• Alicia Nourse, MFT
• Novacare Outpatient Rehabilitation of California Inc
• Justin Novak
• Renee Novakovich, FNP-C
• Sherry Ann Novi
• Erin Noviana, RPH (PHARMACIST)
• Michael Bastien Nowak
• NSRT Enterprises
• Stacey L. Nuccion, MD

• Ambulatory Surgical Clinic/Center in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.