NPIMap

Organization Active NPI

Russell W. Sawyer, M.D. Professional Corporation

  • Surgery Physician
  • Petaluma, CA
National Provider Identifier
1912355397
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G66227 Issued in CA
Legal business name
RUSSELL W. SAWYER, M.D. PROFESSIONAL CORPORATION
Practice address
141 Lynch Creek Way
Suite a
Petaluma, CA 94954-2341
Phone
(707) 789-6300
Fax
(707) 789-6304
NPI assigned
May 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Dr. Russell Wayne Sawyer, M.D.
Title
President
Phone
(707) 789-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X G66227 CA Primary

Addresses

Primary practice location

141 Lynch Creek Way
Suite a
Petaluma, CA 94954-2341

Mailing address

141 Lynch Creek Way
Suite a
Petaluma, CA 94954-2341
Phone (707) 789-6300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1912355397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 LYNCH CREEK WAY",
            "address_2": "SUITE A",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542341",
            "telephone_number": "707-789-6300",
            "fax_number": "707-789-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 LYNCH CREEK WAY",
            "address_2": "SUITE A",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542341",
            "telephone_number": "707-789-6300",
            "fax_number": "707-789-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL W. SAWYER, M.D. PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "SAWYER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-789-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G66227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.