Physicians Network Medical Group Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PHYSICIANS NETWORK MEDICAL GROUP INC

Practice address

2100 Douglas Blvd
Roseville, CA 95661-3804

Phone

(916) 789-4209

Fax

(916) 789-4206

NPI assigned

Dec 7, 2011

Last updated

Dec 7, 2011By 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

David Ormerod

Title

MD/Ceo

Phone

(916) 789-4209

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1932477874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 DOUGLAS BLVD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613804",
            "telephone_number": "916-789-4209",
            "fax_number": "916-789-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 DOUGLAS BLVD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613804",
            "telephone_number": "916-789-4209",
            "fax_number": "916-789-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS NETWORK MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "ORMEROD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MD/CEO",
        "authorized_official_telephone_number": "916-789-4209"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Health & Wellness PC
• Phoenix Horizon Medical Corp
• Wynter Nigel Phoenix, M.D
• Teerarat Neal Phuatrakoon
• Physical Medicine of America
• Julia Maria Piazza, CD(DONA)
• Melinda Allison Pickett, MS PT
• Wendi R Pickrell
• Casey Pieczynski, BA
• Donna Marie Pieper, LCSW

• Multi-Specialty Clinic/Center in Roseville, CA
• Providers in Roseville, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.