Jeannie L Pflum DO Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

20A7910 Issued in CA

Legal business name

JEANNIE L PFLUM DO INC

Practice address

1140 Sonoma Ave
Suite 2a
Santa Rosa, CA 95405-4817

Phone

(707) 526-5034

Fax

(707) 545-3984

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Jeannie Lee Pflum, DO

Title

Doctor President

Phone

(707) 526-5034

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Women's Health with Dr Jeannie Pflum Doing business as

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1992875405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 SONOMA AVE",
            "address_2": "SUITE 2A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054820",
            "telephone_number": "707-526-5034",
            "fax_number": "707-545-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 SONOMA AVE",
            "address_2": "SUITE 2A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054817",
            "telephone_number": "707-526-5034",
            "fax_number": "707-545-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNIE L PFLUM DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "PFLUM",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DOCTOR PRESIDENT",
        "authorized_official_telephone_number": "707-526-5034",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A7910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AY79100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Health with Dr Jeannie Pflum",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Obstetrics & Gynecology Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.