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James Edward O'dorisio, MD
Vascular Surgery Physician in Santa Rosa, California
NPI 1598820219

James Edward O'dorisio is a Vascular Surgery Physician based in Santa Rosa, CA and is specialized in Vascular Surgery. James Edward O'dorisio practices in Santa Rosa, CA and has the professional credentials of MD. The NPI Number for James Edward O'dorisio is 1598820219 and holds a License No. A44147 (California).

The current practice location address for James Edward O'dorisio is 76 Brookwood Ave, Santa Rosa, CA and can be reached out via phone at 707-578-3000 and via fax at 707-540-6407.

Location: 76 Brookwood Ave, Santa Rosa, CA, 95404-4312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598820219
Provider Name
James Edward O'dorisio
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
76 Brookwood Ave, Santa Rosa, CA, 95404-4312
Phone Number
707-578-3000
Fax Number
707-540-6407
Provider Enumeration Date
12/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00462712 01 RAILROAD MEDICARE
00A441470 05 CA
00A441470 01 CA BLUE SHIELD OF CALIFORNIA
institution
Provider Business Practice Location Address Details
Address
76 Brookwood Ave
City
Santa Rosa
State
California
Zip
95404-4312
Phone Number
707-578-3000
Fax Number
707-540-6407
person
Provider Business Mailing Address Details
Address
76 Brookwood Ave
City
Santa Rosa
State
California
Zip
95404-4312
Phone Number
707-578-3000
Fax Number
707-540-6407
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
A44147 (California)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
A44147 (California)
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
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