MEDICARE: NEIL J NATHAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	R5C40	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00140692	OTHER		RR MEDICARE

General Provider Information

NPI Number	:	1174510788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEIL J NATHAN MD

Provider Business Mailing Address
First Line	:	3471 REGIONAL PKWY
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-8209
Country	:	US
Telephone Number	:	707-575-5180
Fax Number	:

Provider Business Practice Location Address
First Line	:	3471 REGIONAL PKWY
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-8209
Country	:	US
Telephone Number	:	707-575-5180
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	04/01/2009

Similar Medicare Providers

1477596518 — AZRA MAEL M.D.
Practice Location Address:

3471 REGIONAL PKWY
SANTA ROSA, CA
95403-8209

Practice Phone: 707-575-5180
Practice Fax:

1699863233 — ERIC DAVID GORDON M.D.
Practice Location Address:

3471 REGIONAL PKWY
SANTA ROSA, CA
95403-8209

Practice Phone: 707-575-5180
Practice Fax: 707-575-5509

1346431483 — JUSTIN CAUNTAY D.O.
Practice Location Address:

3471 REGIONAL PKWY
SANTA ROSA, CA
95403-8209

Practice Phone: 707-575-5180
Practice Fax:

1124251848 — DR. WAYNE C. ANDERSON ND, PA
Practice Location Address:

3471 REGIONAL PKWY
SANTA ROSA, CA
95403-8209

Practice Phone: 707-575-5180
Practice Fax: 707-575-5509

1336807478 — DAVID MICHAEL FRANCESCHINI LPCC (CA), LMHC (FL)
Practice Location Address:

327 S COUNTY HIGHWAY 393 UNIT 201E
SANTA ROSA BEACH, FL
32459-8209

Practice Phone: 850-588-0078
Practice Fax:

1437893211 — ELEVATE HEALTH AND WELLNESS, LLC
Practice Location Address:

327 S COUNTY HIGHWAY 393 UNIT 201
SANTA ROSA BEACH, FL
32459-8209

Practice Phone: 850-972-9262
Practice Fax: 850-403-5533

Directions to “ NEIL J NATHAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.