MEDICARE: DR. LYMAN BOWEN GREAVES JR. M.D.

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	G64421	CA

General Provider Information

NPI Number	:	1003826553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYMAN BOWEN GREAVES JR. M.D.

Provider Business Mailing Address
First Line	:	3569 ROUND BARN CIR
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-1757
Country	:	US
Telephone Number	:	707-303-3600
Fax Number	:	707-303-3611

Provider Business Practice Location Address
First Line	:	3569 ROUND BARN CIR
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-1757
Country	:	US
Telephone Number	:	707-303-3600
Fax Number	:	707-303-3611

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

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	05/02/2011

Similar Medicare Providers

1861461147 — CHRISTOPHER DI SIMONE M.D.
Practice Location Address:

3555 ROUND BARN CIR
SANTA ROSA, CA
95403-1757

Practice Phone: 707-528-1050
Practice Fax:

1518945658 — DR. ANDREW JAMES DESRUISSEAU M.D.
Practice Location Address:

3569 ROUND BARN CIR
SANTA ROSA, CA
95403-1757

Practice Phone: 707-303-3600
Practice Fax: 707-303-3611

1275556607 — REDWOOD REGIONAL MEDICAL GROUP INC
Practice Location Address:

3555 ROUND BARN CIR
SANTA ROSA, CA
95403-1757

Practice Phone: 707-525-6124
Practice Fax: 707-525-4093

1891705257 — REDWOOD REGIONAL MEDICAL GROUP, INC.
Practice Location Address:

3555 ROUND BARN CIR STE 100
SANTA ROSA, CA
95403-1757

Practice Phone: 707-528-1050
Practice Fax: 707-525-3874

1154421873 — MR. JOSEPH C. SMIHULA NP
Practice Location Address:

3555 ROUND BARN CIR
SANTA ROSA, CA
95403-1757

Practice Phone: 707-528-1050
Practice Fax: 707-525-3874

1982793808 — FREDERICK CHARLES DAVID M.D.
Practice Location Address:

3555 ROUND BARN CIRCLE
SANTA ROSA, CA
95403-1757

Practice Phone: 707-528-1050
Practice Fax: 707-576-0445

Directions to “ DR. LYMAN BOWEN GREAVES JR. M.D.” 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.