James Edward O'dorisio
Thoracic Surgery (Cardiothoracic Vascular Surgery)

Address: 76 Brookwood Ave, Santa Rosa, CA 95404-4312
Phone: 7075783000

James Edward O'dorisio (NPI# 1598820219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1598820219
Entity Type Individual
Full Name James Edward O'dorisio
Credential M.D.
Gender Male
Practice Address 76 Brookwood Ave
Santa Rosa
CA 95404-4312
Practice Telephone 7075783000
Practice Fax Number 7075406407
Mailing Address 76 Brookwood Ave
Santa Rosa
CA 95404-4312
Mailing Telephone 7075783000
Mailing Fax Number 7075406407
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-12-22
Last Update Date 2015-08-11

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 2086S0129X Surgery · Vascular Surgery Allopathic & Osteopathic Physicians A44147 CA
Yes 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians A44147 CA

Other Provider Identifier

State Identifier Issuer Type Code
CA 00A441470 OTHER BLUE SHIELD OF CALIFORNIA
P00462712 OTHER RAILROAD MEDICARE
CA 00A441470 MEDICAID

Physician Overview

NPI 1598820219
PAC ID by PECOS 2062405038
Professional Enrollment ID I20070219000819
Full Name James E Odorisio
Gender M
Credential MD
Medical School UNIVERSITY OF COLORADO SCHOOL OF MEDICINE
Graduation Year 1982
Primary Specialty CARDIAC SURGERY
Secondary Specialties THORACIC SURGERY, VASCULAR SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050301 ADVENTIST HEALTH UKIAH VALLEY
051317 ADVENTIST HEALTH CLEARLAKE
051310 ADVENTIST HEALTH HOWARD MEMORIAL
051329 SUTTER LAKESIDE HOSPITAL
051325 MENDOCINO COAST DISTRICT HOSPITAL

Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy 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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508934845 Keith F Korver Md A Professional Medical Corporation Thoracic Surgery (Cardiothoracic Vascular Surgery) 3536 Medocino Avenue Suite 200, Santa Rosa, CA 95403 2006-12-04
1023071065 Joseph David Cohn Thoracic Surgery (Cardiothoracic Vascular Surgery) 5773 Shiloh Rdg, Santa Rosa, CA 95403-7802 2006-04-10
1083050041 James E O'dorisio Md A Professional Corporation Thoracic Surgery (Cardiothoracic Vascular Surgery) 76 Brookwood Ave, Santa Rosa, CA 95404-4312 2013-05-17
1619236452 Northern California Minimally Invasive Cardiovascular Surgery Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) 500 Doyle Park Dr, Suite G-05, Santa Rosa, CA 95405-4558 2012-05-14
1558515882 Laurence H. Smith, M.d., Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) 1701 4th St, Suite 200, Santa Rosa, CA 95404-3601 2008-11-13
1447422043 Marshall V. Marchbanks, M.d., Medical Corp Thoracic Surgery (Cardiothoracic Vascular Surgery) 1701 4th St, Suite 200, Santa Rosa, CA 95404-3601 2008-03-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417560756 Valiana Vascular Institute Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) 2501 E Chapman Ave Ste 220, Fullerton, CA 92831-3108 2020-08-26
1891252474 Miguel Puig Md A Medical Corporation Thoracic Surgery (Cardiothoracic Vascular Surgery) 1430 Esplanade Ste 10, Chico, CA 95926-3366 2019-03-01
1598247991 Pavel V Petrik Medical Corporation Thoracic Surgery (Cardiothoracic Vascular Surgery) 1331 W Avenue J Ste 203, Lancaster, CA 93534-2954 2018-08-31
1942797378 Sharon A Bogerty Md Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) 105 N Bascom Ave Ste 101b, San Jose, CA 95128-1811 2018-04-20
1992231112 Samer Kanaan Md A Professional Corporation Thoracic Surgery (Cardiothoracic Vascular Surgery) 27451 Los Altos, Suite 290, Mission Viejo, CA 92691 2017-05-08
1073065512 Central California Chest Surgery Thoracic Surgery (Cardiothoracic Vascular Surgery) 729 N Medical Center Dr W Ste 223, Clovis, CA 93611-6885 2016-11-01
1407214612 George Arnold Mulder Thoracic Surgery (Cardiothoracic Vascular Surgery) 1150 Laurel St, Pasadena, CA 91103-2329 2016-02-02
1760849905 Steven R Gundry Md Medical Corporation Thoracic Surgery (Cardiothoracic Vascular Surgery) 555 E Tachevah Dr Ste 3w103, Palm Springs, CA 92262-5747 2016-01-19
1386018687 Riyad Youssef Tarazi Thoracic Surgery (Cardiothoracic Vascular Surgery) 9120 Judicial Dr, Apt 7522, San Diego, CA 92122-6700 2015-11-24
1871967737 Gary W Lyons M.d. Thoracic Surgery (Cardiothoracic Vascular Surgery) 160 Menil Pl, Palm Desert, CA 92260-7303 2015-11-16
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Office Location

Street Address 76 BROOKWOOD AVE
City SANTA ROSA
State CA
Zip Code 95404-4312

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245313477 Mary Ileen Elliff Registered Nurse 76 Brookwood Ave, Santa Rosa Ambulatory Surgery Center, Santa Rosa, CA 95404 2006-10-23
1083050041 James E O'dorisio Md A Professional Corporation Thoracic Surgery (Cardiothoracic Vascular Surgery) 76 Brookwood Ave, Santa Rosa, CA 95404-4312 2013-05-17
1659674653 Peter B A Pappas Md Inc Specialist 76 Brookwood Ave, Santa Rosa, CA 95404-4312 2010-12-13
1457563819 James Dean Mays Specialist 76 Brookwood Ave, Santa Rosa, CA 95404-4312 2007-05-05
1003980566 Peter Bernard Albert Pappas Orthopaedic Surgery 76 Brookwood Ave, Santa Rosa, CA 95404-4312 2006-11-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205442217 David Lee Dutton Counselor 201 S. E Street, Santa Rosa, CA 95404 2020-09-16
1114492162 Jesse Earl Rathbun Jr. Ophthalmology 1920 Grace Dr., Santa Rosa, CA 95404 2018-10-05
1568958437 Bianca Avina Marriage & Family Therapist 95 Montgomery Dr. #112, Santa Rosa, CA 95404 2018-07-03
1366940504 New Leaf Counseling and Psychotherapy Marriage & Family Therapist 1030 2n Street, Suite B, Santa Rosa, CA 95404 2018-01-23
1659884864 Jessica Vargas Lopez Counselor 3333 Chanate Road, Santa Rosa, CA 95404 2017-11-09
1982135992 Gaea Keridwyn Coon Marriage & Family Therapist 884 Third Street, Suite D, Santa Rosa, CA 95404 2017-03-22
1376084699 Empire Traditional Chinese Medicine Acupuncturist 1030 Second St, Santa Rosa, CA 95404 2017-03-20
1356888705 Webster Surgery Center, Lp Clinic/Center 730 Bennett Valley Road, Santa Rosa, CA 95404 2017-01-24
1205295979 Sandra Lee Krikorian Social Worker 101 E Street, Suite 312, Santa Rosa, CA 95404 2016-02-23
1396134615 The Center for Body Oriented Psychotherapy & Wellness Psychologist 1626 Fourth Street, Santa Rosa, CA 95404 2015-01-12
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Competitor

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City SANTA ROSA
Zip Code 95404

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.