CEP AMERICA-TELEHEALTH, PC (NPI# 1003364779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003364779 |
| Entity Type | Organization |
| Organization Name | CEP AMERICA-TELEHEALTH, PC |
| Other Organization Name | VITUITY |
| Practice Address |
2700 Nw Stewart Pkwy Roseburg OR 97471-1281 |
| Mailing Address |
2100 Powell St Ste 900 Emeryville CA 94608-1844 |
| Practice Telephone | 5416730611 |
| Mailing Telephone | 5103502600 |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2018-02-02 |
| Authorized Official Name | THEOPHILE KOURY (PRESIDENT) |
| Authorized Official Telephone | 5103502600 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Vituity | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Cep America-Telehealth, PC | 2100 Powell Street, Suite 900, Emeryville, CA 94608 |
| Street Address |
2700 NW STEWART PKWY |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-1281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790766822 | Mercy Healthcare, Inc | General Acute Care Hospital | 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 | 2005-11-07 |
| 1902412505 | Lisa Mai | Physician Assistant | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1214 | 2020-09-18 |
| 1609480359 | Jacob Watters | Physician Assistant | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2020-09-01 |
| 1245843143 | Marcus Lee David Sickelton | Student in an Organized Health Care Education/Training Program | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1214 | 2020-08-28 |
| 1053978403 | Shelli Cross | Registered Nurse | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2019-05-21 |
| 1225695711 | Christa Lynne Creech | Pharmacist | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2019-05-21 |
| 1366007510 | Nikki Jean Whiting | Nurse Practitioner | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2019-05-03 |
| 1629554811 | Gary Sorcher | Physician Assistant | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2018-07-11 |
| 1548756158 | Timothy Lawrence Garvey Jr. | Physician Assistant | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2018-07-06 |
| 1437645223 | Kimberly Ann Romano | Registered Nurse | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2018-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740292986 | Jeanette Helen Oleskowicz | Psychiatry & Neurology | 2515 Nw Edenbower Blvd, Apt. 20, Roseburg, OR 97470-8855 | 2006-08-13 |
| 1427068758 | James R Young | Psychiatry & Neurology | 201 Medical Loop, Suite 180, Roseburg, OR 97471 | 2006-08-09 |
| 1053336024 | Scott Douglas Mendelson | Psychiatry & Neurology | 1813 W Harvard Avenue, Suite 201, Roseburg, OR 97471-2754 | 2006-07-12 |
| 1851884548 | Cep America - Psychiatry PC | Psychiatry & Neurology | 2700 Nw Stewart Pkwy, Roseburg, OR 97471 | 2018-06-07 |
| 1487910279 | Leigh Anne Bressler | Psychiatry & Neurology | 1813 W Harvard Avenue, Suite 201, Roseburg, OR 97471-2754 | 2012-04-05 |
| 1043447725 | John Patrick Schrimsher | Psychiatry & Neurology | 201 Medical Loop, Suite 180, Roseburg, OR 97471 | 2009-06-19 |
| 1437338928 | Steven W Jeffers | Psychiatry & Neurology | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2007-10-31 |
| 1982768750 | Susan G. Pickrel | Psychiatry & Neurology | 621 W Madrone St, Roseburg, OR 97470-3090 | 2006-12-19 |
| 1417043522 | Peter James Davidson | Psychiatry & Neurology | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2006-10-05 |
| 1528152253 | Robert Lee Higginbotham | Psychiatry & Neurology | 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 | 2006-10-03 |
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| 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.