UMPQUA MEDICAL PC (NPI# 1003982281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003982281 |
| Entity Type | Organization |
| Organization Name | UMPQUA MEDICAL PC |
| Practice Address |
2880 Nw Stewart Pkwy Suite 200 Roseburg OR 97471-1201 |
| Practice Telephone | 5416730496 |
| Practice Fax Number | 5416735794 |
| Mailing Telephone | 5416730496 |
| Mailing Fax Number | 5416735794 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2009-07-16 |
| Authorized Official Name | EDWARD J OTTENHEIMER III (PRESIDENT) |
| Authorized Official Telephone | 5416730496 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
2880 NW STEWART PKWY SUITE 200 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457351991 | Community Cancer Foundation | Clinic/Center | 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1201 | 2005-07-27 |
| 1982833752 | Community Cancer Foundation | Dietitian, Registered | 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1201 | 2009-07-14 |
| 1174613053 | Scott Randall Moore | Physician Assistant | 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1201 | 2006-10-13 |
| 1376639153 | Community Cancer Foundation | Clinic/Center | 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1201 | 2006-10-05 |
| 1124079140 | Michael L Brown | Radiology | 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1202 | 2006-05-15 |
| 1134103252 | Michael C Oneil Jr. | Internal Medicine | 2880 Nw Stewart Pkwy, Suite 301, Roseburg, OR 97471-1206 | 2005-12-01 |
| 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 |
| Find all providers in zip 97471 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013326362 | Steelhead Specialty Group, PC | Internal Medicine | 2880 Nw Stewart Pkwy Ste 300, Roseburg, OR 97471-1205 | 2014-08-11 |
| 1114123601 | Joshua Michael Weese | Internal Medicine | 2880 Nw Stewart Parkway, Suite 300, Roseburg, OR 97471 | 2007-06-22 |
| 1437370947 | Stephen A Williams | Internal Medicine | 2880 Nw Stewart Parkway, Suite 300, Roseburg, OR 97471-1201 | 2007-05-01 |
| 1881787547 | Edward J Ottenheimer IIi | Internal Medicine | 1813 W Harvard Ave, Ste 436, Roseburg, OR 97471-8705 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386022358 | Joseph Sedillo | Internal Medicine | 1879 Williams Hwy, Grants Pass, OR 97527-5864 | 2015-05-11 |
| 1366860553 | Daniel Guy | Internal Medicine | 4805 Ne Glisan St Ste 11n-1, Portland, OR 97213-2933 | 2014-04-03 |
| 1730422015 | Annie Kwok Hung | Internal Medicine | 24988 Se Stark St Ste 140, Gresham, OR 97030-8326 | 2013-04-04 |
| 1033464318 | William Galen | Internal Medicine | 1221 Sw 10th Ave, 1804, Portland, OR 97205-2426 | 2012-07-23 |
| 1164711305 | Robert Francis Granatir | Internal Medicine | 3863 Saint Andrews Loop S, Salem, OR 97302-9498 | 2011-03-28 |
| 1730348632 | Sasha Elizabeth Stanton | Internal Medicine | 4805 Ne Glisan St # 2n103, Portland, OR 97213-2933 | 2008-06-05 |
| 1952578742 | Yale Sacks | Internal Medicine | 2200 Old Military Rd, Central Point, OR 97502-1022 | 2008-05-12 |
| 1801010004 | Providence Health & Services Oregon | Internal Medicine | 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 | 2007-04-12 |
| 1649392135 | Rosemarie Mannino | Internal Medicine | 3710 Sw Us Veteran Hospital Rd, Portland, OR 97239 | 2007-04-04 |
| 1649312398 | Ivan P Law Md PC | Internal Medicine | 2707 Ne 33rd Ave, Portland, OR 97212-3649 | 2007-02-12 |
| Find all providers with the same taxonomy | ||||
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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.