MADHAVI S DESHMUKH


Address: 1600 Delta Waters Rd, Suite 107, Medford, OR 97504-9114
Phone: 5418582515

MADHAVI S DESHMUKH (NPI# 1023165362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023165362
Entity Type Individual
Full Name MADHAVI S DESHMUKH
Credential PA-C
Practice Address 1600 Delta Waters Rd
Suite 107
Medford
OR 97504-9114
Mailing Address 815 N Central Ave
Suite C
Medford
OR 97501-5873
Practice Telephone 5418582515
Practice Fax Number 5418582514
Mailing Telephone 5417349030
Mailing Fax Number 5417349885
Enumeration Date 2007-01-05
Last Update Date 2017-03-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA180692 OR Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant 010759 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR MEDICAL LICENSE PA180692 01
DEA MD2314045 01

Office Location

Street Address 1600 DELTA WATERS RD
SUITE 107
City MEDFORD
State OR
Zip Code 97504-9114

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538166756 James D Dowd Orthopaedic Surgery 1600 Delta Waters Rd, Suite 107, Medford, OR 97504-9114 2005-07-01
1053557413 Kathryn A Warner Registered Nurse 1600 Delta Waters Rd, Suite 107, Medford, OR 97504-9114 2009-01-06
1366699803 Robert R. Hoffner Physician Assistant 1600 Delta Waters Rd, 107, Medford, OR 97504-9114 2008-08-27
1023147451 John D Berlingeri Physician Assistant 1600 Delta Waters Rd, Suite 107, Medford, OR 97504-9114 2007-03-02
1982731618 Allen Lewis Hayter Physician Assistant 1600 Delta Waters Rd, Suite 107, Medford, OR 97504-9114 2007-02-28
1588717979 Maria Dawn Miller Family Medicine 1600 Delta Waters Rd, Suite 107, Medford, OR 97504-9114 2007-01-19
1972656395 Mona J. Mcardle Emergency Medicine 1600 Delta Waters Rd, Suite 107, Medford, OR 97504-9114 2007-01-19
1376696732 Thomas Peter Penner Family Medicine 1600 Delta Waters Rd, Suite 107, Medford, OR 97504-9114 2007-01-19
1477603454 Jeffrey Gray Williams Emergency Medicine 1600 Delta Waters Rd, Suite 107, Medford, OR 97504-9114 2007-01-11
1912068289 Leslie Lee Mccullough Family Medicine 1600 Delta Waters Rd, Suite 107, Medford, OR 97504-9114 2006-12-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225673833 Lydia D Sneed Behavioral Analyst 3707 Citation Way, Suite 102, Medford, OR 97504 2019-11-07
1114577368 Heather Ashley Fronek Nurse Practitioner 2825 E. Barnett Rd., Medford, OR 97504 2019-09-18
1255809109 Justin Blasdel Technician, Health Information 3250 Lone Pine Rd, Medford, OR 97504 2018-11-08
1396220133 Aimee K Michel Massage Therapist 3550 National Dr., Medford, OR 97504 2018-09-27
1437646908 Zola Dental Medford LLC Dentist 922 E Main, Medford, OR 97504 2018-04-19
1376068015 Megan Leggett Counselor 777 Murphy Road, Medford, OR 97504 2017-08-03
1023547536 Joshua Morgan Rice Dentist 1117 E Main St Ste 1, Medford, OR 97504 2017-06-08
1427580232 Paul James Dean Counselor 1175 Main St Ste 1c, Medford, OR 97504 2017-03-30
1811443542 Taya Adams Doula 1201 Progress Dr #90, Medford, OR 97504 2016-09-01
1174076228 Avalon Health Care - Hearthstone, LLC Skilled Nursing Facility 2091 E. Barnett Road, Medford, OR 97504 2016-07-25
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548867856 Megan Elaine Stewart Physician Assistant 3773 Pinetop Dr, Medford, OR 97504-9638 2020-10-08
1811506355 Nicholas Fantony Physician Assistant 28 Leyden St, Medford, MA 02155-6674 2020-07-30
1033739164 Giana Brunetti Physician Assistant 2 Liverpool Way, Medford, NJ 08055-4023 2020-04-18
1881238087 Rosivel Flores Physician Assistant 853 Old Medford Ave, Medford, NY 11763-3521 2019-10-30
1942844386 Aileen Yaeger Physician Assistant 30 Syracuse Ave, Medford, NY 11763-3621 2019-10-29
1568949477 Evan Xanthos Physician Assistant 1600 Delta Waters Rd Ste 107, Medford, OR 97504-9114 2018-07-24
1104369099 Cullen Anthony Mack Physician Assistant 235 E Barnett Rd, Suite 106, Medford, OR 97501-7901 2016-11-23
1053863662 Mark Thomas Kestner Physician Assistant 44 Manning St, Medford, MA 02155-4422 2016-10-30
1972058840 Victoria Rose Acilio Physician Assistant 103 Old Marlton Pike Ste 201, Medford, NJ 08055-8772 2016-08-22
1962896944 Jeremy Klimar Physician Assistant 407 Jesse Ct, Medford, NY 11763-2139 2015-03-26
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Competitor

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City MEDFORD
Zip Code 97504

Improve Information

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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.

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