JOINT REPLACEMENT CIN OF OREGON LLC (NPI# 1023516309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023516309 |
| Entity Type | Organization |
| Organization Name | JOINT REPLACEMENT CIN OF OREGON LLC |
| Practice Address |
1867 Williams Hwy Ste 288 Grants Pass OR 97527-5856 |
| Mailing Address |
102 Woodmont Blvd Ste 350 Nashville TN 37205-2216 |
| Practice Telephone | 6153860064 |
| Practice Fax Number | 6153860067 |
| Mailing Telephone | 6153860064 |
| Mailing Fax Number | 6153860067 |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2020-02-14 |
| Authorized Official Name | EDWARD LELAND HUTTON EADIE (DIRECTOR) |
| Authorized Official Telephone | 6157332064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
OR | Allopathic & Osteopathic Physicians | |
| Y | 207X00000X | Orthopaedic Surgery | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1111 Crater Lake Ave, Medford, OR 975046241 | 6153860064 | 6153860067 |
| Street Address |
1867 WILLIAMS HWY STE 288 |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97527-5856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669934733 | Oor Care of Or, LLC | Orthopaedic Surgery | 1867 Williams Hwy Ste 288, Grants Pass, OR 97527-5856 | 2019-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
| 1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| 1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
| 1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
| 1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| Find all providers in zip 97527 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104913433 | Bruce E Perry Md | Orthopaedic Surgery | 1619 Nw Hawthorne Ave Ste 102, Grants Pass, OR 97526-6008 | 2006-10-06 |
| 1396742045 | Bruce Perry | Orthopaedic Surgery | 1619 Nw Hawthorne Ave, Ste 210, Grants Pass, OR 97526-6009 | 2005-07-07 |
| 1770580904 | Warren Kendall | Orthopaedic Surgery | 739 Soldier Creek Rd, Grants Pass, OR 97526-8861 | 2005-07-01 |
| 1669934733 | Oor Care of Or, LLC | Orthopaedic Surgery | 1867 Williams Hwy Ste 288, Grants Pass, OR 97527-5856 | 2019-04-05 |
| 1811341928 | App Orthopedic Clinic | Orthopaedic Surgery | 537 Union Ave, Second Floor 2a, Grants Pass, OR 97527-5543 | 2016-04-15 |
| 1093976045 | Daniel C Wieking | Orthopaedic Surgery | 537 Union Ave, Second Floor, 2a, Grants Pass, OR 97527-5543 | 2008-06-23 |
| 1417120445 | Kiley E Ziegler | Orthopaedic Surgery | 625 Sw Ramsey Ave, Suite A, Grants Pass, OR 97527-5805 | 2008-04-10 |
| 1386838753 | Asante Community Services LLC | Orthopaedic Surgery | 1505 Nw Washington Blvd, Grants Pass, OR 97526-1049 | 2007-08-29 |
| 1083819908 | Matthew T Nugent | Orthopaedic Surgery | 537 Union Ave, Second Floor, 2a, Grants Pass, OR 97527-5543 | 2007-06-20 |
| 1568465805 | Paragon Orthopedic Center, PC | Orthopaedic Surgery | 702 Ramsey Ave, Ste 112, Grants Pass, OR 97527-5573 | 2005-05-31 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97527 |
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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.