SOUTHERN OREGON CARDIOLOGY LLC


Address: 520 Medical Center Dr, Ste 200, Medford, OR 97504-4314
Phone: 5412826600

SOUTHERN OREGON CARDIOLOGY LLC (NPI# 1033444781) 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) 1033444781
Entity Type Organization
Organization Name SOUTHERN OREGON CARDIOLOGY LLC
Practice Address 520 Medical Center Dr
Ste 200
Medford
OR 97504-4314
Practice Telephone 5412826600
Practice Fax Number 5412826601
Mailing Telephone 5412826600
Mailing Fax Number 5412826601
Enumeration Date 2009-10-14
Last Update Date 2012-05-04
Authorized Official Name MR. RICHARD BODAGER (CEO)
Authorized Official Telephone 5417895600
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
1000026501 OR Allopathic & Osteopathic Physicians

Office Location

Street Address 520 MEDICAL CENTER DR
STE 200
City MEDFORD
State OR
Zip Code 97504-4314

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922095199 Joel A Tobias Internal Medicine 520 Medical Center Dr, Suite 200, Medford, OR 97504-4314 2005-10-04
1033588546 Daniel Neville Physician Assistant 520 Medical Center Dr, Suite 201, Medford, OR 97504-4334 2015-09-15
1063855161 App Cardiovascular Surgeons Thoracic Surgery (Cardiothoracic Vascular Surgery) 520 Medical Center Dr, Suite 201, Medford, OR 97504-4334 2013-04-09
1205180098 Stephani Kathleen Cook Physician Assistant 520 Medical Center Dr, Suite 300, Medford, OR 97504-4334 2012-11-01
1790014074 Christopher Charles Davis Physician Assistant 520 Medical Center Dr, Suite 300, Medford, OR 97504-4334 2009-12-15
1104056092 Dani J Thomas Internal Medicine 520 Medical Center Dr, Suite 2001, Medford, OR 97504-4334 2009-07-26
1265675599 Natalie E Baxter Physician Assistant 520 Medical Center Dr, Ste 300, Medford, OR 97504-4334 2009-04-16
1629267414 Pamela Reeger Cortell Nurse Practitioner 520 Medical Center Dr, Ste 300, Medford, OR 97504-4316 2007-10-17
1144412529 Patrick Joseph Phelan Surgery 520 Medical Center Dr, Ste 300, Medford, OR 97504-4316 2007-08-09
1457555237 Mitchell Martin Plummer Surgery 520 Medical Center Dr, Ste 300, Medford, OR 97504-4316 2007-06-13
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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 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669511945 Minor Edwin Matthews Internal Medicine 271 Island Pointe Dr, Medford, OR 97504-9453 2007-02-05
1922010719 Inderjit Katyal Internal Medicine 74 Southaven Ave, Medford, NY 11763-3746 2006-08-12
1386609238 Michael J Zema Internal Medicine 844 Golf Ln, Medford, NY 11763-1203 2006-04-20
1376517532 David Samenuk Internal Medicine 137 Main St, Medford, MA 02155 2006-02-15
1922095199 Joel A Tobias Internal Medicine 520 Medical Center Dr, Suite 200, Medford, OR 97504-4314 2005-10-04
1487650586 Christopher E Cannon Internal Medicine 1698 E. Mcandrews Rd, Suite 300, Medford, OR 97504-5590 2005-06-23
1457649626 Keval K Patel Internal Medicine 520 Medical Center Dr Ste 200, Medford, OR 97504-4314 2011-07-21
1043337439 Melike Arslan Internal Medicine 1698 E Mcandrews Rd, Suite 300, Medford, OR 97504-5589 2007-03-23
1023165925 Donald L Bowser Internal Medicine 520 Medical Center Dr, Suite 100, Medford, OR 97504-4334 2007-01-04
1093827883 Jaekyoung Audrey Hong Internal Medicine 520 Medical Center Dr, Suite 200, Medford, OR 97504-4314 2006-08-31
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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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