SCOTT DOUGLAS MENDELSON (NPI# 1053336024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053336024 |
| Entity Type | Individual |
| Full Name | SCOTT DOUGLAS MENDELSON |
| Credential | MD |
| Practice Address |
1813 W Harvard Avenue Suite 201 Roseburg OR 97471-2754 |
| Mailing Address |
Po Box 1023 Roseburg OR 97470-0232 |
| Practice Telephone | 5414406390 |
| Practice Fax Number | 5414406392 |
| Mailing Telephone | 5414406390 |
| Mailing Fax Number | 5414406392 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2015-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD22296 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 288354 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043599152 | Scott James Mendelson | Internal Medicine | 5841 S Maryland Ave # Mc2030, Chicago, IL 60637-1443 | 2011-08-07 |
| Street Address |
1813 W HARVARD AVENUE SUITE 201 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-2754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578918348 | Lowell F Smith | Registered Nurse | 1813 W Harvard Avenue, Suite 201, Roseburg, OR 97471-2754 | 2016-04-29 |
| 1487910279 | Leigh Anne Bressler | Psychiatry & Neurology | 1813 W Harvard Avenue, Suite 201, Roseburg, OR 97471-2754 | 2012-04-05 |
| 1962633859 | Ricardo Zegarra-linares | Pediatrics | 1813 W Harvard Avenue, Suite 201, Roseburg, OR 97471-2754 | 2009-07-27 |
| 1689851636 | Michael Jay Allen | Dentist | 1813 W Harvard Avenue, Suite 240, Roseburg, OR 97470 | 2008-01-22 |
| 1528286143 | Jared E Juett | Social Worker | 1813 W Harvard Avenue, Suite 201, Roseburg, OR 97471-2754 | 2007-04-20 |
| 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 | 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 |
| 1851884548 | Cep America - Psychiatry PC | Psychiatry & Neurology | 2700 Nw Stewart Pkwy, Roseburg, OR 97471 | 2018-06-07 |
| 1003364779 | Cep America-telehealth, PC | Psychiatry & Neurology | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2016-09-12 |
| 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 |
| Find all providers in ROSEBURG | ||||
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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.