JAN RADZIK (NPI# 1053467357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053467357 |
| Entity Type | Individual |
| Full Name | JAN RADZIK |
| Credential | M.D. |
| Practice Address |
349 Se Baker St Mcminnville OR 97128-6039 |
| Practice Telephone | 5034729438 |
| Practice Fax Number | 5034729439 |
| Mailing Telephone | 5034729438 |
| Mailing Fax Number | 5034729439 |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD 17050 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 029186 | 05 |
| Street Address |
349 SE BAKER ST |
| City | MCMINNVILLE |
| State | OR |
| Zip Code | 97128-6039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295037968 | Jan Radzik, Md PC | Clinic/Center | 349 Se Baker St, Mcminnville, OR 97128-6039 | 2010-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
| 1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| Find all providers in zip 97128 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881930493 | Carenow, Pllc | Family Medicine | 144 Deerfield Ct, Mcminnville, TN 37110-7410 | 2012-12-31 |
| 1134235468 | Klaus Martin | Family Medicine | 310 Southeast Baker Street, Mcminnville, OR 97128-6038 | 2006-08-21 |
| 1861400871 | Scott Eric Schieber | Family Medicine | 2163 Nw 2nd Street, Mcminnville, OR 97128-9108 | 2006-08-04 |
| 1497794291 | Robert Alan Steiner | Family Medicine | Advanced Care Internal Medicine, 140 Votech Dr Suite 3, Mcminnville, TN 37110 | 2006-06-06 |
| 1396791885 | Sunisa Chanyaputhipong | Family Medicine | 115 Ne May Ln, Mcminnville, OR 97128-9272 | 2006-05-26 |
| 1376501460 | West Hills Healthcare Clinic PC | Family Medicine | 2163 Nw 2nd St, Mcminnville, OR 97128-9108 | 2006-05-01 |
| 1255316519 | Alma Macatangay Tamula | Family Medicine | 1589 Sparta St Ste 107, Mcminnville, TN 37110-1392 | 2005-12-09 |
| 1831173806 | John Wilson Scoltock | Family Medicine | 435 N Evans St, Ste 333, Mcminnville, OR 97128 | 2005-12-02 |
| 1386625960 | Michael Questell | Family Medicine | 153 Vo Tech Dr, Mcminnville, TN 37110-1322 | 2005-11-09 |
| 1568443794 | Melvin Herd | Family Medicine | 375 Se Norton Ln Ste A, Mcminnville, OR 97128-8484 | 2005-11-05 |
| Find all providers in MCMINNVILLE | ||||
| City | MCMINNVILLE |
| Zip Code | 97128 |
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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.