MID-COLUMBIA MEDICAL CENTER (NPI# 1053551697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053551697 |
| Entity Type | Organization |
| Organization Name | MID-COLUMBIA MEDICAL CENTER |
| Other Organization Name | ORTHOPAEDIC SERVICES AT MCMC |
| Practice Address |
551 Lone Pine Blvd The Dalles OR 97058 |
| Mailing Address |
551 Lone Pine Blvd Po Box 1520 The Dalles OR 97058 |
| Practice Telephone | 5415066500 |
| Practice Fax Number | 5415066501 |
| Mailing Telephone | (541) 506-6500 |
| Mailing Fax Number | 5415066501 |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2017-06-02 |
| Authorized Official Name | MR. DENNIS M KNOX (PRESIDENT AND CEO) |
| Authorized Official Telephone | 5412967273 |
| Is Organization Subpart | Y |
| Parent Organization Name | MID-COLUMBIA MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Allopathic & Osteopathic Physicians | ||
| N | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
Hospitals | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 197434 | 05 | |
| OR | 000070 | 05 |
| Other Name | Type Code |
|---|---|
| MCMC Orthopaedic | Doing Business As Name - Organization |
| Orthopaedic Services at MCMC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942718457 | Mid-columbia Medical Center | Clinic/Center | 1815 E 19th St Ste 1, The Dalles, OR 97058-3385 | 2018-01-18 |
| 1154869659 | Mid-columbia Medical Center | Podiatrist | 33 Nichols Pkwy, Hood River, OR 97031-3121 | 2017-02-03 |
| 1366809048 | Mid-columbia Medical Center | Surgery | 1810 E. 19th St. #225, The Dalles, OR 97058 | 2016-01-26 |
| 1871833772 | Mid-columbia Medical Center | Obstetrics & Gynecology | 1810 E 19th St Ste 209, The Dalles, OR 97058-3388 | 2013-03-01 |
| 1548525801 | Mid-columbia Medical Center | Dermatology | 1935 E 19th St Ste 110, The Dalles, OR 97058-3392 | 2012-07-11 |
| 1992094817 | Mid-columbia Medical Center | Clinic/Center | 1815 E. 19th St, The Dalles, OR 97058-9403 | 2011-03-31 |
| 1194975078 | Mid-columbia Medical Center | Obstetrics & Gynecology | 1730 E. 12th St, The Dalles, OR 97058 | 2008-09-26 |
| 1205804101 | Mid-columbia Medical Center | Home Health | 1730 E 12th St, The Dalles, OR 97058-3137 | 2006-03-08 |
| 1306842752 | Mid-columbia Medical Center | General Acute Care Hospital | 1700 E 19th St, The Dalles, OR 97058-3317 | 2005-06-21 |
| 1508427428 | Mid-columbia Medical Center | Clinic/Center | 33 Nichols Pkwy, Hood River, OR 97031-3121 | 2019-06-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MID-COLUMBIA MEDICAL CENTER | 1700 E 19th St, The Dalles, OR 97058 |
| Oregon Corporations, Companies and Business Names | MID-COLUMBIA MEDICAL CENTER AUXILIARY | 1700 E 19th St, The Dalles, OR 97058 |
| Street Address |
551 LONE PINE BLVD |
| City | THE DALLES |
| State | OR |
| Zip Code | 97058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538156005 | Alan N Peiris | Internal Medicine | 551 Lone Pine Blvd, The Dalles, OR 97058-9403 | 2005-09-30 |
| 1265057772 | Jennifer Zimmerman | Dietitian, Registered | 551 Lone Pine Blvd, The Dalles, OR 97058-9403 | 2020-06-10 |
| 1538706031 | Hopeanne Norris | Massage Therapist | 551 Lone Pine Blvd, The Dalles, OR 97058-9403 | 2019-12-03 |
| 1841767217 | Catherine M Brown | Massage Therapist | 551 Lone Pine Blvd, The Dalles, OR 97058-9403 | 2018-10-24 |
| 1063992790 | Brooke Kaylynn Small | Massage Therapist | 551 Lone Pine Blvd, The Dalles, OR 97058-9403 | 2018-08-21 |
| 1104312974 | Misty L Mortensen | Massage Therapist | 551 Lone Pine Blvd, The Dalles, OR 97058-9403 | 2018-07-05 |
| 1437674330 | Molly Elizabeth Mckee-nickson | Massage Therapist | 551 Lone Pine Blvd, The Dalles, OR 97058-9403 | 2017-08-11 |
| 1144745860 | Carmen Leigh Vance | Family Medicine | 551 Lone Pine Blvd, The Dalles, OR 97058-9403 | 2017-08-03 |
| 1548708795 | Arturo Carrillo Jr. | Physical Therapist | 551 Lone Pine Blvd, The Dalles, OR 97058-9403 | 2017-02-08 |
| 1447797576 | Linda Trefren | Massage Therapist | 551 Lone Pine Blvd, The Dalles, OR 97058-9403 | 2017-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538646864 | Ashlee Kai Mcnamara | Behavior Technician | 2525 W 8th St., #34, The Dalles, OR 97058 | 2018-07-19 |
| 1548784689 | Mireya Moreno Ibarra | Behavior Technician | 401 East 3rd Street, Suite 101, The Dalles, OR 97058 | 2017-07-31 |
| 1407304991 | Joshua Seidel | Pharmacist | 515 Mt Hood St, The Dalles, OR 97058 | 2016-09-14 |
| 1366809048 | Mid-columbia Medical Center | Surgery | 1810 E. 19th St. #225, The Dalles, OR 97058 | 2016-01-26 |
| 1558731141 | Louise Goodnight | Case Manager/Care Coordinator | 419 East 7 Th Street, The Dalles, OR 97058 | 2015-09-25 |
| 1578944666 | Jessica Donnell | Dental Hygienist | 2529 E 12th St, The Dalles, OR 97058 | 2015-06-15 |
| 1487034328 | Savanna Schaan | Specialist | 609 W 14th St, The Dalles, OR 97058 | 2015-06-05 |
| 1801299102 | Mary E Zenorini | Social Worker | 1620 E. 12th St, The Dalles, OR 97058 | 2014-09-30 |
| 1669889143 | Diane Joan Irwin | Social Worker | 419 E 7th St #207, The Dalles, OR 97058 | 2014-07-17 |
| 1124452008 | Lacey A Nichols | Counselor | 312 E. Third St., The Dalles, OR 97058 | 2013-08-27 |
| Find all providers in zip 97058 | ||||
| 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 |
|---|---|---|---|---|
| 1336137561 | Gregory M Stanley | Orthopaedic Surgery | 1715 E 12th St, The Dalles, OR 97058-3136 | 2005-10-11 |
| 1548471410 | Joseph Santo Sacamano | Orthopaedic Surgery | 1715 E 12th St, The Dalles, OR 97058-3136 | 2007-05-24 |
| 1740218353 | C. Bruce Schwartz | Orthopaedic Surgery | 551 Lone Pine Blvd, The Dalles, OR 97058 | 2006-06-30 |
| 1699763821 | Robert A Staver | Orthopaedic Surgery | 1715 E 12th St, The Dalles, OR 97058-3136 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110338 | Praxis Medical Group Inc | Orthopaedic Surgery | 354 W. Adams Avenue, Sisters, OR 97759 | 2020-07-01 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1598252272 | Venel Orthopaedic Institute At Lake Andrew | Orthopaedic Surgery | 10000 Se Main St Ste 205, Portland, OR 97216-2448 | 2018-04-18 |
| 1881108918 | Vvrx Pharmacy Billing Solutions LLC | Orthopaedic Surgery | 7427 Sw Coho Ct Ste 200, Tualatin, OR 97062-8618 | 2017-11-28 |
| 1427404672 | Jay Shelton Cox | Orthopaedic Surgery | 80 Raven Lane, Depoe Bay, OR 97341-0185 | 2016-05-06 |
| 1710382296 | Michael Baskin Md LLC | Orthopaedic Surgery | 4166 Sw Greenleaf Dr, Portland, OR 97221-3225 | 2014-10-27 |
| 1568864171 | Thomas P Mcweeney Md PC | Orthopaedic Surgery | 19255 Sw 65th Ave Ste 110, Tualatin, OR 97062-9717 | 2014-09-25 |
| 1083030266 | Ryan Thomas Colley | Orthopaedic Surgery | 707 Murphy Rd, Medford, OR 97504-8520 | 2014-03-11 |
| 1730505488 | David William Waldram | Orthopaedic Surgery | 15200 Sw Aquatic View, Powell Butte, OR 97753 | 2014-03-05 |
| 1346582525 | Derek Beeson Smith | Orthopaedic Surgery | 1140 Sw Simpson Ave Ste 100, Bend, OR 97702 | 2013-03-26 |
| Find all providers with the same taxonomy | ||||
| City | THE DALLES |
| Zip Code | 97058 |
Please comment or provide details below to improve the information on MID-COLUMBIA MEDICAL CENTER.
| 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.