JOSEPH JOHN ESFAHBODI RAD (NPI# 1053835793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053835793 |
| Entity Type | Individual |
| Full Name | JOSEPH JOHN ESFAHBODI RAD |
| Credential | PA-C |
| Practice Address |
890 Oak St Se Salem OR 97301-3905 |
| Mailing Address |
327 E 37th St Erie PA 16504-1615 |
| Practice Telephone | 5035880256 |
| Mailing Telephone | 8145728819 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA184727 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 801 Mission St Se Ste 1, Salem, OR 973026217 | 5035880256 | 5035880256 |
| Street Address |
890 OAK ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051259 | Lee Eugene Vranna | Rehabilitation Practitioner | 890 Oak St Se, Salem, OR 97301 | 2005-05-24 |
| 1588262687 | Eric Timmons | Nurse Practitioner | 890 Oak St Se, Salem, OR 97301-3905 | 2020-10-12 |
| 1548875610 | Jena Mcclain | Registered Nurse | 890 Oak St Se, Salem, OR 97301-3905 | 2020-09-15 |
| 1265053425 | Jillian Elise Nybakken | Dietitian, Registered | 890 Oak St Se, Salem, OR 97301-3905 | 2020-04-29 |
| 1255966883 | Ashley Danielle Morally | Nurse Practitioner | 890 Oak St Se, Salem, OR 97301-3905 | 2020-03-04 |
| 1871156588 | Benjamin Arndt | Surgery | 890 Oak St Se, Salem, OR 97301-3905 | 2019-04-17 |
| 1467910802 | Alyssa A. Powell | Pharmacist | 890 Oak St Se, Salem, OR 97301-3905 | 2019-03-05 |
| 1760954556 | Lawrence Steven Molinar | Dietitian, Registered | 890 Oak St Se, Salem, OR 97301 | 2018-12-18 |
| 1720554801 | Martina Georgette Vawser | Specialist/Technologist, Other | 890 Oak St Se, Salem, OR 97301-3905 | 2018-10-16 |
| 1952885659 | Amy Purkey | Internal Medicine | 890 Oak St Se, Salem, OR 97301-3905 | 2018-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
| 1639614852 | Gregory Bull | Physician Assistant | 622 Fernwood Dr, Salem, VA 24153-2654 | 2016-12-24 |
| 1841648862 | Theron J Wiese | Physician Assistant | 1395 Commercial St Se, Salem, OR 97302-4205 | 2016-05-31 |
| 1922329697 | Charleen Ann Thorburn | Physician Assistant | 22 Keewaydin Dr, Salem, NH 03079-2839 | 2010-06-17 |
| 1316188006 | Judith A Mitchell | Physician Assistant | 4999 Skyline Rd. S., Salem, OR 97306 | 2009-03-10 |
| 1215912712 | Amy Gouley | Physician Assistant | 1793 13th St Se, Salem, OR 97302-2541 | 2005-12-07 |
| 1306827100 | William Earle Williams | Physician Assistant | 1233 Edgewater St Nw, Salem, OR 97304-4049 | 2005-11-08 |
| 1700485224 | Roderick Mao | Physician Assistant | 159 N Broadway, Salem, NH 03079-2136 | 2020-10-26 |
| 1447719752 | Christine Nicole Jeffries | Physician Assistant | 360 Church St Se, Salem, OR 97301-3796 | 2019-03-16 |
| 1265999338 | Brolin Johnson | Physician Assistant | 1793 13th St Se, Salem, OR 97302-2541 | 2019-02-26 |
| Find all providers in SALEM | ||||
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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.