SALEM RHEUMATOLOGY & INFUSIONS LLC (NPI# 1063053015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063053015 |
| Entity Type | Organization |
| Organization Name | SALEM RHEUMATOLOGY & INFUSIONS LLC |
| Practice Address |
960 Liberty St Se Ste 200 Salem OR 97302-4195 |
| Practice Telephone | 5033990652 |
| Practice Fax Number | 5033733852 |
| Mailing Telephone | 5033990652 |
| Mailing Fax Number | 5033733852 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | SHAWN MACALESTER (OWNER) |
| Authorized Official Telephone | 5033990652 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| Street Address |
960 LIBERTY ST SE STE 200 |
| City | SALEM |
| State | OR |
| Zip Code | 97302-4195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639114358 | Raymond Charles Hausch | Internal Medicine | 960 Liberty St Se Ste 200, Salem, OR 97302-4195 | 2006-06-17 |
| 1497238273 | Diane Monica Schmitz | Physician Assistant | 960 Liberty St Se Ste 200, Salem, OR 97302-4195 | 2018-09-08 |
| 1215218789 | Salem Rheumatology, LLC | Internal Medicine | 960 Liberty St Se Ste 200, Salem, OR 97302-4195 | 2011-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639114358 | Raymond Charles Hausch | Internal Medicine | 960 Liberty St Se Ste 200, Salem, OR 97302-4195 | 2006-06-17 |
| 1215936943 | Garry Bayliss | Internal Medicine | 1930 Braeburn Cir, Salem, VA 24153-7388 | 2005-07-15 |
| 1063823508 | River Valley Rheumatology & Infusions, Inc | Internal Medicine | 960 Liberty St Se, #200, Salem, OR 97302-4171 | 2014-05-19 |
| 1215218789 | Salem Rheumatology, LLC | Internal Medicine | 960 Liberty St Se Ste 200, Salem, OR 97302-4195 | 2011-08-29 |
| 1053611566 | Amitha Gona | Internal Medicine | 875 Oak St Se Ste 4030, Salem, OR 97301-3984 | 2010-10-30 |
| 1033211164 | William Lloyd | Internal Medicine | 79 Highland Ave, Ste 309, Salem, MA 01970 | 2006-09-01 |
| 1356320998 | Joseph Lemmer | Internal Medicine | 1930 Braeburn Cir, Salem, VA 24153-7388 | 2006-01-12 |
| 1811973423 | William Blaylock | Internal Medicine | 1930 Braeburn Cir, Salem, VA 24153-7388 | 2005-12-16 |
| 1538150727 | Catherine L. Daniel | Internal Medicine | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2005-11-04 |
| 1467441923 | Orthopaedics Northeast, P.C. | Internal Medicine | 29 Stiles Rd, Suite 102, Salem, NH 03079-2859 | 2005-10-18 |
| 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.