CENTER FOR REGENERATIVE ORTHOPEDIC MEDICINE, PC (NPI# 1093269995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093269995 |
| Entity Type | Organization |
| Organization Name | CENTER FOR REGENERATIVE ORTHOPEDIC MEDICINE, PC |
| Practice Address |
786 State St Medford OR 97504-8441 |
| Practice Telephone | 5418427777 |
| Practice Fax Number | 5418424310 |
| Mailing Telephone | 5418427777 |
| Mailing Fax Number | 5418424310 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |
| Authorized Official Name | DR. CARL OSBORN (PRESIDENT) |
| Authorized Official Telephone | 5418427777 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
DO22851 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | NPI 1255431151 | 1255431151 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CENTER FOR REGENERATIVE ORTHOPEDIC MEDICINE, PC | 2850 State St, Medford, OR 97504 |
| Street Address |
786 STATE ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609270560 | Comprehensive Pain Solutions LLC | Pain Medicine | 701 Golf View Dr, Medford, OR 97504 | 2014-10-21 |
| 1659770576 | Susan Michelle Rugh | Pain Medicine | 825 Bennett Ave, Medford, OR 97504-6715 | 2014-08-15 |
| 1629331293 | Pain Relief Institute, LLC | Pain Medicine | 2925 Siskiyou Blvd, Medford, OR 97504-8179 | 2012-06-19 |
| 1730440355 | Pain Relief Center,llc | Pain Medicine | 2925 Siskiyou Blvd, Medford, OR 97504-8179 | 2012-05-30 |
| 1477813582 | Pain Relief Center,llc | Pain Medicine | 2925 Siskiyou Blvd, Medford, OR 97504-8179 | 2012-05-22 |
| 1114217544 | Pain Specialists, PC | Pain Medicine | 825 Bennett Ave, Medford, OR 97504-6715 | 2011-04-19 |
| 1629209077 | Interventional Pain Consultants, LLC | Pain Medicine | 2925 Siskiyou Blvd, Medford, OR 97504-8179 | 2009-08-03 |
| 1881772416 | Caroline Capitano | Pain Medicine | 825 Bennett Ave, Medford, OR 97504-6715 | 2006-11-01 |
| 1699793505 | Pain Care of Oregon, LLC | Pain Medicine | 825 Bennett Ave, Medford, OR 97504-6715 | 2006-07-18 |
| 1891757464 | George David Johnston | Pain Medicine | 825 Bennett Ave, Medford, OR 97504-6715 | 2006-04-06 |
| Find all providers in MEDFORD | ||||
Please comment or provide details below to improve the information on CENTER FOR REGENERATIVE ORTHOPEDIC MEDICINE, PC.
| 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.