DR. CHARLES L. PEDERSON (NPI# 1093741803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093741803 |
| Entity Type | Individual |
| Full Name | DR. CHARLES L. PEDERSON |
| Credential | M.D., MPH |
| Practice Address |
1100 7th Ave Sw Albany OR 97321-1925 |
| Mailing Address |
Po Box 1189 Corvallis OR 97339-1189 |
| Practice Telephone | 5418125600 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
MD25028 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
1100 7TH AVE SW |
| City | ALBANY |
| State | OR |
| Zip Code | 97321-1925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720590987 | Pamela Cotton | Nurse Practitioner | 1100 7th Ave Sw, Albany, OR 97321-1925 | 2017-10-27 |
| 1063779205 | Good Samaritan Hospital Corvallis | Internal Medicine | 1100 7th Ave Sw, Albany, OR 97321-1925 | 2012-04-12 |
| 1205192465 | Albany General Hospital | Family Medicine | 1100 7th Ave Sw, Albany, OR 97321-1925 | 2012-04-02 |
| 1750669917 | Vitus N Nwaele | Family Medicine | 1100 7th Ave Sw, Albany, OR 97321-1925 | 2011-07-21 |
| 1467764704 | Heather May Krimsly | Counselor | 1100 7th Ave Sw, Albany, OR 97321-1925 | 2010-07-01 |
| 1417177304 | Luci Mario Kovacevic | Preventive Medicine | 1100 7th Ave Sw, Albany, OR 97321-1925 | 2007-04-26 |
| 1750458964 | Evelyn Carpiet | Family Medicine | 1100 7th Ave Sw, Albany, OR 97321-1925 | 2006-11-30 |
| 1013945302 | Virginia J Taylor | Nurse Practitioner | 1100 7th Ave Sw, Albany, OR 97321-1925 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| Find all providers in zip 97321 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114186475 | Elena Dolginova | Preventive Medicine | 10b Madison Ave, Albany, NY 12203 | 2008-06-03 |
| 1841408192 | Dominic John Belmonte | Preventive Medicine | 215 Washington Avenue Ext, Albany, NY 12205-5534 | 2007-05-18 |
| 1417177304 | Luci Mario Kovacevic | Preventive Medicine | 1100 7th Ave Sw, Albany, OR 97321-1925 | 2007-04-26 |
| 1811045362 | Kevin Madras Smith | Preventive Medicine | 803 N Jefferson St Ste C, Albany, GA 31701-5117 | 2007-01-08 |
| 1306938733 | Albert Clarke Darlington | Preventive Medicine | 110 Wolf Rd, Albany, NY 12205-1244 | 2006-09-30 |
| 1033227921 | James Thomas Pozniakas | Preventive Medicine | 1971 Western Ave, Albany, NY 12203-5066 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942698154 | Samaritan North Lincoln Hospital | Preventive Medicine | 2930 Ne West Devils Lake Rd Ste 3, Lincoln City, OR 97367-5195 | 2014-12-23 |
| 1831348614 | Phillip Maurice Hutchins | Preventive Medicine | 78068 Ordnance Rd, Hermiston, OR 97838-9107 | 2008-09-16 |
| 1730205725 | Tamara X Arthur | Preventive Medicine | 1919 Nw Lovejoy St, Portland, OR 97209-1503 | 2007-03-21 |
| 1659411379 | Anita Joan Dekker | Preventive Medicine | 3469 Hilyard St, Eugene, OR 97405-3815 | 2007-02-08 |
| 1457337156 | Lori Lynn Gross | Preventive Medicine | 25 Nw 23rd Pl, Suite 6, #324, Portland, OR 97210-5580 | 2005-12-15 |
| 1275864662 | Charles Kirby Griffin | Preventive Medicine | 9370 Sw Greenburg Rd, Suite 200, Portland, OR 97223-5442 | 2010-01-25 |
| 1396920609 | Leslie Davidoff | Preventive Medicine | 1881 Nw 185th Ave, Suite 204, Aloha, OR 97006-6822 | 2008-01-04 |
| 1023293339 | Milton J Gavlick | Preventive Medicine | 1750 Nw Naito Pkwy, Suite 100b, Portland, OR 97209-2530 | 2008-01-04 |
| 1306038427 | Ajay Jagarnath Mohabeer | Preventive Medicine | 18610 Nw Cornell Rd, Suite 204, Hillsboro, OR 97124-9204 | 2007-08-13 |
| 1801006911 | Rakhee Nandkumar Urankar | Preventive Medicine | 3181 Sw Sam Jackson Park Rd, 3181 Sw Samjackson Park Rd, Portland, OR 97239-3011 | 2007-05-23 |
| Find all providers with the same taxonomy | ||||
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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.