DANIEL J SKARZYNSKI (NPI# 1104988583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104988583 |
| Entity Type | Individual |
| Full Name | DANIEL J SKARZYNSKI |
| Credential | M.D. |
| Practice Address |
1775 Thompson Rd Coos Bay OR 97420-2198 |
| Mailing Address |
5003 Hardy St Ste 200 Hattiesburg MS 39402-1331 |
| Practice Telephone | 5412698111 |
| Mailing Telephone | 6012615700 |
| Mailing Fax Number | 6012615777 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
CP200550 | OR | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
25209 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09279502 | 05 | |
| TN | 3876877 | 05 | |
| TN | BCBS TN | 4042635 | 01 |
| TN | 3379860 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5003 Hardy St Ste 200, Hattiesburg, MS 39402 | 6012615700 | 6012615777 |
| Street Address |
1775 THOMPSON RD |
| City | COOS BAY |
| State | OR |
| Zip Code | 97420-2198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494757 | Bradley G Titus | Internal Medicine | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2005-08-17 |
| 1952870230 | Cari Fraley | Clinic/Center | 1775 Thompson Rd, Rehabiliation Department, Coos Bay, OR 97420 | 2018-11-16 |
| 1225511322 | Kylie Webb Tresher Winquist | Physician Assistant | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2018-09-13 |
| 1396242863 | Ezgi Ertemin-pearson | Dietitian, Registered | 1775 Thompson Rd, Coos Bay, OR 97420-2198 | 2018-04-10 |
| 1710480397 | Coos Radiosurgery Group LLC | Radiology | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2018-03-09 |
| 1760982474 | Kellene A Fisler | Nurse Practitioner | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2018-02-19 |
| 1194247577 | Tara Sprague | Dietitian, Registered | 1775 Thompson Rd, Coos Bay, OR 97420 | 2017-07-07 |
| 1639626724 | Nicole Fennell | Physician Assistant | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2016-09-06 |
| 1063893402 | Cep America LLC | Emergency Medicine | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2015-06-11 |
| 1770996589 | Anushi Bulumulle | Student in an Organized Health Care Education/Training Program | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2014-06-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880606 | Danielle Goette | Massage Therapist | 320 Central Ave Suite 226, Coos Bay, OR 97420 | 2020-01-14 |
| 1730643735 | Nicole Hand-therapeutic Massage | Massage Therapist | 3229 Broadway Avenue, Suite D, Coos Bay, OR 97420 | 2019-01-24 |
| 1528531100 | A Better Reality | Clinic/Center | 2690 N. 17th Sstreet, Coos Bay, OR 97420 | 2019-01-07 |
| 1396216883 | Elizabeth Rose Stephens | Health Educator | 97381 Newport Lane, Coos Bay, OR 97420 | 2018-12-10 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1285091884 | Richard T Rigney | Counselor | 62754 Karl Road, Coos Bay, OR 97420 | 2016-01-27 |
| 1821493032 | James Thomas Agee | Pharmacist | 2051 Newmark Avenue, Walmart Pharmacy 1880, Coos Bay, OR 97420 | 2014-10-30 |
| 1346663895 | Steven D. Richardson D.m.d. L.l.c | Dentist | 1835 Ocean Blvd Se, Coos Bay, OR 97420 | 2014-02-03 |
| 1144669243 | Michael Jason Cole | Pharmacist | 1020 South First Ave, Coos Bay, OR 97420 | 2013-06-21 |
| 1639518053 | Jonathan Thomas Small | Physical Therapist | 2645 North 17th St, Coos Bay, OR 97420 | 2013-06-19 |
| Find all providers in zip 97420 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1962494757 | Bradley G Titus | Internal Medicine | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2005-08-17 |
| 1205019650 | Wojciech Nowak | Internal Medicine | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2007-12-07 |
| 1003019563 | John Joseph Frank | Internal Medicine | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2007-06-11 |
| 1427131226 | Myron B Licht | Internal Medicine | 1750 Thompson Rd, Coos Bay, OR 97420-2100 | 2006-10-23 |
| 1013930189 | Stephen J Mattichak | Internal Medicine | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2006-07-26 |
| 1083654313 | Ellen H Chen | Internal Medicine | 1775 Thompson Rd, Coos Bay, OR 97420-2198 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982969820 | Samaritan Pacific Health Services, Inc. | Internal Medicine | 1010 Sw Coast Hwy Ste 101, Newport, OR 97365-5239 | 2012-07-06 |
| 1922362243 | Albany General Hospital | Internal Medicine | 631 Elm St Sw Ste 201, Albany, OR 97321-1952 | 2012-07-02 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1225309685 | Patrick Bergin | Internal Medicine | 1794 Sweetbriar Ln, Eugene, OR 97405-4457 | 2012-01-17 |
| 1154646610 | Theodore Allen Foster IIi | Internal Medicine | 1003 Providence Dr Ste 325, Newberg, OR 97132-7521 | 2010-03-28 |
| 1164755534 | Richard E. Romm M.d., LLC | Internal Medicine | 2082 Dogwood Dr, Eugene, OR 97405-7007 | 2009-09-16 |
| 1568699932 | Arjun K. Chagarlamudi | Internal Medicine | 777 Commercial St. Se, Suite 130, Salem, OR 97301 | 2009-06-12 |
| 1518103274 | Centennial Medical Group Inc. | Internal Medicine | 201 Nw Medical Loop Ste 190, Roseburg, OR 97471-8835 | 2008-12-31 |
| 1124281423 | Jane Tuyet Luu | Internal Medicine | 2222 Nw Lovejoy St Ste 606, Portland, OR 97210-5104 | 2008-07-07 |
| 1811192792 | Med Info Services, LLC | Internal Medicine | 348 S Pine St, Carlton, OR 97111-1228 | 2007-06-19 |
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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.