ARLAN GEORGE ZASTROW (NPI# 1114928058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114928058 |
| Entity Type | Individual |
| Full Name | ARLAN GEORGE ZASTROW |
| Credential | M. D. |
| Practice Address |
320 Nw Medical Loop Roseburg OR 97471-1645 |
| Practice Telephone | 5416730968 |
| Practice Fax Number | 5416730080 |
| Mailing Telephone | 5416730968 |
| Mailing Fax Number | 5416730080 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2010-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
MD11889 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 217539 | 05 |
| Street Address |
320 NW MEDICAL LOOP |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225352032 | Arlan G. Zastrow, Md, LLC | Clinic/Center | 320 Nw Medical Loop, Roseburg, OR 97471-1645 | 2010-03-23 |
| 1285969618 | Ravi Kumar Kalidindi | Family Medicine | 320 Nw Medical Loop, Roseburg, OR 97471-1645 | 2009-10-02 |
| 1164401634 | Bonnie Marie Gauer | Optometrist | 320 Nw Medical Loop, Roseburg, OR 97471-1645 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770508517 | Sharon Renee Stubbs | Family Medicine | 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421435 | Carehere LLC | Family Medicine | 12106 Ne Ainsworth Cir Ste 5, Portland, OR 97220-9001 | 2019-11-18 |
| 1053839217 | Transitional Life Care Clinic, Inc. | Family Medicine | 15604 Sw Rock of Ages Rd, Mcminnville, OR 97128-8531 | 2017-09-07 |
| 1588088785 | Robert Michael Hakala | Family Medicine | 2300 Neff Road, Volunteers In Medicine Clinic, Bend, OR 97701 | 2014-02-07 |
| 1538495734 | Ole Hansen | Family Medicine | 2605 State St, Salem, OR 97310-1346 | 2009-10-22 |
| 1043453582 | Paul E Vanbredavriesman | Family Medicine | 18000 Se Stark Street, Gresham, OR 97233 | 2009-04-14 |
| 1154548881 | Leta Teresa Callahan | Family Medicine | 230 Rowe Road, Wheeler, OR 97147 | 2007-04-20 |
| 1952527871 | Ben Harold Douglas II | Family Medicine | 1100 3rd St, Tillamook, OR 97141-3402 | 2007-04-18 |
| 1629109335 | Melissa Noble | Family Medicine | 628 N Main Street, Ashland, OR 97520-1710 | 2007-03-07 |
| 1730275488 | Richard Hansen | Family Medicine | 300 N Mill St Ste A, Creswell, OR 97426-9848 | 2006-10-04 |
| 1376584011 | Leonard Dewitt Savage | Family Medicine | 480 Ne A St, Madras, OR 97741-1844 | 2006-06-10 |
| 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.