WILLAMETTE ORTHOPEDIC GROUP LLC


Address: 1600 State St, Salem, OR 97301-4257
Phone: 5035406300

WILLAMETTE ORTHOPEDIC GROUP LLC (NPI# 1134145360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134145360
Entity Type Organization
Organization Name WILLAMETTE ORTHOPEDIC GROUP LLC
Other Organization Name HOPE ORTHOPEDICS OF OREGON
Practice Address 1600 State St
Salem
OR 97301-4257
Practice Telephone 5035406300
Mailing Telephone 5035406300
Enumeration Date 2006-07-14
Last Update Date 2015-07-01
Authorized Official Name KATE OTHUS (CEO)
Authorized Official Telephone 5035406323
Authorized Official Credential CEO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207XS0114X Orthopaedic Surgery
Specialization: Adult Reconstructive Orthopaedic Surgery
Allopathic & Osteopathic Physicians
N 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
Allopathic & Osteopathic Physicians
N 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
Allopathic & Osteopathic Physicians
N 207XX0801X Orthopaedic Surgery
Specialization: Orthopaedic Trauma
Allopathic & Osteopathic Physicians
N 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers
N 225XH1200X Occupational Therapist
Specialization: Hand
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225000000X Orthotic Fitter OTC090820 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OR 278220 05

Other Provider/Organization Names

Other Name Type Code
Hope Orthopedics of Oregon Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1013437862 Willamette Orthopedic Group LLC Orthopaedic Surgery 254 Ne Norton Ln, Mcminnville, OR 97128-8470 2017-06-22
1336406354 Willamette Orthopedic Group LLC Orthopaedic Surgery 607 Se Jefferson St, Dallas, OR 97338 2012-04-16
1588955314 Willamette Orthopedic Group LLC Orthopaedic Surgery 1600 State St, Salem, OR 97301-4257 2011-04-27
1720315302 Willamette Orthopedic Group LLC Orthopaedic Surgery 1128 Ne 2nd St, Corvallis, OR 97330-6230 2009-11-03
1811224496 Willamette Orthopedic Group LLC Orthopaedic Surgery 5825 Shoreview Ln N, Keizer, OR 97303-3978 2009-11-03

Office Location

Street Address 1600 STATE ST
City SALEM
State OR
Zip Code 97301-4257

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740278969 John J Coen Orthopaedic Surgery 1600 State St, Salem, OR 97301-4257 2005-10-11
1033710843 Clarissa Freeman Physical Therapist 1600 State St, Salem, OR 97301-4257 2020-11-06
1760026785 Jesse Wright Physician Assistant 1600 State St, Salem, OR 97301-4257 2019-11-01
1508400979 Robert William Dolan Physician Assistant 1600 State St, Salem, OR 97301-4257 2019-10-29
1780179523 Michael Alexander Valdez Physician Assistant 1600 State St, Salem, OR 97301-4257 2018-06-25
1306394317 Lawrence Michael Dimacali Physician Assistant 1600 State St, Salem, OR 97301-4257 2016-09-19
1942757224 Rebecca Theisen Physician Assistant 1600 State St, Salem, OR 97301-4257 2016-09-05
1942650825 Thomas Mcgrath Physical Therapist 1600 State St, Salem, OR 97301-4257 2016-06-21
1932595600 Alana Ryan Family Medicine 1600 State St, Salem, OR 97301 2015-04-09
1972909661 Suzanne Michelle Nerli Physician Assistant 1600 State St, Salem, OR 97301-4257 2014-11-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205450970 Jehan Seals Behavior Technician 3400 State St Set G750, Salem, OR 97301 2020-05-29
1093335929 Sterling Recovery, LLC Dietitian, Registered 3758 Amber St Ne #105, Salem, OR 97301 2020-04-21
1760018360 Riverfront Mental Health LLC Counselor 338 State St, Suite 985, Salem, OR 97301 2020-03-16
1871126888 Amity Beth Haddon Maxwell Social Worker Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 2020-02-18
1861042632 Brenda Grizelda Vargas Behavioral Analyst 3400 State Ste Ste G750, Salem, OR 97301 2019-09-13
1588213177 Natalie Stone Registered Nurse 2045 Siverton Rd Ne, Salem, OR 97301 2019-09-06
1588228720 Jeramy Disenso Counselor 270 Cottage St Ne, Salem, OR 97301 2019-04-23
1801353297 Gwendolyn Kersey Registered Nurse 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 2019-02-21
1841769114 Spine Clinic PC Massage Therapist 1281 Lancaster Drive Ne, Salem, OR 97301 2018-11-16
1013482132 Kellie Linn Hansen Physical Therapist 4049 Market St Se, Salem, OR 97301 2018-10-04
Find all providers in zip 97301

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447553185 Lee T Simon Md Inc Orthopaedic Surgery 2222 Oak St, Salem, OH 44460-2520 2010-12-20
1225048374 Steven R Beranek Orthopaedic Surgery 875 Oak Street Se, Suite 3060, Salem, OR 97301 2006-08-09
1770529547 William S.t. Mayhall Orthopaedic Surgery 1280 Center St Ne, Salem, OR 97301-4113 2006-06-21
1104871409 James M Leipzig Md PC Orthopaedic Surgery 1940 Braeburn Cir, Salem, VA 24153-7388 2006-05-24
1013988161 James Mastin Farmer Orthopaedic Surgery 101 Knotbreak Rd, Salem, VA 24153-5404 2006-01-27
1215918305 Ralph Coburn Sweetland Orthopaedic Surgery 9 Colby St, Salem, MA 01970-1901 2005-11-07
1740278969 John J Coen Orthopaedic Surgery 1600 State St, Salem, OR 97301-4257 2005-10-11
1275525123 Thomas Earl Hoerner Orthopaedic Surgery 16 Pelham Rd, Suite 1, Salem, NH 03079-2826 2005-08-17
1154324705 Robert S Fan Orthopaedic Surgery 1600 State Street, Salem, OR 97301 2005-05-27
1356891535 Virginia Orthopaedic, PC Orthopaedic Surgery 1917 Electric Rd, Salem, VA 24153-7424 2016-10-11
Find all providers in SALEM

Competitor

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City SALEM
Zip Code 97301

Improve Information

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Dataset Information

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.

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