DR. IGOR MICHAEL GLADSTONE II (NPI# 1134292394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134292394 |
| Entity Type | Individual |
| Full Name | DR. IGOR MICHAEL GLADSTONE II |
| Credential | MD |
| Practice Address |
3355 Riverbend Dr Ste 220 Springfield OR 97477-8800 |
| Practice Telephone | 5416868790 |
| Mailing Telephone | 5416868790 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD17692 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 042841 | 05 |
| Street Address |
3355 RIVERBEND DR STE 220 |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-8800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992878169 | Michael Adrian Colasurdo | Pediatrics | 3355 Riverbend Dr Ste 220, Springfield, OR 97477-8800 | 2006-11-16 |
| 1033354766 | Daniel Kent Morrow | Pediatrics | 3355 Riverbend Dr Ste 220, Springfield, OR 97477-8800 | 2008-12-09 |
| 1649343898 | Rebecca Clare Bent | Pediatrics | 3355 Riverbend Dr Ste 220, Springfield, OR 97477-8800 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1255623997 | Venkata Sasidhar Majjiga | Pediatrics | 301 N 8th Street, Siu School of Medicine, Pediatrics, Room 3a169, Springfield, IL 62794 | 2011-05-13 |
| 1831212976 | Douglas Terry Leonard | Pediatrics | 3355 River Bend Dr., Suite 220, Springfield, OR 97477-8800 | 2007-04-06 |
| 1992878169 | Michael Adrian Colasurdo | Pediatrics | 3355 Riverbend Dr Ste 220, Springfield, OR 97477-8800 | 2006-11-16 |
| 1699861740 | Saumitra Biswas | Pediatrics | 3801 S. National Avenue, 7th Floor, Springfield, MO 65807-5210 | 2006-10-05 |
| 1437116050 | Ozark Neonatal Associates, Inc. | Pediatrics | 1235 E Cherokee Street, Springfield, MO 65804-2203 | 2006-04-27 |
| 1841835816 | Stephanie Ann Barthelette | Pediatrics | 759 Chestnut St, Springfield, MA 01107-1619 | 2019-11-13 |
| 1275045171 | Kelsey Southard | Pediatrics | 3801 S National Ave, Springfield, MO 65807-5210 | 2017-11-01 |
| 1841607389 | Zaineh Alja'nini | Pediatrics | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2014-07-16 |
| 1811242043 | Khushbu Shukla | Pediatrics | 3801 S National Ave, Springfield, MO 65807-5210 | 2012-07-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
Please comment or provide details below to improve the information on DR. IGOR MICHAEL GLADSTONE II.
| 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.