MICHAEL E GREGG (NPI# 1164021283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164021283 |
Entity Type | Individual |
Full Name | MICHAEL E GREGG |
Practice Address |
3099 Ne Diamond Lake Blvd Roseburg OR 97470-3655 |
Mailing Address |
621 W Madrone St Roseburg OR 97470-3090 |
Practice Telephone | 5416733469 |
Enumeration Date | 2020-10-20 |
Last Update Date | 2020-10-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | 201508156LPN | OR | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083093595 | Michael Gregg | Student in an Organized Health Care Education/Training Program | 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 | 2015-05-29 |
1770824849 | Michael Thomas Gregg | Behavioral Analyst | 1000 S Fremont Ave Ste A91803, Alhambra, CA 91803-8800 | 2013-03-13 |
1205800901 | Michael D Gregg | Physical Therapist | 1129 S 2nd Ave, Walla Walla, WA 99362-4100 | 2006-02-17 |
1730188640 | Michael L Gregg | Radiology | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2005-07-21 |
1457895062 | Michael Gregg | Case Manager/Care Coordinator | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2016-12-16 |
1366544165 | Michael Thomas Gregg | Internal Medicine | 500 W Fort St, Boise, ID 83702-4501 | 2006-09-02 |
1275545246 | Michael Gregg | Psychiatry & Neurology | 920 Lark Dr, Albany, NY 12207-1300 | 2006-08-11 |
1386629756 | Michael John Gregg | Family Medicine | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2005-12-08 |
Street Address |
3099 NE DIAMOND LAKE BLVD |
City | ROSEBURG |
State | OR |
Zip Code | 97470-3655 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649453440 | Adapt | Substance Abuse Rehabilitation Facility | 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 | 2007-12-14 |
1861092645 | Joseph T Mitchell | Counselor | 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 | 2020-10-29 |
1528675774 | Patricia Bosch | Counselor | 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 | 2020-09-30 |
1669099222 | Cherrie A Averett | Counselor | 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 | 2020-06-30 |
1669096616 | Ron Lawson | Counselor | 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 | 2020-06-05 |
1831712405 | Lesa Wolfe | Counselor | 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 | 2020-05-18 |
1699285296 | Clivonne Corbett | Registered Nurse | 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 | 2017-10-09 |
1427501501 | Josie Dion Congdon | Social Worker | 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 | 2016-07-26 |
1841554599 | Ryan W. Daven | Counselor | 3099 Ne Diamond Lake Blvd, Adapt Crossroads, Roseburg, OR 97470 | 2012-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
Find all providers in zip 97470 |
Taxonomy Code | 164W00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Practical Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
1174904007 | Angela Renee' Dukes | Licensed Practical Nurse | 1832 Ne Oswego Ave, Roseburg, OR 97470-3584 | 2015-06-16 |
1407173297 | Mandy Irene Holford | Licensed Practical Nurse | 1745 Ne Klamath Ave, Roseburg, OR 97470-2119 | 2010-05-03 |
1114553385 | Heather Mcclinton | Licensed Practical Nurse | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-03-19 |
1750922571 | Danielle Jones | Licensed Practical Nurse | 621 W Madrone St, Roseburg, OR 97470-3090 | 2019-10-02 |
1922599935 | Stacy Goodwin | Licensed Practical Nurse | 621 W Madrone St, Roseburg, OR 97470-3090 | 2018-05-24 |
1851832893 | Karisa Valance | Licensed Practical Nurse | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2017-03-09 |
1669924403 | Brenda Anderson | Licensed Practical Nurse | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2016-10-27 |
1194966762 | Shelly Robyn Fultz | Licensed Practical Nurse | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2009-03-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285278564 | Lolita Dondriano Sova | Licensed Practical Nurse | 310 Pitney Ln Unit 68, Junction City, OR 97448-9675 | 2019-10-30 |
1801448899 | David Terpea | Licensed Practical Nurse | 6920 Se Division St, Portland, OR 97206-1271 | 2019-07-10 |
1528521549 | Karen Lee Ferrette | Licensed Practical Nurse | 10690 Ne Cornell Rd Ste 215, Hillsboro, OR 97124-9224 | 2019-04-08 |
1245715366 | Richina M.k. Davis | Licensed Practical Nurse | 59110 E Highway 224, Estacada, OR 97023-9305 | 2018-09-25 |
1831670645 | Andrea Ruth Lowry | Licensed Practical Nurse | 52896 Mckenzie Hwy, Blue River, OR 97413-9701 | 2018-08-29 |
1629565981 | Kufa Dekamo | Licensed Practical Nurse | 3708 Se 144th Ave, Portland, OR 97236-2731 | 2018-04-21 |
1366940702 | Amelie Jane Noel | Licensed Practical Nurse | 4235 Wheat Ct Ne, Salem, OR 97305-2388 | 2018-01-31 |
1740709658 | Alyssa M Cavalier | Licensed Practical Nurse | 6601 Ne 78th Ct., Suite A3, Portland, OR 97218 | 2017-09-12 |
1811415029 | Nicole Keck | Licensed Practical Nurse | 4120 Scenic Dr, Eugene, OR 97404-1253 | 2017-09-07 |
1548788946 | Abigail Eller | Licensed Practical Nurse | 88321 Thienes Ln, Springfield, OR 97478-9621 | 2017-09-06 |
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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.