DR. SHANE MATTHEW GJESDAL


Address: 705 Elm St Sw, Suite 200, Albany, OR 97321-1956
Phone: 5418124850

DR. SHANE MATTHEW GJESDAL (NPI# 1164424586) 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) 1164424586
Entity Type Individual
Full Name DR. SHANE MATTHEW GJESDAL
Credential MD
Practice Address 705 Elm St Sw
Suite 200
Albany
OR 97321-1956
Mailing Address Po Box 1188
Corvallis
OR 97339-1188
Practice Telephone 5418124850
Practice Fax Number 5418124889
Mailing Telephone 5418124850
Enumeration Date 2005-08-15
Last Update Date 2020-11-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology MD29109 OR Allopathic & Osteopathic Physicians

Office Location

Street Address 705 ELM ST SW
SUITE 200
City ALBANY
State OR
Zip Code 97321-1956

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316377724 Alysia Greco Physician Assistant 705 Elm St Sw, Suite 300, Albany, OR 97321-1956 2013-11-21
1821354085 Albany General Hospital Surgery 705 Elm St Sw, Suite 300, Albany, OR 97321-1956 2012-04-02
1508132150 Albany General Hospital Obstetrics & Gynecology 705 Elm St Sw, Suite 200, Albany, OR 97321-1956 2012-03-28
1518296847 Frederic Nathan Bahnson Surgery 705 Elm St Sw, Suite 300, Albany, OR 97321-1956 2009-12-16
1982631628 Marie A. Ray Surgery 705 Elm St Sw, Suite 300, Albany, OR 97321-1956 2006-06-27
1427085513 Gregg M. Miller Surgery 705 Elm St Sw, Suite 300, Albany, OR 97321-1956 2006-06-26
1770528218 Charles D. South Obstetrics & Gynecology 705 Elm St Sw, Albany, OR 97321-1956 2006-06-18
1396787644 Margaret A. Hovey Obstetrics & Gynecology 705 Elm St Sw, Suite 200, Albany, OR 97321-1956 2006-06-12
1134184567 Satyajeet Y Gaekwad Surgery 705 Elm St Sw, Suite 300, Albany, OR 97321-1956 2006-04-19
1174597165 Jennifer Lynn Massara Obstetrics & Gynecology 705 Elm St Sw, Suite 200, Albany, OR 97321 2006-02-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730659228 Waverly Assisted Living, LLC In Home Supportive Care 2853 Salem Ave Se Ste A, Albany, OR 97321 2018-11-28
1558838706 Greater Albany Public Schools 8j Local Education Agency (LEA) 718 Seventh Ave. Sw, Albany, OR 97321 2018-10-25
1396232237 Chiho Sakamoto Gunton Social Worker 227 Sw 3rd Avenue, Albany, OR 97321 2018-04-17
1700333184 Albany General Hospital Clinic/Center 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 2016-09-02
1811373772 Katrin M Ridge Pharmacist 1010 7th Ave. Sw., Albany, OR 97321 2015-08-03
1720485527 Heartsong Counseling Counselor 425 Sw 2nd Ave. #203, Albany, OR 97321 2014-11-24
1619386604 Courtney Ann Miller Dentist 2815 Willetta St, Suite A-1, Albany, OR 97321 2014-08-05
1346664810 Jeffrey Othniel Nordtvedt Case Manager/Care Coordinator 2730 Sw Pacific Boulevard, Albany, OR 97321 2014-02-05
1174872022 Albany General Hospital Internal Medicine 631 Southwest Elm Street, Suite 200, Albany, OR 97321 2012-09-06
1144594532 Russell Travis Pharmacist 1177 Waverly Dr, Albany, OR 97321 2012-03-02
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205247921 Katherine Beditz Cartwright Obstetrics & Gynecology 319 S Manning Blvd Ste 201, Albany, NY 12208-1743 2014-05-15
1073893459 Anna Natenzon Frega Obstetrics & Gynecology 391 Myrtle Ave. 2nd Floor, Albany, NY 12208 2011-08-17
1821230525 Willie Adams Jr Md Obgyn LLC Obstetrics & Gynecology 507 W 3rd Ave Ste 3, Albany, GA 31701-1944 2009-03-27
1851551923 Francis Kwarteng Obstetrics & Gynecology 401 S. Madison Street, Albany, GA 31701 2008-06-12
1639338320 Phoebe Women's Services Obstetrics & Gynecology 901 N Madison St, Albany, GA 31701-2210 2008-06-06
1811099757 Drs Adams & Woods Md, LLC Obstetrics & Gynecology 320 W 2nd Ave, Albany, GA 31701-2370 2006-09-01
1760494322 Lindsay Raynard Cruel Obstetrics & Gynecology 317 W 1st Ave, Albany, GA 31701-2303 2006-08-12
1740216498 Firstcare Medical Foundation Obstetrics & Gynecology 1700 Geary Street Se, Albany, OR 97322-6842 2006-06-24
1548246465 Moon Yun Chung Obstetrics & Gynecology 421 W 4th Ave, Albany, GA 31701-1973 2005-12-22
1396738886 Ronald Allan Cucina Obstetrics & Gynecology 1001 N Monroe St, Albany, GA 31701-1903 2005-08-30
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Competitor

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City ALBANY
Zip Code 97321

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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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