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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD29109 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
705 ELM ST SW SUITE 200 |
| City | ALBANY |
| State | OR |
| Zip Code | 97321-1956 |
| 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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| 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 |
| Find all providers in zip 97321 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| 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. |
| 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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| 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.