DR. TRAVIS JON HAMILTON (NPI# 1164712022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164712022 |
| Entity Type | Individual |
| Full Name | DR. TRAVIS JON HAMILTON |
| Credential | MD, DMD |
| Practice Address |
250 Church St Se Ste 102 Salem OR 97301-3758 |
| Practice Telephone | 5035811999 |
| Mailing Telephone | 5035811999 |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2020-01-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D9861 | OR | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | MD190558 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306370549 | Travis Hamilton | Student in an Organized Health Care Education/Training Program | 2799 W Grand Blvd, Henry Ford Hospital, Medical Education Department, Detroit, MI 48202-2608 | 2017-04-14 |
| 1093070237 | Travis Clay Hamilton | Physical Therapist | 5141 Deer Park Dr, New Port Richey, FL 34653-7013 | 2012-07-12 |
| 1871792838 | Travis J Hamilton | Anesthesiology | 3601 Tvc, Nashville, TN 37232-0001 | 2007-07-11 |
| Street Address |
250 CHURCH ST SE STE 102 |
| City | SALEM |
| State | OR |
| Zip Code | 97301-3758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144575267 | Willamette Valley Oral & Maxillofacial Surgey, Inc. | Dentist | 250 Church St Se Ste 102, Salem, OR 97301-3758 | 2012-07-15 |
| 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 Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619242591 | Willamette Valley Oral & Maxillofacial Surgery, Inc | Oral & Maxillofacial Surgery | 3996 Corredale Ct. S., Salem, OR 97302 | 2012-03-12 |
| 1417940289 | Joel Kenneth Hopkin | Oral & Maxillofacial Surgery | 2266 Mission St Se, Salem, OR 97302-1267 | 2005-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124381629 | Sam Seoho Bae | Oral & Maxillofacial Surgery | 6464 Sw Borland Rd Ste D3, Tualatin, OR 97062 | 2012-06-19 |
| 1568605731 | Philip C Mann | Oral & Maxillofacial Surgery | 16455 Boones Ferry Rd Ste B, Lake Oswego, OR 97035-4367 | 2009-04-16 |
| 1821162595 | Daniel J Olson | Oral & Maxillofacial Surgery | 2510 Nw Medical Park Drive, Roseburg, OR 97470 | 2006-11-17 |
| 1952329450 | Timothy B Welch | Oral & Maxillofacial Surgery | 911 Country Club Rd Ste 100, Eugene, OR 97401-6045 | 2006-07-17 |
| 1346249281 | Bryce Earl Potter | Oral & Maxillofacial Surgery | 1849 Nw Kearney St, Ste 300, Portland, OR 97209-1453 | 2005-07-20 |
| 1932611696 | Philip C. Mann, Dds, Md, LLC | Oral & Maxillofacial Surgery | 16455 Boones Ferry Rd Ste B, Lake Oswego, OR 97035-4367 | 2017-11-02 |
| 1053864561 | Karl Cuddy | Oral & Maxillofacial Surgery | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2016-08-01 |
| 1104209386 | Felix Wiyanto Sim | Oral & Maxillofacial Surgery | 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 2015-07-07 |
| 1407109937 | Providence Health & Services - Oregon | Oral & Maxillofacial Surgery | 4805 Ne Glisan St, Suite 6n50, Portland, OR 97213-2933 | 2012-10-22 |
| 1447525852 | Brett A. Ueeck Dmd, Md, PC | Oral & Maxillofacial Surgery | 11786 Sw Barnes Rd Ste 110, Portland, OR 97225-5926 | 2012-03-19 |
| Find all providers with the same taxonomy | ||||
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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.