PIERCEY NEUROLOGY LLC (NPI# 1164720942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164720942 |
| Entity Type | Organization |
| Organization Name | PIERCEY NEUROLOGY LLC |
| Practice Address |
650 Sw 3rd St Corvallis OR 97333-4437 |
| Mailing Address |
650 Sw 3rd Street Corvallis OR 97333-4437 |
| Practice Telephone | 5412073900 |
| Practice Fax Number | 5412073232 |
| Mailing Telephone | 5412073900 |
| Mailing Fax Number | 5412073232 |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2013-03-07 |
| Authorized Official Name | DR. SYDNEY C. PIERCEY (PHYSICIAN) |
| Authorized Official Telephone | 54120739000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD22463 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
650 SW 3RD ST |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97333-4437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932231495 | Gina Kathleen Anderson | Psychiatry & Neurology | 650 Sw 3rd St, Corvallis, OR 97333-4437 | 2007-03-11 |
| 1306388095 | Tina Dreisbach | Acupuncturist | 650 Sw 3rd St, Corvallis, OR 97333-4437 | 2016-11-10 |
| 1811317928 | Katheryn Nuckolls | Naturopath | 650 Sw 3rd St, Corvallis, OR 97333 | 2014-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
| 1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
| 1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
| 1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
| 1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
| 1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
| 1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
| Find all providers in zip 97333 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932231495 | Gina Kathleen Anderson | Psychiatry & Neurology | 650 Sw 3rd St, Corvallis, OR 97333-4437 | 2007-03-11 |
| 1891790952 | Shelly R Svoboda | Psychiatry & Neurology | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2005-06-16 |
| 1639336795 | Rebecca H Reiser | Psychiatry & Neurology | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2008-05-16 |
| 1770761215 | Charmin Kay Sagert | Psychiatry & Neurology | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2008-02-07 |
| 1881807626 | Andrew Jason Rice | Psychiatry & Neurology | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2007-05-08 |
| 1801846167 | Richard A Lafrance | Psychiatry & Neurology | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2006-05-10 |
| 1952350746 | Cecilia A Keller | Psychiatry & Neurology | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2006-05-09 |
| 1730146200 | Weijia Wang | Psychiatry & Neurology | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639690704 | Tuality Medical Group LLC | Psychiatry & Neurology | 364 Se 8th Ave Ste 101, Hillsboro, OR 97123-4243 | 2017-06-29 |
| 1659891455 | Weller Neurology LLC | Psychiatry & Neurology | 24900 Se Stark St Ste 211, Gresham, OR 97030-3382 | 2017-06-22 |
| 1750739132 | Neil William Douglas Thomas | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Road, Cr131, Oregon Health and Science University, Portland, OR 97239 | 2016-05-26 |
| 1205283462 | Candice Kam | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Road, Cr-131s, Portland, OR 97239 | 2016-05-18 |
| 1487073789 | Tracy Bazan | Psychiatry & Neurology | 10330 Se 32nd Ave Ste 226, Milwaukie, OR 97222-6699 | 2014-04-15 |
| 1881937050 | Michael Saul Farris | Psychiatry & Neurology | Ohsu-3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2013-04-05 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1831460377 | Dennis B Smith | Psychiatry & Neurology | 827 Nw 25th Ave, Portland, OR 97210-3808 | 2012-01-13 |
| 1790078608 | George Reeves Throop IIi | Psychiatry & Neurology | 1142 Nw Scenic Dr, Albany, OR 97321-9669 | 2011-05-25 |
| 1992000228 | Ruchi J Wanchoo | Psychiatry & Neurology | 19260 Sw 65th Ave Ste 280, Tualatin, OR 97062 | 2011-01-18 |
| 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.