ALEXANDER MICHAEL GOLDNER (NPI# 1164857520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164857520 |
| Entity Type | Individual |
| Full Name | ALEXANDER MICHAEL GOLDNER |
| Other Name | ALEX M GOLDNER |
| Credential | PA |
| Practice Address |
201 Plageman Bldg Corvallis OR 97331-8567 |
| Practice Telephone | 5417379355 |
| Mailing Telephone | 5417379355 |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2019-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2013-0058 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | MEDICARE PTAN | 326185YKWY | 01 |
| NM | 72728825 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5234 Sw Philomath Blvd, Corvallis, OR 973331042 | 5417684970 |
| Street Address |
201 PLAGEMAN BLDG |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97331-8567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124103445 | Ladonna Mae Johnson | Family Medicine | 201 Plageman Bldg, Oregon State University - Student Health, Corvallis, OR 97331-5801 | 2006-10-26 |
| 1699296541 | Jason Morris | Pharmacist | 201 Plageman Bldg, Corvallis, OR 97331-8567 | 2017-06-30 |
| 1922394063 | Patricia K Kenyon | Registered Nurse | 201 Plageman Bldg, Corvallis, OR 97331-8567 | 2011-06-28 |
| 1558654681 | Patricia Jaeger | Registered Nurse | 201 Plageman Bldg, Corvallis, OR 97331-8567 | 2011-05-23 |
| 1508167792 | Debbie Negahbani | Registered Nurse | 201 Plageman Bldg, Corvallis, OR 97331-8567 | 2010-11-04 |
| 1861709255 | Aslan Beth Noakes | Registered Nurse | 201 Plageman Bldg, Corvallis, OR 97331-8567 | 2010-09-07 |
| 1306163191 | Catherine Thomasson | Internal Medicine | 201 Plageman Bldg, Oregon State University, Corvallis, OR 97331-8567 | 2010-05-03 |
| 1255585071 | Susan Chelton | Registered Nurse | 201 Plageman Bldg, Corvallis, OR 97331-8567 | 2008-11-06 |
| 1154598860 | Kathryn E Lederer | Nurse Practitioner | 201 Plageman Bldg, Osu, Corvallis, OR 97331-8567 | 2008-05-12 |
| 1851589071 | Haley Lynnette Stuhr | Registered Nurse | 201 Plageman Bldg, Corvallis, OR 97331-8567 | 2007-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437663929 | Rachel Proteau | Student in an Organized Health Care Education/Training Program | Pharmacy Building, 1601 Sw Jefferson Way, Corvallis, OR 97331 | 2017-11-20 |
| 1194065995 | Candice Bailey | Veterinarian | 300 Magruder Hall, Corvallis, OR 97331 | 2013-02-15 |
| 1902189798 | Nicole Leblanc | Veterinarian | 700 Sw 30th Street, College of Veterinary Medicine Oregon State University, Corvallis, OR 97331 | 2011-09-28 |
| 1467698894 | Gail Carpenter Baggett | Physical Therapist | 425 Sw 26th St, Oregon State University - Dixon Recreation Center, Corvallis, OR 97331 | 2009-01-07 |
| 1306062401 | Barbara Sue Lerwick | Registered Nurse | 108 Sw Memorial Place, Plageman Building, Student Health Services, Corvallis, OR 97331 | 2007-04-17 |
| 1114097649 | Richard Eugene Lague | Physical Therapist | Hfc Dixon Recreation Center, Oregon State University, Corvallis, OR 97331 | 2006-11-09 |
| 1871682997 | Helen Kathleen Tennican | Physician Assistant | Oregon State University, 201 Plageman Building, Corvallis, OR 97331 | 2006-10-12 |
| 1043228570 | Linda M Samuels | Pharmacist | 109 Plageman Bldg, Osu Pharmacy, Corvallis, OR 97331 | 2006-08-03 |
| 1942214747 | Osu Student Health Center Pharmacy | Pharmacy | Plageman Building Room 109, Oregon State University, Corvallis, OR 97331 | 2006-07-28 |
| 1902833767 | Jeffrey C. Mull | Emergency Medicine | Oregon State University Student Health Services, Plageman 201, Corvallis, OR 97331 | 2006-06-27 |
| Find all providers in zip 97331 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669753828 | Jaime M Conway | Physician Assistant | 305 Sw C Ave, Corvallis, OR 97333-4400 | 2011-09-01 |
| 1881670511 | Eric Cameron Stroud | Physician Assistant | 981 Nw Spruce Ave, Corvallis, OR 97330-2111 | 2005-12-15 |
| 1689051690 | Mary Kathryn Reed | Physician Assistant | 3521 Nw Samaritan Dr Ste 101, Corvallis, OR 97330-4744 | 2015-04-28 |
| 1245507219 | Donna Marie Strigle | Physician Assistant | 3517 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-3767 | 2011-11-18 |
| 1912234063 | Bridget Angelique Kammerzelt | Physician Assistant | 3600 Nw Samaritan Dr, Suite E350, Corvallis, OR 97330-3737 | 2009-11-11 |
| 1992030191 | Jeffery Lee Bentley | Physician Assistant | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2009-10-06 |
| 1225061963 | Lisa Rene Araneta | Physician Assistant | 501 Nw Elks Dr, Suite 100, Corvallis, OR 97330-3757 | 2006-07-08 |
| 1578507547 | Angela Faye Bean | Physician Assistant | 2400 Nw Kings Blvd, Corvallis, OR 97330 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808605 | Pilar Lorena Lopez | Physician Assistant | 7675 Sw Spruce St, Tigard, OR 97223-8723 | 2020-10-15 |
| 1730787615 | Michael Hisao Mun Ho Pang | Physician Assistant | 1245 Sw 160th Ave, Beaverton, OR 97006-5052 | 2020-10-13 |
| 1144834805 | Logan Michael Johnston | Physician Assistant | 3319 Edgeview Ln, Forest Grove, OR 97116-1094 | 2020-09-01 |
| 1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
| 1033751433 | Trisha K Loch | Physician Assistant | 781 W Central, Sutherlin, OR 97479 | 2019-10-17 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
| 1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1659828044 | Ryan Jones | Physician Assistant | 1775 Thompson Rd Bay Or97420, Coos Bay, OR 97420-2125 | 2016-09-02 |
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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.