SAMARITAN PACIFIC HEALTH SERVICES, INC. (NPI# 1164863536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164863536 |
| Entity Type | Organization |
| Organization Name | SAMARITAN PACIFIC HEALTH SERVICES, INC. |
| Other Organization Name | SAMARITAN CARDIOLOGY-TOLEDO |
| Practice Address |
199 W Highway 20 Room 1 Toledo OR 97391-1242 |
| Mailing Address |
Po Box 2847 Corvallis OR 97339-2847 |
| Practice Telephone | 5417685205 |
| Practice Fax Number | 5417685206 |
| Mailing Telephone | 5417685205 |
| Mailing Fax Number | 5417685206 |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2015-05-07 |
| Authorized Official Name | DAVID C. BIGELOW (CEO) |
| Authorized Official Telephone | 5415741801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500662442 | 05 |
| Other Name | Type Code |
|---|---|
| Samaritan Cardiology-Toledo | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912257460 | Samaritan Pacific Health Services, Inc. | Internal Medicine | 531 Nw Hwy 101, Suite A, Depoe Bay, OR 97341-9801 | 2012-09-12 |
| 1982969820 | Samaritan Pacific Health Services, Inc. | Internal Medicine | 1010 Sw Coast Hwy Ste 101, Newport, OR 97365-5239 | 2012-07-06 |
| 1386814598 | Samaritan Pacific Health Services, Inc. | Durable Medical Equipment & Medical Supplies | 325 Industrial Way, Lebanon, OR 97355-2852 | 2008-03-04 |
| 1558531764 | Samaritan Pacific Health Services, Inc. | Durable Medical Equipment & Medical Supplies | 777 Nw 9th St Ste 200, Corvallis, OR 97330-6169 | 2008-03-04 |
| 1457402232 | Samaritan Pacific Health Services, Inc. | Durable Medical Equipment & Medical Supplies | 705 Sw Coast Hwy, Newport, OR 97365-5017 | 2007-01-16 |
| 1134277528 | Samaritan Pacific Health Services, Inc. | Hospice, Inpatient | 749 Sw 11th Street, Newport, OR 97365 | 2007-01-08 |
| 1568543692 | Samaritan Pacific Health Services, Inc. | Clinic/Center | 199 West Highway 20, Toledo, OR 97391 | 2006-10-17 |
| 1134692296 | Samaritan Pacific Health Services, Inc. | Neurological Surgery | 930 Sw Abbey St Ste B, Newport, OR 97365-4820 | 2019-01-10 |
| 1407325871 | Samaritan Pacific Health Services, Inc. | Urology | 930 Sw Abbey St Ste B, Newport, OR 97365-4820 | 2018-11-15 |
| 1336574912 | Samaritan Pacific Health Services, Inc. | Internal Medicine | 775 Sw 9th St Ste B, Newport, OR 97365-4850 | 2013-09-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SAMARITAN PACIFIC HEALTH SERVICES, INC. | 930 Sw Abbey St, Newport, OR 97365 |
| Street Address |
199 W HIGHWAY 20 ROOM 1 |
| City | TOLEDO |
| State | OR |
| Zip Code | 97391-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809502 | Uri Z Goldberg | Family Medicine | 199 W Highway 20, Toledo, OR 97391-1242 | 2005-05-27 |
| 1881966893 | Jason E Brown | Physician Assistant | 199 W Highway 20, Toledo, OR 97391-1242 | 2012-02-07 |
| 1902841745 | Peter R. Fox | Physician Assistant | 199 W Highway 20, Toledo, OR 97391-1242 | 2006-06-17 |
| 1851335574 | Victoria M. Bassingthwaite | Physician Assistant | 199 W Highway 20, Toledo, OR 97391-1242 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851626360 | County of Lincoln | Clinic/Center | 1800 Ne Sturdevant Rd, Toledo, OR 97391 | 2009-10-16 |
| 1891936613 | Shahna Lynn Ashard | Counselor | 980 Se Reservoir Lane, Toledo, OR 97391 | 2009-03-09 |
| 1568543692 | Samaritan Pacific Health Services, Inc. | Clinic/Center | 199 West Highway 20, Toledo, OR 97391 | 2006-10-17 |
| 1043328768 | Gregory E Herkert | Dentist | 680 W Hwy 20, Toledo, OR 97391 | 2006-08-25 |
| 1134163496 | Dennis L. Kauffman | Family Medicine | 1744 Nw Business Hwy 20, Toledo, OR 97391 | 2006-06-16 |
| 1699854539 | Bruce C. Parsons | Optometrist | 680 W Highway 20, Toledo, OR 97391-0190 | 2006-11-02 |
| 1174906150 | Ryan Allan Millet | Dentist | 680 W Highway 20, Toledo, OR 97391-1125 | 2015-07-08 |
| 1982022000 | Mikes Mercantile Co | Pharmacy | 722 W Highway 20, Toledo, OR 97391-1128 | 2014-04-04 |
| 1164546339 | Ray Allan Burleigh | Counselor | 805 Ne Reservoir Ln, Toledo, OR 97391-1335 | 2007-03-16 |
| 1093035958 | Benjamin Williams | Counselor | 805 Ne Reservoir Ln, Toledo, OR 97391-1335 | 2010-06-02 |
| Find all providers in zip 97391 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760490775 | James Crawford Roberts | Internal Medicine | 3110 W Central Ave, Suite B, Toledo, OH 43606 | 2006-08-04 |
| 1679571954 | Kesari B Sarikonda | Internal Medicine | 4236 Secor Rd, Toledo, OH 43623-4238 | 2005-07-12 |
| 1932102084 | Ravi K Adusumilli | Internal Medicine | 2940 N Mccord Rd, Toledo, OH 43615-1753 | 2005-05-23 |
| 1154872166 | Compassion Health Toledo | Internal Medicine | 1638 Broadway St, Toledo, OH 43609-3240 | 2016-10-14 |
| 1841630704 | Haseeb Nawaz | Internal Medicine | 2213 Cherry St, C/o Kristin Baldeschwilder, Toledo, OH 43608-2603 | 2013-06-25 |
| 1821345695 | Hemindermeet Singh | Internal Medicine | 2409 Cherry St Ste 100, Toledo, OH 43608 | 2012-08-10 |
| 1285991539 | Sahar J Ismail | Internal Medicine | 2940 N Mccord Rd, Toledo, OH 43615-1753 | 2012-04-11 |
| 1447499462 | Mohammed S Alo | Internal Medicine | 2409 Cherry St, #100, Toledo, OH 43608-2625 | 2009-02-14 |
| 1780820555 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 2940 N Mccord Rd, Toledo, OH 43615-1753 | 2008-12-30 |
| 1033365523 | Ehab Ahmed Eltahawy | Internal Medicine | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2008-08-15 |
| Find all providers in TOLEDO | ||||
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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.