DR. JAMES WILLIAM THEEN (NPI# 1205863990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205863990 |
| Entity Type | Individual |
| Full Name | DR. JAMES WILLIAM THEEN |
| Credential | MD |
| Practice Address |
555 Black Oak Dr Medford OR 97504-8447 |
| Mailing Address |
3625 Old Cherry Ln Medford OR 97504-9476 |
| Practice Telephone | 5417343430 |
| Practice Fax Number | 5417343638 |
| Mailing Telephone | 5417343430 |
| Mailing Fax Number | 5417343638 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2017-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MD16267 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 081430 | 05 |
| Street Address |
555 BLACK OAK DR |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661912 | Nancy J. Keeley | Nurse Practitioner | 555 Black Oak Dr, Suite 100, Medford, OR 97504-8447 | 2005-06-30 |
| 1497218614 | Rachel Dunn | Nurse Practitioner | 555 Black Oak Dr, Medford, OR 97504-8447 | 2019-04-14 |
| 1073079430 | Kathryn Hardaway | Registered Nurse | 555 Black Oak Dr, Medford, OR 97504-8447 | 2019-02-11 |
| 1124582820 | Dana Andrew Teszler | Nurse Practitioner | 555 Black Oak Dr, Medford, OR 97504-8447 | 2019-01-27 |
| 1518435585 | Jesse Hodson | Nurse Practitioner | 555 Black Oak Dr, Medford, OR 97504-8447 | 2018-11-08 |
| 1578089108 | Jennifer May Foltz | Nurse Practitioner | 555 Black Oak Dr, Medford, OR 97504-8447 | 2017-08-15 |
| 1194255950 | Greg D Smith | Nurse Practitioner | 555 Black Oak Dr, Medford, OR 97504 | 2017-06-14 |
| 1386192391 | Sarah Elizabeth White | Pharmacist | 555 Black Oak Dr, Medford, OR 97504-8447 | 2016-09-19 |
| 1326474800 | Laura Marie Ulloa | Social Worker | 555 Black Oak Dr, Medford, OR 97504-8447 | 2013-09-17 |
| 1891133369 | David L Moore | Nurse Practitioner | 555 Black Oak Dr, Medford, OR 97504 | 2013-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1225225113 | James W. Theen, Md PC | Internal Medicine | 935 Town Centre Dr, Suite B, Medford, OR 97504-6172 | 2007-09-25 |
| 1306894647 | Rogue Endocrinology and Metabolic Clinic | Internal Medicine | 3144 State St, Medford, OR 97504-8450 | 2006-05-05 |
| 1982652533 | Craig Barry Wexler | Internal Medicine | 1723 N Ocean Ave, Medford, NY 11763-2649 | 2006-05-05 |
| 1134502180 | Annavi Baghel | Internal Medicine | 555 Black Oak Dr Ste 400, Medford, OR 97504-8491 | 2015-07-08 |
| 1710169099 | Patrick Ryan Hungerford | Internal Medicine | 2900 Doctors Park Dr, Suite 200, Medford, OR 97504-8198 | 2007-11-29 |
| 1265658512 | Michael Schaefer | Internal Medicine | 1723 N Ocean Ave, Medford, NY 11763-2649 | 2007-04-17 |
| 1326181710 | Tara J Hamilton | Internal Medicine | 170 Governors Ave, Diabetes Clinic-lawrence Memorial Hospital, Medford, MA 02155-1643 | 2007-02-15 |
| 1275595811 | Gina L Jones | Internal Medicine | 2900 Doctors Park Dr, Ste 200, Medford, OR 97504-8198 | 2006-04-06 |
| 1114993656 | John Thomas Gallen | Internal Medicine | 691 Murphy Road, Suite 107, Medford, OR 97504 | 2006-02-24 |
| 1770563900 | Hallmark Health Medical Associates Inc | Internal Medicine | 170 Governors Ave, Attn: Provider Enrollment, Medford, MA 02155-1643 | 2006-01-23 |
| Find all providers in MEDFORD | ||||
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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.