ALLERGY & ASTHMA CENTER OF SOUTHERN OREGON PC (NPI# 1205976867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205976867 |
| Entity Type | Organization |
| Organization Name | ALLERGY & ASTHMA CENTER OF SOUTHERN OREGON PC |
| Practice Address |
2262 Ashland St Ashland OR 97520-1406 |
| Mailing Address |
3860 Crater Lake Ave Ste A Medford OR 97504-9741 |
| Practice Telephone | 5418581003 |
| Practice Fax Number | 5418574499 |
| Mailing Telephone | 5418581003 |
| Mailing Fax Number | 5418574499 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | EDWARD KERWIN (PHYSICIAN OWNER) |
| Authorized Official Telephone | 5418581003 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164562401 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 2628 Clover St, Klamath Falls, OR 97601-1132 | 2007-02-07 |
| 1952441594 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 1722 Williams Hwy, Grants Pass, OR 97527-5661 | 2007-02-06 |
| 1760548408 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 3860 Crater Lake Ave Ste A, Medford, OR 97504-9741 | 2006-12-28 |
| 1851954853 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 1813 W Harvard Ave, Suite 241, Roseburg, OR 97471 | 2019-04-16 |
| Street Address |
2262 ASHLAND ST |
| City | ASHLAND |
| State | OR |
| Zip Code | 97520-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390435 | Susan Kathleen Phelps | Massage Therapist | 280 E. Hersey St., Suite B17, Ashland, OR 97520 | 2020-06-08 |
| 1891276101 | William Charles Southworth | Internal Medicine | 866 Blaine St.., Ashland, OR 97520 | 2018-08-24 |
| 1326545625 | Daniel Jordan Decillis | Dentist | 1144 Iowa St Ste A, Ashland, OR 97520 | 2018-04-12 |
| 1730690959 | Eleyah Knight | Acupuncturist | 850 Siskyou Blvd. #6, Ashland, OR 97520 | 2017-10-15 |
| 1881117752 | Elizabeth Kristine Follett | Speech-Language Pathologist | 3265 Biddle Road, Medford, OR 97520 | 2017-07-21 |
| 1457895955 | Graham Collins Inc. | Counselor | 1600 Tolman Creek Rd, Ashland, OR 97520 | 2016-12-19 |
| 1720538010 | Kate Preskenis, Lmt, LLC | Massage Therapist | 823 Siskiyou Blvd., Ashland, OR 97520 | 2016-10-11 |
| 1366899445 | Nadejda Ioana Razi Robertson | Social Worker | 246 Second Street, Ashland, OR 97520 | 2016-05-19 |
| 1225496193 | Teena Summers | Marriage & Family Therapist | 200 Ohio St., Ashland, OR 97520 | 2016-02-05 |
| 1114392016 | Amanda Rose | Doula | 2233 Villard St Apt 203, Ashland, OR 97520 | 2015-12-04 |
| Find all providers in zip 97520 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386786796 | Tri-state Allergy, Inc | Allergy & Immunology | 2301 Lexington Ave Ste 105, Ashland, KY 41101-2807 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922304302 | Eastside Allergy Asthma & General Internal Medicine PC | Allergy & Immunology | 2850 Se Powell Blvd, Suite 206, Gresham, OR 97080-1494 | 2011-02-02 |
| 1164562401 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 2628 Clover St, Klamath Falls, OR 97601-1132 | 2007-02-07 |
| 1952441594 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 1722 Williams Hwy, Grants Pass, OR 97527-5661 | 2007-02-06 |
| 1760548408 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 3860 Crater Lake Ave Ste A, Medford, OR 97504-9741 | 2006-12-28 |
| 1194733519 | Joel Michael Depper | Allergy & Immunology | 1250 Ne 3rd St, Suite B-100, Bend, OR 97701-4331 | 2006-08-03 |
| 1568482610 | Robert Henry Schwartz | Allergy & Immunology | 27 Ne Killingsworth St, Portland, OR 97211-2623 | 2006-07-20 |
| 1659317683 | John D Minor | Allergy & Immunology | 2233-f Willamette St, Allergy & Asthma Center PC, Eugene, OR 97405 | 2006-06-20 |
| 1134100092 | Kevin M Kral | Allergy & Immunology | 2065 Ne Williamson Ct, Suite A, Bend, OR 97701-3867 | 2005-11-08 |
| 1568465847 | Edward Kerwin | Allergy & Immunology | 3860 Crater Lake Ave, Medford, OR 97504-9741 | 2005-05-31 |
| 1851954853 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 1813 W Harvard Ave, Suite 241, Roseburg, OR 97471 | 2019-04-16 |
| 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.