WILLIAM WALTER SHELY III (NPI# 1215920236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215920236 |
| Entity Type | Individual |
| Full Name | WILLIAM WALTER SHELY III |
| Credential | MD |
| Practice Address |
875 Oak St Se Suite 5020 Salem OR 97301-3975 |
| Mailing Address |
975 Se Sandy Blvd Suite 200 Portland OR 97214-1308 |
| Practice Telephone | 5033714044 |
| Practice Fax Number | 5033714356 |
| Mailing Telephone | 5039632846 |
| Mailing Fax Number | 5039639505 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | G68679 | CA | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD00033156 | WA | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD14793 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 073705 | 05 | |
| WA | 8178899 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982824850 | William Wyatt Shely | Pharmacist | 425 Clinic Dr, Morehead, KY 40351-1077 | 2007-04-26 |
| Street Address |
875 OAK ST SE SUITE 5020 |
| City | SALEM |
| State | OR |
| Zip Code | 97301-3975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952307498 | Jerry Leroy Hubbard | Neurological Surgery | 875 Oak St Se, Ste 5060, Salem, OR 97301-3987 | 2005-06-21 |
| 1710447453 | Katie Joy Larue | Pharmacist | 875 Oak St Se, Salem, OR 97301-3975 | 2019-03-20 |
| 1538600333 | Rachel Wixson | Nurse Practitioner | 875 Oak St Se, Salem, OR 97301-3975 | 2017-03-13 |
| 1265971386 | Angela Rehder | Physician Assistant | 875 Oak St Se, Suite 5020, Salem, OR 97301 | 2017-02-22 |
| 1548625585 | Hematology Oncology of Salem, LLP | Physician Assistant | 875 Oak St Se, Suite 4030, Salem, OR 97301-3975 | 2015-12-17 |
| 1841664752 | Healogics Specialty Physicians of Oregon, LLC | Emergency Medicine | 875 Oak St Se, Salem, OR 97301-3975 | 2015-11-17 |
| 1134592041 | Oregon Oncology Specialists, LLP | Internal Medicine | 875 Oak St Se, Suite 4030, Salem, OR 97301-3975 | 2015-11-02 |
| 1841693363 | Charles V. Hatchette II, Md, LLC | Neurological Surgery | 875 Oak St Se, Suite 5060, Salem, OR 97301-3975 | 2014-09-29 |
| 1770997009 | Urooba Faheem | Psychiatry & Neurology | 875 Oak St Se, Salem, OR 97301-3975 | 2014-06-14 |
| 1689922676 | Michael Christian Slabaugh | Physician Assistant | 875 Oak St Se, Ste 3010, Salem, OR 97301 | 2012-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598395493 | Center for Vein Restoration Nh Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 224 Main St Ste 1d, Salem, NH 03079-3174 | 2020-01-20 |
| 1225201023 | Katherine Jones | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 875 Oak St Se Ste 5020, Salem, OR 97301-3997 | 2008-04-12 |
| 1538161377 | Jin P Kim Md | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 330 Woodstown Rd, Medical Arts Bldg 2, Salem, NJ 08079 | 2005-08-11 |
| 1750380077 | Bruce W. Barlam | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 55 Highland Avenue, Suite 203b, Salem, MA 01970-2100 | 2005-07-19 |
| 1861652737 | Nervin Hafez Fanous | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 875 Oak St Se Ste 5020, Salem, OR 97301-3997 | 2008-06-13 |
| 1205935855 | Thomas G Carr | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 81 Highland Ave, Salem, MA 01970-2714 | 2006-09-21 |
| 1346343563 | Cardiothoracic Surgeons of Roanoke Valley LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1802 Braeburn Dr, Suite 1310, Salem, VA 24153-7357 | 2006-09-06 |
| 1124040472 | Ali K Husain | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1802 Braeburn Dr, Suite 1310, Salem, VA 24153-7357 | 2006-07-24 |
| 1043203086 | Thomas Robin Winkler | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 875 Oak St Se, Suite 5020, Salem, OR 97301-3975 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952670713 | Richard Dennis Chapman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 23730 Sw Stafford Hill Dr, West Linn, OR 97068-9628 | 2011-12-23 |
| 1851611008 | Nathan David Airhart | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9427 Sw Barnes Rd Ste 593, Portland, OR 97225-6640 | 2010-06-09 |
| 1730388398 | James Wellington Asaph | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4401 Sw Westdale Dr, Portland, OR 97221-3158 | 2007-07-13 |
| 1205037272 | Daniel Patrick Werle | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3181 Sw Sam Jackson Park Road., Mail Code L353 Ohsu Division of Cardiothoracic Surgery, Portland, OR 97239 | 2007-05-29 |
| 1518015858 | George R Wilkinson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2954 Siskiyou Blvd., Medford, OR 97504 | 2007-01-05 |
| 1255490850 | David G. Tse | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10100 Se Sunnyside Rd Fl 2, Clackamas, OR 97015-8970 | 2006-12-08 |
| 1649250895 | Sanjeev Sharma | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 940 Royal Ave, Suite 450, Medford, OR 97504-6193 | 2006-01-21 |
| 1972949253 | Gurion Seth Lantz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3181 Sw Sam Jackson Park Rd., Mail Code L353, Portland, OR 97239 | 2013-05-14 |
| 1063855161 | App Cardiovascular Surgeons | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 520 Medical Center Dr, Suite 201, Medford, OR 97504-4334 | 2013-04-09 |
| 1679826317 | Providence Health & Services - Oregon | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9135 Sw Barnes Rd, Suite 261, Portland, OR 97225-6784 | 2012-10-18 |
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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.