REENA KURIACOSE (NPI# 1225239908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225239908 |
| Entity Type | Individual |
| Full Name | REENA KURIACOSE |
| Other Name | REENA PANICKAVEETIL |
| Credential | MD |
| Practice Address |
4010 Aerial Way Eugene OR 97402-9757 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 5416876349 |
| Practice Fax Number | 5412428361 |
| Mailing Telephone | 3367181000 |
| Mailing Fax Number | 3367181052 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2018-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD183553 | OR | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 2015-00216 | NC | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD | TN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 250 Charlois Blvd, Winston Salem, NC 271031508 | 3367181000 | 3367181052 |
| Street Address |
4010 AERIAL WAY |
| City | EUGENE |
| State | OR |
| Zip Code | 97402-9757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710984588 | Bradley Thiren Johnson | Pharmacist | 4010 Aerial Way, Eugene, OR 97402-9757 | 2005-07-07 |
| 1093314122 | Tiffany Marie Noone | Nurse Practitioner | 4010 Aerial Way, Eugene, OR 97402-9757 | 2020-10-20 |
| 1093345654 | Michelle Jenny Gohl | Nurse Practitioner | 4010 Aerial Way, Eugene, OR 97402-9757 | 2020-01-23 |
| 1821647173 | Haley Grace Ruljancich | Nurse Practitioner | 4010 Aerial Way, Eugene, OR 97402-9757 | 2019-09-10 |
| 1891264974 | Shawn M Jones | Registered Nurse | 4010 Aerial Way, Eugene, OR 97402-9757 | 2018-11-18 |
| 1679055594 | Joeann Pansoy | Family Medicine | 4010 Aerial Way, Eugene, OR 97402-9757 | 2018-09-06 |
| 1962953281 | Gabrielle Lorraine Lauf | Nurse Practitioner | 4010 Aerial Way, Eugene, OR 97402-9757 | 2016-10-21 |
| 1972052843 | Heidi Holling | Nurse Practitioner | 4010 Aerial Way, Family Medicine, Eugene, OR 97402-9757 | 2016-10-03 |
| 1548713399 | Samantha Marie Radel | Nurse Practitioner | 4010 Aerial Way, Eugene, OR 97402-9757 | 2016-07-28 |
| 1316396385 | Katherine Elizabeth Omernick | Pediatrics | 4010 Aerial Way, Eugene, OR 97402-9757 | 2016-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1104462134 | Cerridwen Laurel Martin | Massage Therapist | 775 Monroe St., Eugene, OR 97402 | 2019-11-25 |
| 1720556368 | Valerie Jeanne Charles | Massage Therapist | 989 Throne Dr., Eugene, OR 97402 | 2018-11-12 |
| 1407324189 | Laura Angulo | Massage Therapist | 1247 W 8th Ave Apt 10, Eugene, OR 97402 | 2018-11-11 |
| 1932687472 | Karl Alan Porter | Counselor | 1195 City View St Ste B, Eugene, OR 97402 | 2018-08-06 |
| 1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
| 1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
| 1447740527 | Shasta Tobi Cooke | Behavioral Analyst | 677 1/2 W 12th Ave, Eugene, OR 97402 | 2018-05-15 |
| 1497205306 | Jenna Bracco | Social Worker | 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 | 2016-10-04 |
| 1871041392 | Jeremy Powers | Massage Therapist | 882 Van Buren St, Eugene, OR 97402 | 2016-09-13 |
| Find all providers in zip 97402 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1912521105 | Ehg of Oregon, P.C. | Internal Medicine | 1755 Coburg Rd Unit 502, Eugene, OR 97401-4900 | 2020-06-03 |
| 1740774231 | Andrew Casburn | Internal Medicine | 330 S Garden Way Bldg Suite270, Eugene, OR 97401-8176 | 2018-06-18 |
| 1962916718 | Robert Alan Bender | Internal Medicine | 1829 Villard St, Eugene, OR 97403-2051 | 2017-11-30 |
| 1043575533 | Scarborough Medical Care LLC | Internal Medicine | 1180 Patterson St Ste 2-b, Eugene, OR 97401-3619 | 2012-07-10 |
| 1508001181 | Hugh Baker Johnston | Internal Medicine | 76 West 29th Street, Apt 2108, Eugene, OR 97405 | 2008-12-10 |
| 1578714861 | Shugi Zheng | Internal Medicine | 330 S Garden Way Ste 270, Eugene, OR 97401-8185 | 2008-10-04 |
| 1255534525 | Jane E Mossberg M.d.,p.c. | Internal Medicine | 655 E 11th Ave Ste 4, Eugene, OR 97401-3621 | 2007-06-06 |
| 1396963278 | Kathleen Wiley | Internal Medicine | 1590 E. 13 Th St., University of Oregon Health Center, Eugene, OR 97403 | 2007-04-23 |
| 1992859623 | Patrick Galvan Tandingan | Internal Medicine | 677 E 12th Ave Ste N110, Eugene, OR 97401 | 2007-01-22 |
| 1972650638 | Patrick Frank Luedtke | Internal Medicine | 151 W. 7th Avenue, Room 420, Eugene, OR 87401 | 2007-01-04 |
| Find all providers in EUGENE | ||||
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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.