DR. JEREMY S BEDTELYON (NPI# 1235340605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235340605 |
| Entity Type | Individual |
| Full Name | DR. JEREMY S BEDTELYON |
| Credential | MD |
| Practice Address |
1046 6th Ave Sw Albany OR 97321-1916 |
| Practice Telephone | 5419674249 |
| Practice Fax Number | 5419282942 |
| Mailing Telephone | 5419674249 |
| Mailing Fax Number | 5419282942 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 82687 | MT | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | MD29330 | OR | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD29330 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500608443 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 310 Sunnyview Ln, Kalispell, MT 599013129 | 4067515310 | 4067513068 |
| Street Address |
1046 6TH AVE SW |
| City | ALBANY |
| State | OR |
| Zip Code | 97321-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659341386 | Leo Cytrynbaum | Internal Medicine | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2006-01-25 |
| 1881217818 | Christine Nelson | Occupational Therapist | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2020-05-26 |
| 1982245452 | Cheryl Ann Hanslovan | Pharmacist | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-10-04 |
| 1073163408 | Rebecca Riley Moyes | Registered Nurse | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-09-17 |
| 1811547250 | Jason Da Johnson | Registered Nurse | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-09-17 |
| 1548810989 | Kenneth Nealy | Registered Nurse | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-09-17 |
| 1215596101 | Mitchell V Prunk | Physical Therapist | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-06-13 |
| 1376107250 | Kevin Christopher Bolen | Specialist/Technologist, Other | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-04-26 |
| 1902367527 | Ashley Biegler | Nurse Anesthetist, Certified Registered | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-03-27 |
| 1124583604 | Brooke Danielle Duncan | Dietitian, Registered | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| Find all providers in zip 97321 | ||||
| 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 |
|---|---|---|---|---|
| 1770196602 | Julia A Mason | Internal Medicine | 78 Crescent Dr, Albany, NY 12208-1230 | 2020-08-29 |
| 1659931848 | Hala Elfaki | Internal Medicine | 10 Callaway Circle, Loudonville, Albany, NY 12211-1221 | 2019-06-19 |
| 1447720271 | Paul E Lemanski Md Pllc | Internal Medicine | 2 Executive Park Dr Ste 1, Albany, NY 12203-3700 | 2018-12-05 |
| 1528595147 | Asha Pandu | Internal Medicine | 178 Washington Avenue Ext # Mc-58, Albany, NY 12203-5304 | 2017-05-13 |
| 1720531080 | Hania Shahid | Internal Medicine | 47 New Scotland Avenue, Dept of Internal Medicine, Albany, NY 12208-3412 | 2016-08-03 |
| 1376995431 | Asad Ullah | Internal Medicine | 47 New Scotland Ave # Mc-17, Albany, NY 12208-3412 | 2016-07-12 |
| 1831552397 | Mukund Madhaw Das | Internal Medicine | St. Peter's Hospital of The City of Albany, Hospitalist Department 315 So Manning Blvd, Albany, NY 12208 | 2016-04-01 |
| 1295128619 | Erik Rueckert | Internal Medicine | 400 Hickory St Nw # 300, Albany, OR 97321-1700 | 2015-03-10 |
| 1003207978 | Emmanuelle Cordero Torres | Internal Medicine | 47 New Scotland Ave Dept of Nephrology, Albany Medical Center, Albany, NY 12208 | 2015-02-12 |
| 1376944348 | Ravi Vuthoori | Internal Medicine | 43 New Scotland Ave # Mc-50, Albany, NY 12208-3412 | 2014-09-10 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on DR. JEREMY S BEDTELYON.
| 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.