MR. JEREM ST JOHN EGAN (NPI# 1245409788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245409788 |
| Entity Type | Individual |
| Full Name | MR. JEREM ST JOHN EGAN |
| Credential | LMT |
| Practice Address |
33 N Central Ave Suite 410 Medford OR 97501-5900 |
| Practice Telephone | 5412827950 |
| Practice Fax Number | 5418574531 |
| Mailing Telephone | 5412827950 |
| Mailing Fax Number | 5418574531 |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 13128 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
33 N CENTRAL AVE SUITE 410 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740272715 | Rick Jacobs | Psychologist | 33 N Central Ave, Medford, OR 97501-5939 | 2005-08-16 |
| 1083091540 | Derrick James Lanning | Peer Specialist | 33 N Central Ave, 419, Medford, OR 97501-5900 | 2015-05-04 |
| 1568864429 | Carol Law | Counselor | 33 N Central Ave, Suite 207, Medford, OR 97501-5900 | 2014-09-23 |
| 1215278122 | Jeffrey S Danzik | Social Worker | 33 N Central Ave, 400, Medford, OR 97501-5900 | 2013-03-04 |
| 1417166455 | Shirley Laraine Johnson | Social Worker | 33 N Central Ave, Suite 320, Medford, OR 97501-5900 | 2007-05-22 |
| 1326177833 | Rita Heinz | Social Worker | 33 N Central Ave, Medford, OR 97501-5900 | 2007-03-02 |
| 1568568707 | Mb Healthcare Associates Inc | Specialist | 33 N Central Ave, Suite 425, Medford, OR 97501-5900 | 2006-09-15 |
| 1447286927 | Jennifer J. Hibbs | Social Worker | 33 N Central Ave, Ste. #416, Medford, OR 97501-5900 | 2006-06-25 |
| 1417931395 | Marguerite Jean Smith | Nurse Practitioner | 33 N Central Ave, Suite 425, Medford, OR 97501-5900 | 2005-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686488 | Olivia Berryessa | Massage Therapist | 709 N Phoenix Rd, Medford, OR 97504-9488 | 2020-10-15 |
| 1922613744 | Danielle Roche | Massage Therapist | 8 Big Cone Ln, Medford, NY 11763-4229 | 2020-09-09 |
| 1437768603 | Corinna Horst | Massage Therapist | 1104 E Jackson St, Medford, OR 97504-7029 | 2020-07-23 |
| 1366064685 | Moira Jean Volz I | Massage Therapist | 718 Cardley Ave, Medford, OR 97504-6124 | 2020-05-08 |
| 1194346619 | Pricilla Madera | Massage Therapist | 1345 Center Dr Unit A, Medford, OR 97501-7945 | 2020-05-06 |
| 1497390322 | Tracy Lynn Deal | Massage Therapist | 1550 Biddle Rd Ste C, Medford, OR 97504-4691 | 2019-11-14 |
| 1265075196 | Stephanie Renee Myers | Massage Therapist | 3190 State St Ste 101, Medford, OR 97504-8498 | 2019-10-23 |
| 1720546658 | Anatrypsis Massage and Wellness | Massage Therapist | 711 E Main St Ste 16, Medford, OR 97504-7139 | 2019-03-11 |
| 1457819609 | Gordon Pilotte | Massage Therapist | 5 Boston Ave Ste B, Medford, MA 02155-6721 | 2019-03-06 |
| 1174087092 | Andrey Pravda | Massage Therapist | 2924 Seckel St, Medford, OR 97504-8150 | 2019-01-24 |
| 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.