DR. JONATHAN DEAN FAY (NPI# 1245592625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245592625 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN DEAN FAY |
| Credential | M.D. |
| Practice Address |
2640 Biehn St Ste 3 Klamath Falls OR 97601-1181 |
| Mailing Address |
2640 Biehn St. Ste 3 Klamath Falls OR 97601-1181 |
| Practice Telephone | 5418843148 |
| Practice Fax Number | 5418843373 |
| Mailing Telephone | 5418843148 |
| Mailing Fax Number | 5418843373 |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD181538 | OR | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 283073 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 207WX0120X |
Ophthalmology Specialization: Cornea and External Diseases Specialist |
MD181538 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500725690 | 05 | |
| NY | MEDICAID | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2615 Almond St, Klamath Falls, OR 976011176 | 5418833688 | 5418833687 |
| 628 N 1st St Ste C, Lakeview, OR 976301545 | 5419473357 | 5419473368 |
| 1201 Thomason Ln, Alturas, CA 961013150 | 5302332020 | 5412335430 |
| Street Address |
2640 BIEHN ST STE 3 |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97601-1181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487311 | Socorro Guadalupe Alcala- Peres | Case Manager/Care Coordinator | 2210 N El Dorado Ave, Klamath Falls, OR 97601 | 2019-09-20 |
| 1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
| 1134699721 | Kristin Asta Ragnarsson | Speech-Language Pathologist | Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 | 2018-11-27 |
| 1730667445 | Nancy Leota Baley | Pharmacist | Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 | 2018-08-03 |
| 1336511260 | Patricia Blauvelt | Occupational Therapy Assistant | 1401 Bryant Williams Dr, Klamath Falls, OR 97601 | 2015-10-30 |
| 1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
| 1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
| 1255692687 | Billy Dean Vermaas | Physical Medicine & Rehabilitation | 204 N. 10th Street, Klamath Falls, OR 97601 | 2012-06-01 |
| 1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
| 1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
| Find all providers in zip 97601 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306055413 | Scott Kenneth Stevens | Ophthalmology | 2640 Biehn St., Suite 3, Klamath Ophthalmology, PC Dba Klamath Eye Center, Klamath Falls, OR 97601-1181 | 2007-05-22 |
| 1962456335 | Daniel Orville Benson | Ophthalmology | 2615 Almond St, Klamath Falls, OR 97601-1176 | 2006-05-20 |
| 1568526952 | Teresa Roleen Graham | Ophthalmology | 1000 Pine St, Klamath Falls, OR 97601 | 2006-12-20 |
| 1336201235 | Teresa Roleen Graham | Ophthalmology | 1000 Pine St, Klamath Falls, OR 97601 | 2006-12-15 |
| 1285668954 | Daniel O Benson, M.d., P.C. | Ophthalmology | 2615 Almond St, Klamath Falls, OR 97601-1176 | 2006-07-10 |
| 1972563781 | Mark Terrence Fay | Ophthalmology | 2640 Biehn St, Klamath Falls, OR 97601-1181 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1003357831 | Sungjae Yang | Ophthalmology | 3375 Sw Terwilliger Bld, Casey Eye Institue, Portland, OR 97239-3098 | 2017-03-13 |
| 1538522669 | Priscilla Quynh-phuong Vu | Ophthalmology | 515 Sw Campus Dr, Portland, OR 97239-3130 | 2016-04-05 |
| 1922483130 | Bradley Seely Md PC | Ophthalmology | 341 Nw Medical Loop Ste 120, Roseburg, OR 97471-5546 | 2015-07-29 |
| 1821472960 | Complete Eye Care, Inc. | Ophthalmology | 500 Nw 20th St Ste 100, Gresham, OR 97030-2442 | 2015-07-18 |
| 1598184525 | Steven Tersigni | Ophthalmology | 66602 Swallow Rd, North Bend, OR 97459-8277 | 2014-04-07 |
| 1750703575 | Oregon Retina, LLP | Ophthalmology | 94225 E. 4th St., Gold Beach, OR 97444 | 2014-01-14 |
| 1962824821 | Oregon Retina, LLP | Ophthalmology | 1095 Alabama Street, Bandon, OR 97411 | 2014-01-13 |
| 1962824060 | Oregon Retina, LLP | Ophthalmology | 855 W Central Blvd, Coquille, OR 97423-1095 | 2014-01-09 |
| 1245579994 | The Eye Center LLC | Ophthalmology | 65 Division Ave Ste E, Eugene, OR 97404 | 2013-01-31 |
| Find all providers with the same taxonomy | ||||
| City | KLAMATH FALLS |
| Zip Code | 97601 |
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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.