GEORGIA N OPHEIM (NPI# 1255494878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255494878 |
| Entity Type | Individual |
| Full Name | GEORGIA N OPHEIM |
| Other Name | GEORGIA N MALELU |
| Credential | MD |
| Practice Address |
1620 E 12th St The Dalles OR 97058 |
| Mailing Address |
Po Box 1520 The Dalles OR 97058 |
| Practice Telephone | 5412969151 |
| Practice Fax Number | 5412969156 |
| Mailing Telephone | 5036457977 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2008-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD13917 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 218112 | 05 |
| Street Address |
1620 E 12TH ST |
| City | THE DALLES |
| State | OR |
| Zip Code | 97058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176613 | Katherine Williams Omer | Pediatrics | 1620 E 12th St, Ste 200, The Dalles, OR 97058-3213 | 2005-07-05 |
| 1093215287 | Richard John Friday | Social Worker | 1620 E 12th St, The Dalles, OR 97058-3213 | 2018-02-14 |
| 1891245999 | Sean Mchugh | Physician Assistant | 1620 E 12th St, The Dalles, OR 97058-3213 | 2016-10-12 |
| 1881067809 | Rebecca Jane Hudson | Nurse Practitioner | 1620 E 12th St, The Dalles, OR 97058-3213 | 2015-11-13 |
| 1457737355 | Kim Whitaker | Family Medicine | 1620 E 12th St, The Dalles, OR 97058 | 2015-08-03 |
| 1982012324 | Jordan Joseph Nagle | Family Medicine | 1620 E 12th St, The Dalles, OR 97058-3213 | 2014-07-29 |
| 1821410531 | Coleen C. Moreno | Social Worker | 1620 E 12th St, The Dalles, OR 97058 | 2014-01-15 |
| 1487076154 | Jessica A Radley | Nurse Practitioner | 1620 E 12th St, The Dalles, OR 97058-3213 | 2014-01-14 |
| 1356607931 | Johanna Clara Nesse | Nurse Practitioner | 1620 E 12th St, The Dalles, OR 97058-3213 | 2012-04-08 |
| 1598072167 | Meghan Coats Mcallister | Nurse Practitioner | 1620 E 12th St, Columbia Hills Family Medicine, The Dalles, OR 97058-3213 | 2010-09-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538646864 | Ashlee Kai Mcnamara | Behavior Technician | 2525 W 8th St., #34, The Dalles, OR 97058 | 2018-07-19 |
| 1548784689 | Mireya Moreno Ibarra | Behavior Technician | 401 East 3rd Street, Suite 101, The Dalles, OR 97058 | 2017-07-31 |
| 1407304991 | Joshua Seidel | Pharmacist | 515 Mt Hood St, The Dalles, OR 97058 | 2016-09-14 |
| 1366809048 | Mid-columbia Medical Center | Surgery | 1810 E. 19th St. #225, The Dalles, OR 97058 | 2016-01-26 |
| 1558731141 | Louise Goodnight | Case Manager/Care Coordinator | 419 East 7 Th Street, The Dalles, OR 97058 | 2015-09-25 |
| 1578944666 | Jessica Donnell | Dental Hygienist | 2529 E 12th St, The Dalles, OR 97058 | 2015-06-15 |
| 1487034328 | Savanna Schaan | Specialist | 609 W 14th St, The Dalles, OR 97058 | 2015-06-05 |
| 1801299102 | Mary E Zenorini | Social Worker | 1620 E. 12th St, The Dalles, OR 97058 | 2014-09-30 |
| 1669889143 | Diane Joan Irwin | Social Worker | 419 E 7th St #207, The Dalles, OR 97058 | 2014-07-17 |
| 1124452008 | Lacey A Nichols | Counselor | 312 E. Third St., The Dalles, OR 97058 | 2013-08-27 |
| Find all providers in zip 97058 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176613 | Katherine Williams Omer | Pediatrics | 1620 E 12th St, Ste 200, The Dalles, OR 97058-3213 | 2005-07-05 |
| 1487811162 | Jaclin M Labarbera | Pediatrics | 1935 E 19th St, The Dalles, OR 97058-3392 | 2008-05-20 |
| 1003025370 | Sara Levine Mccaffrey | Pediatrics | 1620 E 12th St, The Dalles, OR 97058-3213 | 2007-05-22 |
| 1861525636 | Denise I. Fitzsimon | Pediatrics | 1620 E 12th St, The Dalles, OR 97058 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114558368 | Oregon Pediatrics-oregon City, PC | Pediatrics | 1510 Division St Ste 80, Oregon City, OR 97045-1572 | 2020-01-27 |
| 1962911347 | Bend Kids Pediatrics, LLC | Pediatrics | 2748 Nw Crossing Dr Ste 140, Bend, OR 97703-7179 | 2017-09-28 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1235660176 | Erik Grimm | Pediatrics | 16463 Boones Ferry Rd Ste 400, Lake Oswego, OR 97035-4377 | 2017-03-22 |
| 1891178885 | Snake River Pediatrics | Pediatrics | 1050 Sw 3rd Ave Ste 3200, Ontario, OR 97914-4560 | 2015-07-08 |
| 1447663810 | Anh Linh Hoang | Pediatrics | 9243 Ne Glisan St, Portland, OR 97220-4533 | 2014-06-03 |
| 1891126538 | Sydmarie Bisenius | Pediatrics | 24850 Se Stark St Ste 150, Gresham, OR 97030-8318 | 2013-12-05 |
| 1427499367 | Elizabeth Bish Young | Pediatrics | 901 Bellwood Ln, Roseburg, OR 97471-9299 | 2013-07-08 |
| 1255771671 | Steven Donald Mcgaughey | Pediatrics | Ohsu Doernbecher, 3181 Sw Sam Jackson Park Road, Portland, OR 97239-1002 | 2013-06-29 |
| 1508109539 | Ramya Mishra Jariwala | Pediatrics | 9155 Sw Barnes Rd Ste 840, Portland, OR 97225 | 2013-03-28 |
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| City | THE DALLES |
| Zip Code | 97058 |
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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.