JAY N. GADE, MD, PHD, PC (NPI# 1255520383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255520383 |
| Entity Type | Organization |
| Organization Name | JAY N. GADE, MD, PHD, PC |
| Practice Address |
2579 Nw Edenbower Blvd Roseburg OR 97470-6220 |
| Practice Telephone | 5419571141 |
| Practice Fax Number | 5419571466 |
| Mailing Telephone | 5419571141 |
| Mailing Fax Number | 5419571466 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |
| Authorized Official Name | DR. JAY N GADE (OWNER) |
| Authorized Official Telephone | 5419571141 |
| Authorized Official Credential | M.D., PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD20360 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 150092 | 05 |
| Street Address |
2579 NW EDENBOWER BLVD |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-6220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073912010 | Centennial Medical Group | Pediatrics | 2579 Nw Edenbower Blvd, Roseburg, OR 97471-6220 | 2014-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467475137 | Julee K. Richards | Dermatology | 341 Medical Loop Ste 110, Roseburg, OR 97471-5546 | 2006-07-25 |
| 1447222724 | Jay N Gade | Dermatology | 2440 Nw Edenbower Blvd, Roseburg, OR 97471-8847 | 2006-02-02 |
| 1134449366 | Kaylan Lawson Weese | Dermatology | 2440 Nw Edenbower Blvd, Roseburg, OR 97471-8847 | 2010-06-10 |
| 1891850814 | Julee Richards Md PC | Dermatology | 341 Medical Loop, Ste 110, Roseburg, OR 97471-5546 | 2006-12-27 |
| 1053379826 | Paul Douglas Reicherter | Dermatology | 1813 W Harvard Ave, Ste 310, Roseburg, OR 97471-2752 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891327185 | Clear Choice Dermatology | Dermatology | 1815 E 15th St Ste B, The Dalles, OR 97058-3309 | 2020-02-05 |
| 1508303561 | Carter Kroeplin Haag | Dermatology | 3303 S Bond Ave # 16d, Portland, OR 97239-4501 | 2017-01-27 |
| 1043765134 | Noelle Teske | Dermatology | 3303 S Bond Ave Fl 16, Portland, OR 97239-4501 | 2016-08-18 |
| 1134579535 | Caroline Morris | Dermatology | 3303 S Bond Ave # Chh16d, Portland, OR 97239-4501 | 2016-06-16 |
| 1902260425 | Sarah Baca | Dermatology | 1800 Blankenship Rd Ste 448, West Linn, OR 97068-4191 | 2016-04-11 |
| 1194110288 | Betty Si Yuan Jiang | Dermatology | 17704 Jean Way Ste 102, Lake Oswego, OR 97035-5585 | 2015-04-06 |
| 1033539184 | Natasha Fewkes Carter | Dermatology | 4914 Sw 1st Ave, Portland, OR 97239-2883 | 2014-04-16 |
| 1538588504 | Elizabeth Berry | Dermatology | Ohsu Department of Dermatology, 3303 Sw Bond Ave Ch 16d, Portland, OR 97239-4501 | 2014-04-07 |
| 1851712038 | Charles Raymond Hahn | Dermatology | 187 Sw Eastman Pkwy, Ste. #72, Gresham, OR 97080-7002 | 2013-12-14 |
| 1225370927 | Alan Barry Lachman | Dermatology | 2630 Nw 144th Ave, Suite #100, Beaverton, OR 97006-5470 | 2013-03-20 |
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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.