PACIFIC CASCADE PAIN AND ANESTHESIA LLC (NPI# 1275167462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275167462 |
| Entity Type | Organization |
| Organization Name | PACIFIC CASCADE PAIN AND ANESTHESIA LLC |
| Practice Address |
2699 N 17th St Coos Bay OR 97420-2134 |
| Mailing Address |
Po Box 1385 Idaho Falls ID 83403-1385 |
| Practice Telephone | 5412663665 |
| Practice Fax Number | 5412690677 |
| Mailing Telephone | 2085252090 |
| Mailing Fax Number | 2085238978 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | LINA DORFMEISTER (OWNER) |
| Authorized Official Telephone | 3027579591 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2699 N 17TH ST |
| City | COOS BAY |
| State | OR |
| Zip Code | 97420-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598758880 | Wesley J Johnson | Orthopaedic Surgery | 2699 N 17th St, Coos Bay, OR 97420-2194 | 2005-08-23 |
| 1548705585 | Matthew E Cornia | Physician Assistant | 2699 N 17th St, Coos Bay, OR 97420-2134 | 2016-12-29 |
| 1528333010 | Dr. King Scope Clinic, LLC | Internal Medicine | 2699 N 17th St, Coos Bay, OR 97420-2134 | 2012-03-15 |
| 1093833717 | Radiology Associates, PC | Specialist | 2699 N 17th St, Coos Bay, OR 97420-2111 | 2007-03-27 |
| 1477651560 | Harry Sirounian | Orthopaedic Surgery | 2699 N 17th St, Coos Bay, OR 97420-2134 | 2006-09-20 |
| 1376551424 | Garry T Vallier | Orthopaedic Surgery | 2699 N 17th St, Coos Bay, OR 97420-2134 | 2006-08-04 |
| 1356388458 | Shaun M Hobson | Orthopaedic Surgery | 2699 N 17th St, Coos Bay, OR 97420-2134 | 2006-05-31 |
| 1396792784 | Alan L Whitney | Orthopaedic Surgery | 2699 N 17th St, Coos Bay, OR 97420-2134 | 2006-05-30 |
| 1871540252 | Jeffrey K Bert | Orthopaedic Surgery | 2699 N 17th St, Coos Bay, OR 97420-2134 | 2006-05-30 |
| 1245284751 | South Coast Orthopaedic Associates, PC | Durable Medical Equipment & Medical Supplies | 2699 N 17th St, Coos Bay, OR 97420-2134 | 2006-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880606 | Danielle Goette | Massage Therapist | 320 Central Ave Suite 226, Coos Bay, OR 97420 | 2020-01-14 |
| 1730643735 | Nicole Hand-therapeutic Massage | Massage Therapist | 3229 Broadway Avenue, Suite D, Coos Bay, OR 97420 | 2019-01-24 |
| 1528531100 | A Better Reality | Clinic/Center | 2690 N. 17th Sstreet, Coos Bay, OR 97420 | 2019-01-07 |
| 1396216883 | Elizabeth Rose Stephens | Health Educator | 97381 Newport Lane, Coos Bay, OR 97420 | 2018-12-10 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1285091884 | Richard T Rigney | Counselor | 62754 Karl Road, Coos Bay, OR 97420 | 2016-01-27 |
| 1821493032 | James Thomas Agee | Pharmacist | 2051 Newmark Avenue, Walmart Pharmacy 1880, Coos Bay, OR 97420 | 2014-10-30 |
| 1346663895 | Steven D. Richardson D.m.d. L.l.c | Dentist | 1835 Ocean Blvd Se, Coos Bay, OR 97420 | 2014-02-03 |
| 1144669243 | Michael Jason Cole | Pharmacist | 1020 South First Ave, Coos Bay, OR 97420 | 2013-06-21 |
| 1639518053 | Jonathan Thomas Small | Physical Therapist | 2645 North 17th St, Coos Bay, OR 97420 | 2013-06-19 |
| Find all providers in zip 97420 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972010767 | William Scott Getty Jr. | Nurse Anesthetist, Certified Registered | 1900 Woodland Dr, Coos Bay, OR 97420-2045 | 2018-01-03 |
| 1124389903 | Matthew S Morris | Nurse Anesthetist, Certified Registered | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2012-06-07 |
| 1255502001 | Jay Alan Bryngelson | Nurse Anesthetist, Certified Registered | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2008-03-20 |
| 1316120868 | Mark B Titcomb | Nurse Anesthetist, Certified Registered | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2007-12-06 |
| 1902008360 | Terry Lee Parthemore II | Nurse Anesthetist, Certified Registered | 1775 Thompson Rd, Coos Bay, OR 97420 | 2007-06-05 |
| 1699875278 | Lina Dorfmeister | Nurse Anesthetist, Certified Registered | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2006-09-24 |
| 1083660856 | Charles E Couture | Nurse Anesthetist, Certified Registered | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2006-05-25 |
| 1760435820 | Douglas A Nasstrom | Nurse Anesthetist, Certified Registered | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2006-05-18 |
| 1740233998 | Steve M Maland | Nurse Anesthetist, Certified Registered | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2006-05-18 |
| 1386605129 | Richard E Beechly | Nurse Anesthetist, Certified Registered | 2699 N 17th St, Coos Bay, OR 97420 | 2006-03-31 |
| Find all providers in COOS BAY | ||||
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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.