OREGON EAR NOSE AND THROAT SURGERY (NPI# 1275821746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275821746 |
| Entity Type | Organization |
| Organization Name | OREGON EAR NOSE AND THROAT SURGERY |
| Practice Address |
920 Royal Ave Medford OR 97504-6169 |
| Practice Telephone | 5417797331 |
| Practice Fax Number | 5417793522 |
| Mailing Telephone | 5417797331 |
| Mailing Fax Number | 5417793522 |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-11-16 |
| Authorized Official Name | MS. JANNEY M MARIN (ADMINISTRATOR) |
| Authorized Official Telephone | 5414940500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
920 ROYAL AVE |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114927753 | Michael Steven Narus | Psychiatry & Neurology | 920 Royal Ave, Medford, OR 97504-6169 | 2005-07-26 |
| 1881006997 | Erin Marie Dittmer | Nurse Practitioner | 920 Royal Ave, Medford, OR 97504-6169 | 2014-05-22 |
| 1720424591 | Minji Kim | Psychiatry & Neurology | 920 Royal Ave, Medford, OR 97504-6169 | 2013-05-20 |
| 1790038495 | Jennifer Katharine Boudreaux | Nurse Practitioner | 920 Royal Ave, Medford, OR 97504-6169 | 2012-10-18 |
| 1578821013 | Sabre Amira Patton-fee | Psychiatry & Neurology | 920 Royal Ave, Medford, OR 97504 | 2012-05-02 |
| 1689955536 | Pawani Sachar | Psychiatry & Neurology | 920 Royal Ave, Medford, OR 97504-6169 | 2011-09-06 |
| 1063705887 | Providence Health & Services - Oregon | Clinic/Center | 920 Royal Ave, Medford, OR 97504-6169 | 2011-05-26 |
| 1639279243 | Donald M Olson | Psychiatry & Neurology | 920 Royal Ave, Medford, OR 97504-6169 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073149365 | Medford Surgery Center, LLC | Clinic/Center | 170 Governors Ave Ste 100, Medford, MA 02155-1643 | 2020-03-18 |
| 1679939318 | Crater Lake Surgery Center LLC | Clinic/Center | 833 Bennett Ave, Medford, OR 97504-6715 | 2016-01-11 |
| 1528016656 | Vantage Surgical Associates, LLC | Clinic/Center | 180 Route 70, Medford, NJ 08055 | 2006-05-04 |
| 1841286267 | Surgery Center of Southern Oregon, LLC | Clinic/Center | 2798 E Barnett Rd, Medford, OR 97504-8343 | 2005-09-21 |
| 1932657145 | Cherry Hill Asc LLC | Clinic/Center | 180 Route 70, Medford, NJ 08055-8703 | 2016-09-16 |
| 1982008975 | Surgical Pain Solutions LLC | Clinic/Center | 701 Golf View Dr, Medford, OR 97504 | 2014-10-20 |
| 1124396544 | Valley Plastic Surgery, LLC | Clinic/Center | 1170 Royal Ave, Medford, OR 97504-6101 | 2011-12-13 |
| 1508143330 | Earl H Parrish Md PC | Clinic/Center | 701 Golf View Dr, Medford, OR 97504-9643 | 2011-11-08 |
| 1336479021 | Rogue Valley Surgery Center LLC | Clinic/Center | 2925 Siskiyou Blvd, Medford, OR 97504-8179 | 2010-01-03 |
| 1811196900 | Earl H. Parrish, M.d., P.C. | Clinic/Center | 701 Golf View Dr, Medford, OR 97504-9643 | 2007-07-17 |
| 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.