STAYTON FAMILY PRACTICE INC (NPI# 1285967133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285967133 |
| Entity Type | Organization |
| Organization Name | STAYTON FAMILY PRACTICE INC |
| Other Organization Name | JEFFERSON MEDICAL CLINIC |
| Practice Address |
294 2nd St N Jefferson OR 97352 |
| Mailing Address |
1375 N 10th Ave Stayton OR 97383-2037 |
| Practice Telephone | 5413272380 |
| Practice Fax Number | 5413272382 |
| Mailing Telephone | 5037692641 |
| Mailing Fax Number | 5037693797 |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-10-19 |
| Authorized Official Name | DR. LANCE B LARGE (OWNER) |
| Authorized Official Telephone | 5037692641 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Jefferson Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134604606 | Stayton Family Practice Inc | Family Medicine | 41 E Ash St, Lebanon, OR 97355-3317 | 2018-10-01 |
| 1912130915 | Stayton Family Practice Inc | Family Medicine | 1375 N 10th Ave, Stayton, OR 97383-2037 | 2009-08-25 |
| Street Address |
294 2ND ST N |
| City | JEFFERSON |
| State | OR |
| Zip Code | 97352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033480314 | Ann Schlomer Lehoullier | Veterinarian | 2377 Wintercreek Rd Se, Jefferson, OR 97352 | 2012-01-19 |
| 1326003773 | Recovery Road Inc | Substance Abuse Rehabilitation Facility | 1587 Pacific Ridge Lane Se, Jefferson, OR 97352 | 2006-04-19 |
| 1588667851 | Jefferson Rural Fire Protection Dist | Ambulance | 189 N Main St, Jefferson, OR 97352 | 2005-05-31 |
| 1669689923 | Patrick Lynn Hart | Chiropractor | 277 North Second Street, Jefferson, OR 97352-0621 | 2007-05-17 |
| 1386935211 | Kathleen Marr Chitwood | Dental Hygienist | 12552 Centerwood Rd Se, Jefferson, OR 97352-9283 | 2011-04-26 |
| 1548624646 | Madelyn Marie Hammons | Dental Hygienist | 10822 Enchanted Way Se, Jefferson, OR 97352-9603 | 2016-04-05 |
| 1538622352 | Christopher E. Buck | Counselor | 115 S 2nd St, Jefferson, OR 97352-9701 | 2019-04-09 |
| 1366796823 | Shangri-la Corporation | Community Based Residential Treatment Facility, Mental Illness | 2614 Adams Ln Se, Jefferson, OR 97352-9713 | 2012-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922904 | Hayley Allen | Pharmacist | 2667 Maple Rd, Jefferson, OH 44047-9751 | 2020-11-06 |
| 1619574753 | Jean Carolyn Sheffield | Home Health Aide | 2770 Sylvia Ave, Jefferson, OH 44047-9774 | 2020-10-01 |
| 1346857463 | Jefferson Counseling, LLC | Counselor | 20 Lee St Ste 5, Jefferson, GA 30549-6327 | 2020-09-24 |
| 1982214763 | Kempo Corporation | Clinical Medical Laboratory | 6096 Highway 151, Jefferson, SC 29718-5813 | 2020-08-05 |
| 1245858323 | Jamie Anne Taylor | Massage Therapist | 3511 River Rd Ste B, Jefferson, LA 70121-4162 | 2020-07-06 |
| 1861019739 | Thomas R. Dupree Jr. | Nurse Practitioner | 321 Brooks, Jefferson, TX 75657-4443 | 2020-06-26 |
| 1750908620 | Tammy K Dupree | Nurse Practitioner | 321 Brooks # 321, Jefferson, TX 75657-4443 | 2020-06-26 |
| 1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
| 1831714187 | Danielle Rowe | Dentist | 1363 Pendergrass Rd, Jefferson, GA 30549-3054 | 2020-06-12 |
| 1962027425 | Melody Johnson | Social Worker | 2401 Audubon Trce, Jefferson, LA 70121-1554 | 2020-06-10 |
| Find all providers in JEFFERSON | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740620368 | Jeffrey Allen Richards | Family Medicine | 106 W Washington St Ste 2, Jefferson, IA 50129-1920 | 2013-06-27 |
| 1003041864 | Deborah K. Franley | Family Medicine | 158 W. Jefferson St, Jefferson, OH 44047 | 2009-05-22 |
| 1740475490 | Carol Susan Ribner | Family Medicine | 1780 Presidential Highway, Jefferson, NH 03583-6217 | 2007-09-06 |
| 1730372236 | William Ross Grimsley | Family Medicine | 1689 Old Pendergrass Rd, Suite 340, Jefferson, GA 30549-2708 | 2007-08-20 |
| 1215061437 | Crystal Antrease Maxwell | Family Medicine | 409 East Church Street, Jefferson, SC 29718-8701 | 2007-03-16 |
| 1912065467 | Sandhills Medical Foundation, Inc. | Family Medicine | 409 E Church St, Jefferson, SC 29718-8701 | 2006-12-05 |
| 1790877835 | Jyotir Jani | Family Medicine | 528 Panther Dr, Jefferson, GA 30549-5400 | 2006-09-28 |
| 1508962911 | Bartley R Richards | Family Medicine | 1654 Washington St, Jefferson, GA 30549-2666 | 2006-09-15 |
| 1316054372 | Linda M Welniak | Family Medicine | 840 Racine Street, Jefferson, WI 53549-1053 | 2006-08-24 |
| 1235155334 | David A Rutledge | Family Medicine | 840 W Racine St, Jefferson, WI 53549-1053 | 2006-07-14 |
| Find all providers in JEFFERSON | ||||
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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.