GOOD SAMARITAN HOSPITAL CORVALLIS (NPI# 1295114767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295114767 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN HOSPITAL CORVALLIS |
| Other Organization Name | SAMARITAN NEUROMUSCULAR MEDICINE RESIDENT CLINIC |
| Practice Address |
3620 Nw Samaritan Dr Suite 203a Corvallis OR 97330-4714 |
| Mailing Address |
Po Box 1189 Corvallis OR 97339-1189 |
| Practice Telephone | 5417684810 |
| Mailing Telephone | 5417686768 |
| Mailing Fax Number | 5417689771 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2019-12-23 |
| Authorized Official Name | DAVID TRIEBES (CEO) |
| Authorized Official Telephone | 5418124102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 14-1074 | OR | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Samaritan Medical Group Osteopathic Medicine - Corvallis | Doing Business As Name - Organization |
| Samaritan Neuromuscular Medicine Resident Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774751 | Good Samaritan Hospital Corvallis | Psychiatric Hospital | 3509 Nw Samaritan Dr Ste 110, Corvallis, OR 97330-3893 | 2020-03-05 |
| 1073073250 | Good Samaritan Hospital Corvallis | Internal Medicine | 3640 Nw Samaritan Dr Ste 100c, Corvallis, OR 97330-3784 | 2019-03-22 |
| 1164887402 | Good Samaritan Hospital Corvallis | Pharmacist | 3517 Nw Samaritan Dr # 202, Corvallis, OR 97330-3767 | 2015-12-30 |
| 1295103448 | Good Samaritan Hospital Corvallis | Internal Medicine | 441 Nw Elks Dr, Corvallis, OR 97330-3744 | 2015-09-04 |
| 1013326537 | Good Samaritan Hospital Corvallis | Physical Therapist | 845 Sw 30th Street, Corvallis, OR 97331-8629 | 2014-08-08 |
| 1801130612 | Good Samaritan Hospital Corvallis | Clinic/Center | 501 Nw Elks Dr Ste 200, Corvallis, OR 97330-3757 | 2012-11-16 |
| 1275882102 | Good Samaritan Hospital Corvallis | Obstetrics & Gynecology | 3517 Nw Samaritan Drive, Suite 202, Corvallis, OR 97330 | 2012-09-06 |
| 1023376654 | Good Samaritan Hospital Corvallis | Psychiatry & Neurology | 1052 29th Avenue Sw, Albany, OR 97321-3416 | 2012-05-02 |
| 1790041549 | Good Samaritan Hospital Corvallis | Internal Medicine | 5234 Philomath Blvd., Suite B, Corvallis, OR 97330-3767 | 2012-04-05 |
| 1770849572 | Good Samaritan Hospital Corvallis | Psychiatry & Neurology | 3517 Nw Samaritan Drive Suite 101, Corvallis, OR 97330-3768 | 2012-04-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GOOD SAMARITAN HOSPITAL CORVALLIS | 3600 Nw Samaritan Dr, Corvallis, OR 97330 |
| Street Address |
3620 NW SAMARITAN DR SUITE 203A |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-4714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376524694 | Daniel E Stenger | Physician Assistant | 3620 Nw Samaritan Dr, Suite 202, Corvallis, OR 97330-4714 | 2005-11-14 |
| 1477851186 | Good Samaritan Hospital Corvallis | Durable Medical Equipment & Medical Supplies | 3620 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-3784 | 2011-03-03 |
| 1710162623 | Good Samaritan Hospital Corvallis | Orthopaedic Surgery | 3620 Nw Samaritan Dr, Suite201, Corvallis, OR 97330-4714 | 2008-01-09 |
| 1487839544 | Kerri Sue Vela | Physician Assistant | 3620 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-4714 | 2008-01-07 |
| 1750588950 | Vicki B Sullivan | Occupational Therapist | 3620 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-4714 | 2007-06-29 |
| 1215051578 | Christine L. Emmons | Registered Nurse | 3620 Nw Samaritan Dr, Suite 202, Corvallis, OR 97330-4714 | 2007-03-19 |
| 1932215787 | David Jason Cassat | Family Medicine | 3620 Nw Samaritan Dr, Suite 202, Corvallis, OR 97330-4714 | 2006-08-22 |
| 1134142649 | Leon H Malkin | Orthopaedic Surgery | 3620 Nw Samaritan Dr, Ste 201, Corvallis, OR 97330-4714 | 2006-07-25 |
| 1538112792 | Donald W. Pennington | Orthopaedic Surgery | 3620 Nw Samaritan Dr, Suite 202, Corvallis, OR 97330-4714 | 2006-05-18 |
| 1366411241 | Jacqueline Jill Krumrey | Orthopaedic Surgery | 3620 Nw Samaritan Dr, Suite 202, Corvallis, OR 97330-4714 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336549179 | Anna Lobzova | Neuromusculoskeletal Medicine & OMM | 3620 Nw Samaritan Dr Ste 203a, Corvallis, OR 97330-4714 | 2014-08-29 |
| 1063590909 | Sandra Lee Sleszynski | Neuromusculoskeletal Medicine & OMM | 1760 Sw Third Street, Corvallis, OR 97333 | 2006-11-01 |
| 1689127045 | Nicolette Rosendahl | Neuromusculoskeletal Medicine & OMM | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2016-08-02 |
| 1427481977 | Kyle Homertgen, Do, LLC | Neuromusculoskeletal Medicine & OMM | 442 Nw 4th St, Suite 101, Corvallis, OR 97330-6491 | 2013-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720614449 | Keith Turner Slicho, Do, PC | Neuromusculoskeletal Medicine & OMM | 700 Ne Multnomah St Ste 330, Portland, OR 97232-4103 | 2020-03-13 |
| 1891165544 | Still Point Osteopathy and Medical Acupuncture, LLC | Neuromusculoskeletal Medicine & OMM | 2955 N Highway 97, Bend, OR 97703-7559 | 2015-10-06 |
| 1508203332 | Brian Moreaux | Neuromusculoskeletal Medicine & OMM | 850 Siskiyou Blvd Ste 7, Ashland, OR 97520-2125 | 2013-06-03 |
| 1427301035 | Patrick J Wedlake Do PC | Neuromusculoskeletal Medicine & OMM | 85o Siskiyou Blvd, Ste 9, Ashland, OR 97520-2125 | 2012-10-19 |
| 1548402811 | Juliette Sophie Preston | Neuromusculoskeletal Medicine & OMM | 3303 Sw Bond Ave Fl 8, Portland, OR 97239-4501 | 2009-04-01 |
| 1528231636 | Hannah M Fine | Neuromusculoskeletal Medicine & OMM | 1007 Harlow Rd Ste 310, Springfield, OR 97477-7127 | 2008-04-09 |
| 1093841397 | Thomas David Peterson | Neuromusculoskeletal Medicine & OMM | 1178 Charnelton St, Eugene, OR 97401-3431 | 2007-02-23 |
| 1063589323 | Paul E Dart | Neuromusculoskeletal Medicine & OMM | 3495 Harris Street, Eugene, OR 97405-4248 | 2006-11-29 |
| 1629147400 | Paula Lorene Eschtruth | Neuromusculoskeletal Medicine & OMM | 1320 Edgewater St Nw, Suite 110, Salem, OR 97304 | 2006-11-07 |
| 1891871455 | Gregory John Esmer | Neuromusculoskeletal Medicine & OMM | 4039 N Mississippi Ave Ste 203, Portland, OR 97227-1477 | 2006-10-27 |
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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.