MR. RICKEY SAM FAUVOR (NPI# 1295896835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295896835 |
| Entity Type | Individual |
| Full Name | MR. RICKEY SAM FAUVOR |
| Other Name | MR. RICKEY SAM VETKOS |
| Practice Address |
1150 Garfield St Eugene OR 97402 |
| Mailing Address |
1939 E Burnside St Portland OR 97214-1535 |
| Practice Telephone | 5413459748 |
| Practice Fax Number | 5413456315 |
| Mailing Telephone | 5032336141 |
| Mailing Fax Number | 5032332889 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2013-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | HAS-P-916188 | OR | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 051347 | 05 |
| Street Address |
1150 GARFIELD ST |
| City | EUGENE |
| State | OR |
| Zip Code | 97402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407209372 | Northland Hearing Centers, Inc | Hearing Aid Equipment | 1150 Garfield St, Eugene, OR 97402-3513 | 2016-07-15 |
| 1780073288 | Ns Hearing Network | Hearing Aid Equipment | 1150 Garfield St, Eugene, OR 97402-3513 | 2015-01-21 |
| 1801140504 | Brandi R Whittle | Hearing Instrument Specialist | 1150 Garfield St, Eugene, OR 97402-3513 | 2012-11-01 |
| 1619206166 | Kevin R Fura | Hearing Instrument Specialist | 1150 Garfield St, Eugene, OR 97402-3513 | 2009-12-11 |
| 1497876387 | Mccrae Management & Investments, Ltd. | Hearing Aid Equipment | 1150 Garfield St, Eugene, OR 97402-3513 | 2007-04-02 |
| 1073643391 | Brian A Christensen | Hearing Instrument Specialist | 1150 Garfield St, Eugene, OR 97402-3513 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1104462134 | Cerridwen Laurel Martin | Massage Therapist | 775 Monroe St., Eugene, OR 97402 | 2019-11-25 |
| 1720556368 | Valerie Jeanne Charles | Massage Therapist | 989 Throne Dr., Eugene, OR 97402 | 2018-11-12 |
| 1407324189 | Laura Angulo | Massage Therapist | 1247 W 8th Ave Apt 10, Eugene, OR 97402 | 2018-11-11 |
| 1932687472 | Karl Alan Porter | Counselor | 1195 City View St Ste B, Eugene, OR 97402 | 2018-08-06 |
| 1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
| 1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
| 1447740527 | Shasta Tobi Cooke | Behavioral Analyst | 677 1/2 W 12th Ave, Eugene, OR 97402 | 2018-05-15 |
| 1497205306 | Jenna Bracco | Social Worker | 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 | 2016-10-04 |
| 1871041392 | Jeremy Powers | Massage Therapist | 882 Van Buren St, Eugene, OR 97402 | 2016-09-13 |
| Find all providers in zip 97402 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629538608 | Shawn Michael Feddersen | Hearing Instrument Specialist | 1020 Green Acres Rd #8, Eugene, OR 97408 | 2019-03-25 |
| 1457818080 | Emma Elizabeth Britten | Hearing Instrument Specialist | 401 E 10th Ave Ste 110, Eugene, OR 97401-3356 | 2019-03-01 |
| 1508358466 | Richard Ernest Swanson | Hearing Instrument Specialist | 1400 Executive Pkwy Ste 330, Eugene, OR 97401-7121 | 2018-06-05 |
| 1356736706 | Cole Miller | Hearing Instrument Specialist | 1020 Green Acres Rd Ste 8, Eugene, OR 97408-1715 | 2015-04-02 |
| 1245534650 | Martha Louise Thomas-kocer | Hearing Instrument Specialist | 2001 Franklin Blvd Ste 5, Eugene, OR 97403-2097 | 2010-12-28 |
| 1144462888 | Donald Joseph Cloutier | Hearing Instrument Specialist | 1142 Willagillespie Rd Ste 20, Eugene, OR 97401-6726 | 2009-03-26 |
| 1760633127 | Grant Gording | Hearing Instrument Specialist | 1020 Green Acres Rd, Suite Number 8, Eugene, OR 97408-1765 | 2008-10-03 |
| 1023142551 | Beltone Hearing Center | Hearing Instrument Specialist | 1746 W 10th Ave, Eugene, OR 97402-3710 | 2007-03-15 |
| 1720498009 | Timothy Joel Villasenor | Hearing Instrument Specialist | 1746 W 10th Ave, Eugene, OR 97402-3710 | 2014-05-07 |
| 1801140504 | Brandi R Whittle | Hearing Instrument Specialist | 1150 Garfield St, Eugene, OR 97402-3513 | 2012-11-01 |
| Find all providers in EUGENE | ||||
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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.