ROGUE ENDOCRINOLOGY AND METABOLIC CLINIC (NPI# 1306894647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306894647 |
| Entity Type | Organization |
| Organization Name | ROGUE ENDOCRINOLOGY AND METABOLIC CLINIC |
| Practice Address |
3144 State St Medford OR 97504-8450 |
| Practice Telephone | 5417729355 |
| Practice Fax Number | 5417726355 |
| Mailing Telephone | 5417729355 |
| Mailing Fax Number | 5417726355 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-11-13 |
| Authorized Official Name | MRS. KARISSA K STULTS (OPERATIONS MANAGER) |
| Authorized Official Telephone | 5417739772 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Street Address |
3144 STATE ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073061099 | Complete Integrative Care, LLC | Family Medicine | 3144 State St, Medford, OR 97504-8450 | 2016-09-19 |
| 1942670229 | Andrea Giachetti | Registered Nurse | 3144 State St, Medford, OR 97504-8450 | 2015-09-30 |
| 1154647154 | Christine Marie Gehr | Speech-Language Pathologist | 3144 State St, Medford, OR 97504-8450 | 2010-04-15 |
| 1336370329 | Marie Pascale Soderstrom | Speech-Language Pathologist | 3144 State St, Medford, OR 97504-8450 | 2009-08-07 |
| 1528202264 | Rebeccah Lynn Bieri | Occupational Therapist | 3144 State St, Medford, OR 97504-8450 | 2009-04-24 |
| 1629217542 | Barbara J Seus | Speech-Language Pathologist | 3144 State St, Medford, OR 97504-8450 | 2009-02-17 |
| 1255507711 | Jocelynn A Anderson | Speech-Language Pathologist | 3144 State St, Medford, OR 97504-8450 | 2008-05-05 |
| 1942478037 | Danielle V Drosdick | Speech-Language Pathologist | 3144 State St, Medford, OR 97504-8450 | 2008-02-12 |
| 1659555282 | Debra G Robbins | Physician Assistant | 3144 State St, Medford, OR 97504-8450 | 2007-12-18 |
| 1396946968 | Laura Jane Deleruyelle | Nurse Practitioner | 3144 State St, Medford, OR 97504-8450 | 2007-05-30 |
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| 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 |
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| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225225113 | James W. Theen, Md PC | Internal Medicine | 935 Town Centre Dr, Suite B, Medford, OR 97504-6172 | 2007-09-25 |
| 1982652533 | Craig Barry Wexler | Internal Medicine | 1723 N Ocean Ave, Medford, NY 11763-2649 | 2006-05-05 |
| 1134502180 | Annavi Baghel | Internal Medicine | 555 Black Oak Dr Ste 400, Medford, OR 97504-8491 | 2015-07-08 |
| 1710169099 | Patrick Ryan Hungerford | Internal Medicine | 2900 Doctors Park Dr, Suite 200, Medford, OR 97504-8198 | 2007-11-29 |
| 1265658512 | Michael Schaefer | Internal Medicine | 1723 N Ocean Ave, Medford, NY 11763-2649 | 2007-04-17 |
| 1326181710 | Tara J Hamilton | Internal Medicine | 170 Governors Ave, Diabetes Clinic-lawrence Memorial Hospital, Medford, MA 02155-1643 | 2007-02-15 |
| 1205863990 | James William Theen | Internal Medicine | 555 Black Oak Dr, Medford, OR 97504-8447 | 2006-06-27 |
| 1275595811 | Gina L Jones | Internal Medicine | 2900 Doctors Park Dr, Ste 200, Medford, OR 97504-8198 | 2006-04-06 |
| 1114993656 | John Thomas Gallen | Internal Medicine | 691 Murphy Road, Suite 107, Medford, OR 97504 | 2006-02-24 |
| 1770563900 | Hallmark Health Medical Associates Inc | Internal Medicine | 170 Governors Ave, Attn: Provider Enrollment, Medford, MA 02155-1643 | 2006-01-23 |
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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.