CARL RUSSELL GRIESSER


Address: 555 Black Oak Drive, Suite 100, Medford Medical Clinic, Medford, OR 97504
Phone: 5417343430

CARL RUSSELL GRIESSER (NPI# 1316214281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316214281
Entity Type Individual
Full Name CARL RUSSELL GRIESSER
Credential MD
Practice Address 555 Black Oak Drive, Suite 100
Medford Medical Clinic
Medford
OR 97504
Practice Telephone 5417343430
Practice Fax Number 5417343638
Mailing Telephone 5417343430
Mailing Fax Number 5417343638
Enumeration Date 2011-11-21
Last Update Date 2020-10-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MD155331 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR OMAP 067665 01
OR 227698 05

Office Location

Street Address 555 BLACK OAK DRIVE, SUITE 100
MEDFORD MEDICAL CLINIC
City MEDFORD
State OR
Zip Code 97504

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346847332 Jasmine Barnhart Family Medicine 1935 Canyon Ave, Medford, OR 97504-2128 2020-10-03
1831742667 Mallory Marie Morton Family Medicine 429 Main St # 3, Medford, MA 02155-6571 2019-07-21
1841619418 Andrew Thomas Gomez Family Medicine 131 Rte 70 W, Ste 100, Medford, NJ 08055 2014-04-10
1992140313 Stephanie Guido Family Medicine 128 Route 70 Ste Aandb, Medford, NJ 08055-2371 2013-04-30
1649591223 Wesley T Ramoso Family Medicine 3225 Hillcrest Park Dr, Medford, OR 97504-7657 2010-06-17
1891945812 Amy Holmes Medical Services Plc Family Medicine 102 E Cherokee, Medford, OK 73759-1210 2008-09-26
1972793370 Sowmya Reddy Thadisina Family Medicine 101 Main St Ste 214, Medford, MA 02155-4530 2007-07-31
1689890667 James K Robinson II Family Medicine W5238 Jolly Ave, Medford, WI 54451-9303 2007-04-18
1316160658 Island Medical of Medford, LLP Family Medicine 1647 Route 112, Medford, NY 11763-3635 2007-04-11
1518088376 Helen Trew Family Medicine 2921 Doctors Park Dr, Medford, OR 97504-8127 2007-04-02
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Competitor

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City MEDFORD
Zip Code 97504

Improve Information

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Dataset Information

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.

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