ELIZABETH ANNE STRUBEL (NPI# 1336394949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336394949 |
Entity Type | Individual |
Full Name | ELIZABETH ANNE STRUBEL |
Credential | P.A. |
Practice Address |
25045 Dunham Ave Veneta OR 97487-9791 |
Mailing Address |
Po Box 819 Veneta OR 97487-0819 |
Practice Telephone | 5419352035 |
Practice Fax Number | 5419356608 |
Mailing Telephone | 5419352035 |
Mailing Fax Number | 5419356608 |
Enumeration Date | 2008-11-24 |
Last Update Date | 2012-12-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | PA01419 | OR | Allopathic & Osteopathic Physicians |
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 427210 | 05 |
Street Address |
25045 DUNHAM AVE |
City | VENETA |
State | OR |
Zip Code | 97487-9791 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962858464 | All Seasons Family Medicine PC | Preferred Provider Organization | 25045 Dunham Ave., Veneta, OR 97487 | 2016-05-13 |
1932440492 | Elizabeth Jane Hoffmann | Veterinarian | 88233 Territorial Hwy, Veneta, OR 97487 | 2013-03-08 |
1730429986 | Ryan P Frome | Veterinarian | 88233 Territorial Rd, Veneta, OR 97487 | 2013-02-26 |
1225254402 | Tracy R Robinson | Dentist | 25078 Hunter Rd., Veneta, OR 97487 | 2007-04-17 |
1770650707 | Christa Hitt | Counselor | 87576 Trek Drive, Veneta, OR 97487 | 2006-11-28 |
1871665745 | Donald C. Stair | Dentist | 25078 Hunter Ave, Veneta, OR 97487 | 2006-11-15 |
1861427627 | Shane Alan Gofourth | Chiropractor | 88124 Territorial Rd., Veneta, OR 97487 | 2006-07-11 |
1518990621 | Icco, LLC | Family Medicine | 87983 Territorial Rd, Veneta, OR 97487 | 2006-07-09 |
1043272214 | Select Physical Therapy Orthopedic Services Inc | Clinic/Center | 24947 Highway 126, Suite D, Veneta, OR 97487 | 2006-04-04 |
1437713252 | Veneta Family Dental | Dentist | 25078 Hunter Rd, Veneta, OR 97487 | 2019-04-26 |
Find all providers in zip 97487 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124460217 | Lauren Rae Bell | Physician Assistant | 87983 Territorial Rd, Veneta, OR 97487-8775 | 2013-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942808605 | Pilar Lorena Lopez | Physician Assistant | 7675 Sw Spruce St, Tigard, OR 97223-8723 | 2020-10-15 |
1730787615 | Michael Hisao Mun Ho Pang | Physician Assistant | 1245 Sw 160th Ave, Beaverton, OR 97006-5052 | 2020-10-13 |
1144834805 | Logan Michael Johnston | Physician Assistant | 3319 Edgeview Ln, Forest Grove, OR 97116-1094 | 2020-09-01 |
1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
1033751433 | Trisha K Loch | Physician Assistant | 781 W Central, Sutherlin, OR 97479 | 2019-10-17 |
1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
1659828044 | Ryan Jones | Physician Assistant | 1775 Thompson Rd Bay Or97420, Coos Bay, OR 97420-2125 | 2016-09-02 |
Find all providers with the same taxonomy |
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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.