WILLAMETTE ORTHOPEDIC GROUP LLC (NPI# 1336406354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336406354 |
Entity Type | Organization |
Organization Name | WILLAMETTE ORTHOPEDIC GROUP LLC |
Other Organization Name | HOPE ORTHOPEDICS OF OREGON |
Practice Address |
607 Se Jefferson St Dallas OR 97338 |
Mailing Address |
1600 State St Salem OR 97301-4257 |
Practice Telephone | 5035406300 |
Mailing Telephone | 5035406300 |
Mailing Fax Number | 5035406404 |
Enumeration Date | 2012-04-16 |
Last Update Date | 2012-04-16 |
Authorized Official Name | MR. DAVID L SCHLACTUS (CEO) |
Authorized Official Telephone | 5035406375 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
OR | Allopathic & Osteopathic Physicians | |
N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
OR | Allopathic & Osteopathic Physicians | |
N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
OR | Allopathic & Osteopathic Physicians | |
N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
OR | Allopathic & Osteopathic Physicians | |
N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
OR | Allopathic & Osteopathic Physicians | |
N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
OR | Allopathic & Osteopathic Physicians | |
N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
OR | Allopathic & Osteopathic Physicians | |
N | 225100000X | Physical Therapist | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
N | 225XH1200X |
Occupational Therapist Specialization: Hand |
OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
N | 363A00000X | Physician Assistant | OR | Physician Assistants & Advanced Practice Nursing Providers | |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
OR | Physician Assistants & Advanced Practice Nursing Providers | |
Y | 207X00000X | Orthopaedic Surgery | OR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 278220 | 05 |
Other Name | Type Code |
---|---|
Hope Orthopedics of Oregon | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013437862 | Willamette Orthopedic Group LLC | Orthopaedic Surgery | 254 Ne Norton Ln, Mcminnville, OR 97128-8470 | 2017-06-22 |
1588955314 | Willamette Orthopedic Group LLC | Orthopaedic Surgery | 1600 State St, Salem, OR 97301-4257 | 2011-04-27 |
1720315302 | Willamette Orthopedic Group LLC | Orthopaedic Surgery | 1128 Ne 2nd St, Corvallis, OR 97330-6230 | 2009-11-03 |
1811224496 | Willamette Orthopedic Group LLC | Orthopaedic Surgery | 5825 Shoreview Ln N, Keizer, OR 97303-3978 | 2009-11-03 |
1134145360 | Willamette Orthopedic Group LLC | Orthopaedic Surgery | 1600 State St, Salem, OR 97301-4257 | 2006-07-14 |
Street Address |
607 SE JEFFERSON ST |
City | DALLAS |
State | OR |
Zip Code | 97338 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326026261 | William Matthew Lucas | Family Medicine | 607 Se Jefferson St, Dallas, OR 97338-2025 | 2006-01-01 |
1205388949 | James Henry Joerger | Psychologist | 607 Se Jefferson St, Dallas, OR 97338-2025 | 2016-10-28 |
1245428903 | Oregon Family Health, LLC | Clinic/Center | 607 Se Jefferson St, Dallas, OR 97338-2025 | 2007-10-09 |
1275548562 | William Daniel Peffley | Family Medicine | 607 Se Jefferson St, Dallas, OR 97338-2025 | 2006-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164932042 | Stephanie Marie Renfro | Massage Therapist | 289 E Ellendale Ave #601, Dallas, OR 97338 | 2017-10-05 |
1588185953 | Herbert Starr Woodward IIi | Dentist | 201 Se Washington St, Dallas, OR 97338 | 2017-07-06 |
1851708077 | David Mooso | Pharmacist | 321 Nw Kings Valley Highway, Dallas, OR 97338 | 2014-07-21 |
1841615556 | Leslie Lytle | Counselor | 1020 Sw Maple St., Dallas, OR 97338 | 2014-03-04 |
1205265493 | Chung-fan Ni | Counselor | 182 S. W. Academy St., Academy Building, Dallas, OR 97338 | 2013-11-07 |
1215204300 | Ron Fritz | Counselor | 239 E. Ellendale, Suite 602, Dallas, OR 97338 | 2011-11-17 |
1235420167 | Deborah Kennedy | Counselor | 527 Ne Fern Ave, Dallas, OR 97338 | 2011-04-26 |
1821229774 | Chelsea Ruhoff Lee | Physician Assistant | 1000 Se Uglow Avenue, Flaming Medical Center, Dallas, OR 97338 | 2009-07-27 |
1013128560 | Larry J Vuylsteke | Social Worker | 182 S.w. Academy, Dallas, OR 97338 | 2007-05-25 |
1093926123 | Justin W Reed | Counselor | Academy Building, 182 S.w. Academy St. Suite 304, Dallas, OR 97338 | 2007-05-24 |
Find all providers in zip 97338 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215543566 | Ortholonestar, Pllc | Orthopaedic Surgery | 9301 North Central Expy, Tower 1, Ste 500, Dallas, TX 75231-7523 | 2020-09-22 |
1336790971 | Javier Errisuriz | Orthopaedic Surgery | 1130 Beachview St Ste 100, Dallas, TX 75218-3702 | 2019-09-25 |
1710548300 | Emily Skarda | Orthopaedic Surgery | 1801 Inwood Drive, Dallas, TX 75390-8883 | 2019-06-24 |
1275053605 | C3 Assist LLC | Orthopaedic Surgery | 9101 N Central Expy Ste 360, Dallas, TX 75231-5949 | 2017-06-27 |
1467717801 | Louis Baxter Jones | Orthopaedic Surgery | 12222 N Central Expy Ste 210, Dallas, TX 75243 | 2012-07-11 |
1649542564 | Hip & Joint Specialists of North Texas Pllc | Orthopaedic Surgery | 7777 Forest Ln Ste C300g, Dallas, TX 75230-6905 | 2012-02-08 |
1700167814 | David Muzykewicz | Orthopaedic Surgery | 9301 N Central Expy Ste 350, Dallas, TX 75231 | 2011-09-01 |
1497041222 | Premier Muscle Testing LLC | Orthopaedic Surgery | 2409 Wild Cherry Way, Dallas, TX 75206-8372 | 2011-06-20 |
1801194675 | Dallas Sarcoma Associates Pa | Orthopaedic Surgery | 4728 Crooked Ln, Dallas, TX 75229-4211 | 2011-03-03 |
1386940450 | Justin Friedman | Orthopaedic Surgery | 8220 Walnut Hill Ln Ste 615, Dallas, TX 75231-4424 | 2011-02-07 |
Find all providers in DALLAS |
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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.