OREGON SPECIAL SURGERY CENTER (NPI# 1336705557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336705557 |
| Entity Type | Organization |
| Organization Name | OREGON SPECIAL SURGERY CENTER |
| Practice Address |
2785 River Rd S Salem OR 97302-5883 |
| Mailing Address |
2480 Liberty St Ne Ste 180 Salem OR 97301-8388 |
| Practice Telephone | 5038819459 |
| Practice Fax Number | 5033634373 |
| Mailing Telephone | 5038819459 |
| Mailing Fax Number | 5033634373 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |
| Authorized Official Name | CHONTHICHA CHEN (GENERAL MANAGER) |
| Authorized Official Telephone | 5038819459 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | AMBULATORY SURGERY CENTER | 261QA1903X | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OREGON SPECIAL SURGERY CENTER, LLC | 2785 River Road South, Salem, OR 97302 |
| Street Address |
2785 RIVER RD S |
| City | SALEM |
| State | OR |
| Zip Code | 97302-5883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972902286 | Oregon Specialists Surgery Center LLC | Clinic/Center | 2785 River Rd S, Salem, OR 97302-5883 | 2014-08-22 |
| 1770149908 | Neuromonitoring Specialists | Specialist/Technologist, Other | 2785 River Rd S, Salem, OR 97302-5883 | 2019-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784556 | North Atlantic Surgical Suites, LLC | Clinic/Center | 23 Keewaydin Dr, Salem, NH 03079-2840 | 2017-08-01 |
| 1972902286 | Oregon Specialists Surgery Center LLC | Clinic/Center | 2785 River Rd S, Salem, OR 97302-5883 | 2014-08-22 |
| 1952567257 | Salem Surgical Services | Clinic/Center | 2360 Southeast Blvd, Salem, OH 44460-3418 | 2008-08-06 |
| 1912045154 | Croisan Ridge Surgery Center, LLC | Clinic/Center | 4999 Skyline Rd S # 150, Salem, OR 97306-2009 | 2007-02-01 |
| 1932256278 | The Surgery Center of Salem County LLC | Clinic/Center | 336 Woodstown Rd., Salem, NJ 08079 | 2007-01-05 |
| 1285725713 | The Surgery Center of Salem County LLC | Clinic/Center | 336 Woodstown Rd, Salem, NJ 08079 | 2006-09-28 |
| 1619933264 | Salem Surgery Center, LLC | Clinic/Center | 2525 12st Se, Suite 110, Salem, OR 97302 | 2006-04-23 |
| 1811962103 | Salem Or Ophthalmology Asc LLC | Clinic/Center | 1330 Commercial St Se, Salem, OR 97302-4206 | 2006-02-21 |
| 1538146931 | Willamette Surgery Center LLC | Clinic/Center | 1445 State St, Salem, OR 97301-4248 | 2005-12-27 |
| 1023005139 | Roanoke Valley Center for Sight LLC | Clinic/Center | 438 W Main St, Salem, VA 24153-3610 | 2005-10-04 |
| Find all providers in SALEM | ||||
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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.