CRISTINA CAPANNOLO (NPI# 1346627510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346627510 |
| Entity Type | Individual |
| Full Name | CRISTINA CAPANNOLO |
| Credential | DO |
| Practice Address |
3031 Ne Stephens St Roseburg OR 97470-6237 |
| Mailing Address |
3600 Nw Samaritan Dr Graduate Medical Education Attn: Chrissy Anderson Corvallis OR 97330-3737 |
| Practice Telephone | 5412297038 |
| Mailing Telephone | 5417684906 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DO194623 | OR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 177234 | OR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3031 NE STEPHENS ST |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-6237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265530562 | Richard D Frank | Nurse Practitioner | 3031 Ne Stephens St, Roseburg, OR 97470 | 2006-09-20 |
| 1376000232 | Jeremy C Hollingsead | Nurse Practitioner | 3031 Ne Stephens St, Roseburg, OR 97470-6237 | 2019-02-27 |
| 1174098180 | Jennifer J Manson | Nurse Practitioner | 3031 Ne Stephens St, Roseburg, OR 97470 | 2018-10-05 |
| 1821511809 | Lily Jiadrin Smolinski | Nurse Practitioner | 3031 Ne Stephens St, Roseburg, OR 97470-2752 | 2017-07-20 |
| 1174066278 | Umpqua Health Newton Creek, LLC | Clinic/Center | 3031 Ne Stephens St, Roseburg, OR 97470 | 2016-11-22 |
| 1720445380 | Steven L Jorgensen | Family Medicine | 3031 Ne Stephens St, Roseburg, OR 97470 | 2016-01-26 |
| 1487858940 | Peter Clemens | Family Medicine | 3031 Ne Stephens St, Roseburg, OR 97470 | 2007-06-11 |
| 1477698173 | Layne S Jorgensen | Family Medicine | 3031 Ne Stephens St, Roseburg, OR 97470 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083113245 | Centennial Medical Group East, LLC | Family Medicine | 2510 Nw Edenbower Blvd Ste 152, Roseburg, OR 97471-8899 | 2018-02-02 |
| 1093974107 | Gerald A. Jaworski, M.d., P.C. | Family Medicine | 2282 Nw Troost St Ste 101, Roseburg, OR 97470-6072 | 2008-06-03 |
| 1831230242 | Darryl Brett George | Family Medicine | 455 W Corey Ct, Roseburg, OR 97470-3078 | 2007-02-09 |
| 1629085907 | Rodney Earl Todd | Family Medicine | 2282 Nw Troost St Ste 103, Roseburg, OR 97471-6072 | 2006-08-01 |
| 1780699645 | Augustin Karl Gombart | Family Medicine | 532 W Umpqua St, Roseburg, OR 97470-2951 | 2006-07-29 |
| 1174537047 | Diane Bolduc | Family Medicine | 340 Medical Loop, Roseburg, OR 97470-1645 | 2006-07-28 |
| 1790748028 | Cory L Russell | Family Medicine | 2570 Nw Edenbower Blvd., Ste 100, Roseburg, OR 97471 | 2006-04-08 |
| 1689647844 | Timothy J Powell | Family Medicine | 1937 W Harvard Ave, Roseburg, OR 97471-2720 | 2006-02-08 |
| 1144293648 | Charlton Bryan Mcnutt | Family Medicine | 150 Kenneth Ford Drive, Roseburg, OR 97470-1042 | 2006-02-07 |
| 1598737033 | Laurance Walter Choate | Family Medicine | 1813 W Harvard Ave Ste 201, Roseburg, OR 97471-2754 | 2006-02-07 |
| Find all providers in ROSEBURG | ||||
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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.