SANDRA LEE EMMONS (NPI# 1376558882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376558882 |
| Entity Type | Individual |
| Full Name | SANDRA LEE EMMONS |
| Credential | MD |
| Practice Address |
1003 Providence Dr Ste 340 Newberg OR 97132-7485 |
| Mailing Address |
7650 Sw Beveland Rd Suite 200 Portland OR 97223-8692 |
| Practice Telephone | 5035382698 |
| Practice Fax Number | 5035549328 |
| Mailing Telephone | 5038551620 |
| Mailing Fax Number | 5038403299 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2016-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD14746 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 216028 | 05 | |
| OR | MEDICARE PTAN | R157974 | 01 |
| Street Address |
1003 PROVIDENCE DR STE 340 |
| City | NEWBERG |
| State | OR |
| Zip Code | 97132-7485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659363190 | Joshua Laurence Johnson IIi | Psychiatry & Neurology | 1003 Providence Dr, Suite 210, Newberg, OR 97132-7521 | 2005-08-19 |
| 1275008096 | Anna L Hiebert | Nurse Practitioner | 1003 Providence Dr, Newberg, OR 97132-7521 | 2018-10-08 |
| 1285091892 | Brandy Hayes | Nurse Practitioner | 1003 Providence Dr, Suite 325, Newberg, OR 97132-7521 | 2016-01-27 |
| 1508267253 | Amanda S Pinzon | Physician Assistant | 1003 Providence Dr, Newberg, OR 97132-7521 | 2014-09-12 |
| 1558787051 | Katherine Schneidmiller | Physician Assistant | 1003 Providence Dr, Newberg, OR 97132-7521 | 2014-03-09 |
| 1073943270 | Katherine Forba | Physician Assistant | 1003 Providence Dr, #210, Newberg, OR 97132-7521 | 2013-11-25 |
| 1447688916 | Jeri Turgesen | Psychologist | 1003 Providence Dr, Suite 101, Newberg, OR 97132-7521 | 2013-10-21 |
| 1497187710 | Providence Health & Services -oregon | Internal Medicine | 1003 Providence Dr, Suite 310, Newberg, OR 97132-7524 | 2013-08-09 |
| 1356786388 | Providence Health & Services - Oregon | Internal Medicine | 1003 Providence Dr, Suite 315, Newberg, OR 97132-7524 | 2013-05-03 |
| 1225378615 | Providence Health & Services - Oregon | Internal Medicine | 1003 Providence Dr, Suite 325, Newberg, OR 97132-7521 | 2013-02-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692007 | Gabrielle Anastasia Humlie | Dietitian, Registered | 109 W 8th St, Newberg, OR 97132 | 2020-09-03 |
| 1093278111 | Viva Wheaton Psyd LLC | Clinical Neuropsychologist | 603 E. Hancock St, Newberg, OR 97132 | 2019-04-08 |
| 1255847554 | John Nguyen | Physical Therapy Assistant | 1900 E. Fulton St., Newberg, OR 97132 | 2017-12-21 |
| 1154835338 | Breanne Embrey | Pharmacist | 1001 Providence Dr., Newberg, OR 97132 | 2017-11-26 |
| 1174063473 | Patricia Roberts | Hearing Instrument Specialist | 1014 B N Springbrook Rd, Newberg, OR 97132 | 2017-03-06 |
| 1477906048 | Dr. Marsha A. Green, L.L.C. | Community/Behavioral Health | 710c Foothills Dr, Ste 104, Newberg, OR 97132 | 2016-07-19 |
| 1760841308 | George Fox University Physical Therapy Community Clinic | Physical Therapist | 501 Villa Road, Newberg, OR 97132 | 2016-02-10 |
| 1013321389 | Jaecelle Guadiz Galeniece | Family Medicine | 1003 Providence Dr Ste 110, Newberg, OR 97132 | 2014-06-16 |
| 1790116978 | Nancy Stiehler Thurston | Psychologist | 501 N. Villa Rd., Newberg, OR 97132 | 2013-12-12 |
| 1700138856 | Kristen Z. Grbavac O'halloran | Physical Therapist | 1515 Portland Road, Suite 102, Newberg, OR 97132 | 2012-10-12 |
| Find all providers in zip 97132 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275820839 | Carolyn Wood Siegele | Obstetrics & Gynecology | 1003 Providence Dr Ste 340, Newberg, OR 97132-7521 | 2011-07-05 |
| 1881612166 | Kevin I Nahm | Obstetrics & Gynecology | 308 Villa Rd Ste 116, Newberg, OR 97132-1881 | 2006-07-17 |
| 1669815197 | Ashlen Torrey Saulson | Obstetrics & Gynecology | 1003 Providence Dr Ste 340, Newberg, OR 97132-7521 | 2013-04-15 |
| 1457616591 | Margaret Elisa Barske | Obstetrics & Gynecology | 1003 Providence Dr, Suite 340, Newberg, OR 97132-7521 | 2012-07-04 |
| 1043475528 | Jennifer E Lin | Obstetrics & Gynecology | 1003 Providence Dr, Suite 340, Newberg, OR 97132-7521 | 2008-07-23 |
| 1558342212 | David P Johnson | Obstetrics & Gynecology | 1003 Providence Dr, Suite 340, Newberg, OR 97132-7485 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063036101 | Integrity Women's Health & Wellness, LLC | Obstetrics & Gynecology | 594 Se Running Springs, Newport, OR 97365 | 2020-06-04 |
| 1265082911 | Lesle Solgaard-tarrant | Obstetrics & Gynecology | 4065 Nw Glen Eden Dr, Corvallis, OR 97330-9164 | 2019-09-16 |
| 1316416902 | Community Birth Group | Obstetrics & Gynecology | 1803 Main St Ste A, Klamath Falls, OR 97601-2636 | 2018-11-13 |
| 1215396676 | Hanalore Griffiths | Obstetrics & Gynecology | 11750 Sw Barnes Rd Ste 300, Portland, OR 97225-5911 | 2016-02-14 |
| 1073979233 | Indu Bala Mital | Obstetrics & Gynecology | 104 Wood Duck Ln, Roseburg, OR 97471-7845 | 2016-01-04 |
| 1639558836 | Luana Jennifer Hossain | Obstetrics & Gynecology | 2640 Biehn St Ste 1, Klamath Falls, OR 97601-1181 | 2015-05-21 |
| 1942697669 | Rebecca Elizabeth Elliott | Obstetrics & Gynecology | 1698 E Mcandrews Rd Ste 350, Medford, OR 97504-5590 | 2015-04-21 |
| 1487057790 | William Russell Greene | Obstetrics & Gynecology | 2239 Ne 19th Ave, Portland, OR 97212-4616 | 2014-09-30 |
| 1598177933 | Gerhard Tank | Obstetrics & Gynecology | 1357 Redwood Cir Apt 318, Grants Pass, OR 97527-5848 | 2014-05-20 |
| 1538587654 | Gene De Haan | Obstetrics & Gynecology | 3350 N Interstate Ave, Obstretrics and Gynecology, Portland, OR 97227-3011 | 2014-04-04 |
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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.