JAY ROBERT ANDERSON (NPI# 1407218639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407218639 |
| Entity Type | Individual |
| Full Name | JAY ROBERT ANDERSON |
| Credential | DO |
| Practice Address |
200 Mullins Dr Western University Comp-nw Lebanon OR 97355-3983 |
| Mailing Address |
1111 S Saint Louis Ave Tulsa OK 74120-5440 |
| Practice Telephone | 5036888370 |
| Mailing Telephone | 9186194726 |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2018-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952438319 | Jay Patrick Anderson | Chiropractor | 751 Michigan Ave, Waterville, OH 43566-1052 | 2007-02-27 |
| 1558360362 | Jay D. Anderson | Chiropractor | 57 E 800 N, Spanish Fork, UT 84660-1210 | 2005-07-14 |
| 1356736011 | Jay Anderson | Internal Medicine | 3595 Olentangy River Rd, Columbus, OH 43214 | 2015-03-31 |
| 1225457674 | Jay Wesley Anderson | Internal Medicine | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2014-04-14 |
| 1902246465 | Jay Marcus Anderson | Internal Medicine | 201 9th St Se, Rochester, MN 55904-6768 | 2013-06-28 |
| 1194070110 | Jay Rosamond Anderson | Dentist | 1125 E California Ave, Bakersfield, CA 93307-1201 | 2012-07-16 |
| 1407131071 | Jay S Anderson | Pharmacist | 1070 Western Ave, Chillicothe, OH 45601-1174 | 2011-10-14 |
| 1528245784 | Jay Michael Anderson | Internal Medicine | 240 Sheraton Blvd, Macon, GA 31210-1358 | 2008-01-29 |
| 1457579534 | Jay Frank Anderson | Dentist | 6565 S Yale Ave, Ste. 1008, Tulsa, OK 74136-8378 | 2007-04-23 |
| 1649393927 | Jay C Anderson | Internal Medicine | 729 N Custer Ave, Grand Island, NE 68803-4311 | 2007-04-09 |
| Street Address |
200 MULLINS DR WESTERN UNIVERSITY COMP-NW |
| City | LEBANON |
| State | OR |
| Zip Code | 97355-3983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497721625 | Derrick John Sorweide | Family Medicine | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2006-02-27 |
| 1245847060 | Arkady Hovssepian | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-09-25 |
| 1447872536 | Nathan Thomas Milojevic | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-05-11 |
| 1659991529 | Bridget Walsh Dahlberg | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-04-21 |
| 1750901641 | Lisa Huynh | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-04-20 |
| 1639799760 | Chatrathip Nasongkla | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-04-18 |
| 1376163675 | Alexandra Dalton | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-04-16 |
| 1902425713 | Daniel Carter | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-04-11 |
| 1316566391 | Nicholas Woo | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-04-10 |
| 1720607773 | Ashley Mcroberts | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
| 1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
| 1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
| 1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
| 1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
| 1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
| 1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
| 1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
| Find all providers in zip 97355 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810254 | Sarah Brice West | Student in an Organized Health Care Education/Training Program | 34376 Bond Rd, Lebanon, OR 97355-9480 | 2020-08-03 |
| 1659990927 | Allison Marie Lane | Student in an Organized Health Care Education/Training Program | 921 Lebanon Hwy, Lebanon, TN 37087-9231 | 2020-04-15 |
| 1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
| 1821559386 | Anna Olds | Student in an Organized Health Care Education/Training Program | 97 Dreahook Rd, Lebanon, NJ 08833-5014 | 2019-03-27 |
| 1508324310 | Michael Joseph Hynds | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr Unit H2063, Lebanon, OR 97355-3983 | 2019-03-11 |
| 1215495296 | Stephen Klippenstein | Student in an Organized Health Care Education/Training Program | 53 E Sherman St Apt 2, Lebanon, OR 97355-3254 | 2019-03-07 |
| 1184182404 | Kathleen Y Jarman | Student in an Organized Health Care Education/Training Program | 178 E Jadon Dr, Lebanon, OR 97355-1696 | 2019-03-05 |
| 1548728025 | Conor Hegewald | Student in an Organized Health Care Education/Training Program | 300 Boulder Falls Dr Apt E219, Lebanon, OR 97355-2883 | 2019-03-04 |
| 1003374588 | Nicole Kosmider | Student in an Organized Health Care Education/Training Program | 300 Boulder Falls Dr Apt I334, Lebanon, OR 97355-2884 | 2019-03-04 |
| 1457815698 | Cassie Kennedy | Student in an Organized Health Care Education/Training Program | 200 Peace Ave, Lebanon, TN 37087-8626 | 2019-01-22 |
| Find all providers in LEBANON | ||||
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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.