WILLAMETTE VALLEY PEDIATRICS (NPI# 1427550557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427550557 |
| Entity Type | Organization |
| Organization Name | WILLAMETTE VALLEY PEDIATRICS |
| Practice Address |
1123 Hill St Se Ste B Albany OR 97322-3292 |
| Practice Telephone | 5412077431 |
| Practice Fax Number | 5416445017 |
| Mailing Telephone | 5412077431 |
| Mailing Fax Number | 5416445017 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |
| Authorized Official Name | BARRY MILLER (ADMIN) |
| Authorized Official Telephone | 3255139265 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD27741 | OR | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WILLAMETTE VALLEY PEDIATRICS | 3276 Se Maritime St, Corvallis, OR 97333 |
| Oregon Corporations, Companies and Business Names | WILLAMETTE VALLEY PEDIATRICS AND ADOLESCENT MEDICINE | 2700 Se Stratus Avenue Suite 405, Mcminnville, OR 97128 |
| Street Address |
1123 HILL ST SE STE B |
| City | ALBANY |
| State | OR |
| Zip Code | 97322-3292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437201993 | Philip A. Prewette | Marriage & Family Therapist | 1123 Hill St Se Ste B, Albany, OR 97322-3292 | 2007-01-17 |
| 1053506758 | Christina M. Miller | Pediatrics | 1123 Hill St Se Ste B, Albany, OR 97322-3292 | 2007-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083109748 | Benjamin Voth | Counselor | 1858 Grand Prairie Rd Se, Albany, OR 97322 | 2018-06-26 |
| 1033534748 | Willamette Orthotics & Prosthetics, LLC | Durable Medical Equipment & Medical Supplies | 1630 9th Ave Se, Albany, OR 97322 | 2014-03-04 |
| 1699035998 | Morgan William Brown | Behavioral Analyst | 1885 21 St Ave Se Apt 44, Albany, OR 97322 | 2012-05-21 |
| 1780986059 | Gene Vang | Pharmacist | 1330 Goldfish Farm Rd Se, Albany, OR 97322 | 2010-11-18 |
| 1427362912 | Kate Fredrickson | Speech-Language Pathologist | 5353 Columbus St. Se, Albany, OR 97322 | 2010-07-27 |
| 1689906455 | Sandy Janiszewski | Registered Nurse | 1970 4th Ave. Se, Ste 120, Albany, OR 97322 | 2010-02-04 |
| 1841527066 | Karina Leonore Towers | Speech-Language Pathologist | 5353 Columbus Street Se, Albany, OR 97322 | 2009-11-09 |
| 1548497951 | T.c.s. Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3012 Se Oakwood Avenue, Albany, OR 97322 | 2009-06-12 |
| 1790932952 | Ramel C Romero | Physical Therapist | 5353 Colombus St Se, Albany, OR 97322 | 2008-08-19 |
| 1023275492 | Michael James | Hearing Instrument Specialist | 1610 9th Av. Se, Albany, OR 97322 | 2008-05-21 |
| Find all providers in zip 97322 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053719302 | Leland Lamar Wince | Pediatrics | 8040 East Clifton Rd, Albany, IN 47320 | 2014-12-18 |
| 1609292697 | Kathleen Keating | Pediatrics | 1 Park Pl Ste 200, Albany, NY 12205-2676 | 2014-03-14 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1275816548 | Community Care Physicians, PC | Pediatrics | 6 Executive Park Drive, Albany, NY 12203-3791 | 2011-09-23 |
| 1265750061 | Douglas Beaty Fair | Pediatrics | 540 Myrtle Ave, Albany, NY 12208-3303 | 2010-05-04 |
| 1962732735 | Debra Blog | Pediatrics | Bureau of Immunization New York State Dept Ofhealth, Empire State Plaza, Corning Tower, Room 649, Albany, NY 12237-0001 | 2009-12-30 |
| 1184825101 | Shirley K Catron M D Psc | Pediatrics | 701 Burkesville Rd, Albany, KY 42602-1654 | 2007-05-29 |
| 1902984784 | Donald N. Mangravite | Pediatrics | 1114 Curtis St, Albany, CA 94706-2421 | 2006-11-01 |
| 1366553901 | Tania Smith | Pediatrics | 600 Pointe North Blvd, Albany, GA 31721-1513 | 2006-08-31 |
| 1861409435 | Cajsa Jane Schumacher | Pediatrics | 103 Great Oaks Blvd, Albany, NY 12203 | 2006-08-03 |
| Find all providers in ALBANY | ||||
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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.