MS. VIVIAN NKEM CHIDI (NPI# 1457517849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457517849 |
| Entity Type | Individual |
| Full Name | MS. VIVIAN NKEM CHIDI |
| Practice Address |
1698 E Mcandrews Rd Ste 170 Medford OR 97504-5589 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5417328500 |
| Practice Fax Number | 5417328501 |
| Mailing Telephone | 5417328500 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MT195484 | PA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 126377 | OH | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD181130 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
1698 E MCANDREWS RD STE 170 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-5589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407844525 | Deidre Goldberg | Nurse Practitioner | 1698 E Mcandrews Rd, Ste 300, Medford, OR 97504-5589 | 2005-10-12 |
| 1063963106 | Providence Health & Services - Oregon | Clinic/Center | 1698 E Mcandrews Rd, Ste 300, Medford, OR 97504-5589 | 2016-10-24 |
| 1992254080 | Yadira Amaral | Community Health Worker | 1698 E Mcandrews Rd, Ste 170, Medford, OR 97504-5589 | 2016-09-29 |
| 1841674173 | Judy Wong | Pharmacist | 1698 E Mcandrews Rd, Suite 400, Medford, OR 97504-5589 | 2015-07-16 |
| 1669870432 | Ashley Auspelmyer | Physician Assistant | 1698 E Mcandrews Rd, Providence Plaza, Suite 280, Medford, OR 97504-5589 | 2014-12-10 |
| 1801292107 | Sara G Hoppe | Physician Assistant | 1698 E Mcandrews Rd, Ste 160, Medford, OR 97504-5589 | 2014-11-13 |
| 1669609954 | Susan Bernier Martin | Registered Nurse | 1698 E Mcandrews Rd, Suite 170, Medford, OR 97504-5589 | 2009-06-15 |
| 1659530442 | Kadi-ann Bryan | Urology | 1698 E Mcandrews Rd, Suite 280, Medford, OR 97504-5589 | 2008-06-05 |
| 1679761944 | Skin Cncr & Ent Center | Specialist | 1698 E Mcandrews Rd, Suite 220, Medford, OR 97504-5589 | 2007-10-11 |
| 1316131279 | Wie-peng Kuo | Surgery | 1698 E Mcandrews Rd, Suite 160, Medford, OR 97504-5589 | 2007-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932679297 | Southern Oregon Medical Clinic LLC | Internal Medicine | 537 Murphy Rd Ste B, Medford, OR 97504-8187 | 2018-11-29 |
| 1043714876 | Winchester Wound Care Specialists Pllc | Internal Medicine | 75 Riverside Ave Ste 4, Medford, MA 02155-4600 | 2018-03-19 |
| 1124387600 | John Retzlaff | Internal Medicine | 6959 Pineridge Dr, Medford, OR 97504-9234 | 2012-05-03 |
| 1144511643 | John Michael Malleis | Internal Medicine | 2859 State St Ste 102, Medford, OR 97504-8495 | 2011-05-02 |
| 1144543687 | Robert P. Williamson Md, P.C. | Internal Medicine | 43 Forest St, Medford, MA 02155-3128 | 2010-03-11 |
| 1104013572 | Cooper Physician Offices | Internal Medicine | 13 Tomlinson Rd, Medford, NJ 08055 | 2007-10-01 |
| 1629196381 | Robin Miller | Internal Medicine | 760 Golf View Dr, Medford, OR 97504-9685 | 2007-03-27 |
| 1225153042 | Stacey Sperling | Internal Medicine | Tufts University Health Svcs, Medford, MA 02155 | 2007-03-20 |
| 1790841666 | James Glass | Internal Medicine | 103 Old Marlton Pike Ste 111, Medford, NJ 08055-8772 | 2006-12-28 |
| 1235225129 | George Schultz | Internal Medicine | 2900 Doctors Park Dr Ste 200, Medford, OR 97504-8198 | 2006-10-05 |
| Find all providers in MEDFORD | ||||
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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.