RICHELLE GIX (NPI# 1457951147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457951147 |
Entity Type | Individual |
Full Name | RICHELLE GIX |
Practice Address |
150 Ne Kenneth Ford Dr Roseburg OR 97470-1042 |
Mailing Address |
230 Nw Plum Ave Winston OR 97496-6501 |
Practice Telephone | 5416729596 |
Mailing Telephone | 5418179218 |
Enumeration Date | 2020-10-30 |
Last Update Date | 2020-10-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122400000X | Denturist | DT-TMP-10210016 | OR | Dental Providers |
Street Address |
150 NE KENNETH FORD DR |
City | ROSEBURG |
State | OR |
Zip Code | 97470-1042 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801881974 | Joe Wayne Howard Jr. | Dentist | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470 | 2005-09-15 |
1144834912 | Meredith Lafrance | Dietitian, Registered | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2020-08-31 |
1104434224 | Melissa Snell | Family Medicine | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2020-07-14 |
1902428428 | Amal Alyusuf | Family Medicine | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2020-05-07 |
1861012213 | Christy Sunny | Family Medicine | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2020-04-25 |
1013536382 | John Travis Melling | Family Medicine | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2020-04-15 |
1437618691 | Gabrielle Ann Kelly | Family Medicine | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2019-03-18 |
1740761519 | Alex Renee Shaffer | Physician Assistant | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2018-08-28 |
1750878484 | Tsz Ho Wong | Family Medicine | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2018-04-18 |
1295247666 | Teresa Dove | Dental Hygienist | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2017-10-25 |
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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 | 122400000X |
Grouping | Dental Providers |
Classification | Denturist |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831617968 | Eduardo Ramirez | Denturist | 696 Ne Winchester St, Roseburg, OR 97470-3260 | 2017-09-08 |
1790104727 | Artistic Denture Inc | Denturist | 696 Ne Winchester St, Roseburg, OR 97470-3260 | 2014-04-07 |
1235570961 | Randall Scott Clasen | Denturist | 696 Ne Winchester St, Roseburg, OR 97470-3260 | 2013-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316576341 | Madeline M Cain | Denturist | 232 Ne Lincoln St Ste B, Hillsboro, OR 97124-3048 | 2020-04-02 |
1013549575 | Christopher Scott Mayo Jr. | Denturist | 937 Chetco Ave Ste. B, Brookings, OR 97415 | 2020-02-12 |
1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
1063074250 | Rajeev Rugi Siddappa | Denturist | 740 Avenue H, Seaside, OR 97138-6619 | 2019-07-08 |
1548760630 | Stephen Depirro II | Denturist | 740 Avenue H Ste 2, Seaside, OR 97138-6603 | 2018-02-15 |
1770083172 | Valley Denture Care LLC | Denturist | 535 N 5th St, Jacksonville, OR 97530-9704 | 2018-02-13 |
1407364177 | Joseph Rider | Denturist | 1523 Nw Canal Blvd Ste 101, Redmond, OR 97756-1340 | 2018-01-16 |
1821503293 | Calvin Daniel Smith | Denturist | 65 Irving Rd, Eugene, OR 97404 | 2017-12-07 |
1841642287 | Veronika Buliga | Denturist | 6842 Se 66th Ave, Portland, OR 97206-7449 | 2016-07-11 |
1528435237 | Lidiya Bogdan | Denturist | 4637 Se 128th Ave, Portland, OR 97236-3713 | 2015-08-28 |
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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.