CLINTON E PRESTON (NPI# 1467441048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467441048 |
| Entity Type | Individual |
| Full Name | CLINTON E PRESTON |
| Credential | M.D. |
| Practice Address |
1700 Geary St Se Albany OR 97322-6842 |
| Practice Telephone | 5418125500 |
| Practice Fax Number | 5418125505 |
| Mailing Telephone | 5418125500 |
| Mailing Fax Number | 5418125505 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2015-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD172857 | OR | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 6238A | WY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0057811 | 05 | |
| WY | RAILROAD MEDICARE | 080179382 | 01 |
| WY | 114905900 | 05 | |
| WY | BLUE CROSS BLUE SHIELD | 311187 | 01 |
| Street Address |
1700 GEARY ST SE |
| City | ALBANY |
| State | OR |
| Zip Code | 97322-6842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316302672 | Albany General Hospital | Pharmacist | 1700 Geary St Se, Albany, OR 97322-6842 | 2015-12-30 |
| 1063877454 | Justin Matthew Lux | Pharmacist | 1700 Geary St Se, Albany, OR 97322-6842 | 2015-12-29 |
| 1912362302 | Gary Haworth | Pharmacist | 1700 Geary St Se, Albany, OR 97322-6842 | 2015-12-29 |
| 1609260728 | Sara Jill Bybee | Family Medicine | 1700 Geary St Se, Albany, OR 97322-6842 | 2015-03-26 |
| 1558776047 | Albany General Hospital | Family Medicine | 1700 Geary St Se, Suite 300a, Albany, OR 97322-6842 | 2014-06-24 |
| 1629480553 | Samuel Blechman Milstein | Family Medicine | 1700 Geary St Se, Albany, OR 97322 | 2014-05-27 |
| 1952711293 | Christine Forester | Pharmacist | 1700 Geary St Se, Albany, OR 97322 | 2014-05-07 |
| 1235567108 | Sally Manibusan | Pharmacist | 1700 Geary St Se, Albany, OR 97322-6842 | 2013-10-30 |
| 1366793846 | Elizabeth Gienger | Nurse Practitioner | 1700 Geary St Se, Albany, OR 97322-6842 | 2012-09-25 |
| 1265794697 | Emily Claire Looney | Family Medicine | 1700 Geary St Se, Albany, OR 97322-6842 | 2012-06-12 |
| Find all providers in the same location | ||||
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417489808 | Thomas Miguel Castaneda | Emergency Medicine | 47 New Scotland Ave, Dept. of Emergency Medicine, Albany, NY 12208 | 2017-04-03 |
| 1366896581 | Collin Andrew Wulff | Emergency Medicine | 162 Ne Cloverdale Dr, Albany, OR 97321-1623 | 2016-04-14 |
| 1598000655 | St Peters Health Partners Medical Associates, PC | Emergency Medicine | 1444 Western Avenue, Suite C, St. Peter's Family Medicine, Albany, NY 12203 | 2012-11-30 |
| 1255692554 | Alicia G. Lydecker | Emergency Medicine | 43 New Scotland Ave # Mc-139, Albany, NY 12208-3412 | 2012-06-04 |
| 1730404773 | Han H Chang | Emergency Medicine | 2669 Laura Vista Dr Nw, Albany, OR 97321-4106 | 2010-04-01 |
| 1346403268 | Tristan S Cooper | Emergency Medicine | 47 New Scotland Ave, Mail Code 39, Albany Medical Center - Dept of Emergency Medicine, Albany, NY 12208 | 2008-07-10 |
| 1326268491 | Michael Francis Ciccarelli Jr. | Emergency Medicine | 43 New Scotland Avenue, Albany Medical Center, Albany, NY 12208 | 2007-04-30 |
| 1194871715 | Amy Marie Little | Emergency Medicine | 196 Homestead Ave, Albany, NY 12206-1428 | 2007-01-26 |
| 1740354984 | Andrew N Meister | Emergency Medicine | 298 S Main Ave, Albany, NY 12208-2315 | 2006-11-20 |
| 1932216983 | J. Thalia Cunningham | Emergency Medicine | 113 Holland Ave # Avenu3, Albany, NY 12208-3410 | 2006-08-24 |
| 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.