MARCUS BERGEN (NPI# 1508061664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508061664 |
| Entity Type | Individual |
| Full Name | MARCUS BERGEN |
| Credential | CRNA |
| Practice Address |
1001 Providence Way Newberg OR 97132 |
| Mailing Address |
2205 Sw 21st Ave Portland OR 97201-2358 |
| Practice Telephone | 5035371796 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1001 PROVIDENCE WAY |
| City | NEWBERG |
| State | OR |
| Zip Code | 97132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692007 | Gabrielle Anastasia Humlie | Dietitian, Registered | 109 W 8th St, Newberg, OR 97132 | 2020-09-03 |
| 1093278111 | Viva Wheaton Psyd LLC | Clinical Neuropsychologist | 603 E. Hancock St, Newberg, OR 97132 | 2019-04-08 |
| 1255847554 | John Nguyen | Physical Therapy Assistant | 1900 E. Fulton St., Newberg, OR 97132 | 2017-12-21 |
| 1154835338 | Breanne Embrey | Pharmacist | 1001 Providence Dr., Newberg, OR 97132 | 2017-11-26 |
| 1174063473 | Patricia Roberts | Hearing Instrument Specialist | 1014 B N Springbrook Rd, Newberg, OR 97132 | 2017-03-06 |
| 1477906048 | Dr. Marsha A. Green, L.L.C. | Community/Behavioral Health | 710c Foothills Dr, Ste 104, Newberg, OR 97132 | 2016-07-19 |
| 1760841308 | George Fox University Physical Therapy Community Clinic | Physical Therapist | 501 Villa Road, Newberg, OR 97132 | 2016-02-10 |
| 1013321389 | Jaecelle Guadiz Galeniece | Family Medicine | 1003 Providence Dr Ste 110, Newberg, OR 97132 | 2014-06-16 |
| 1790116978 | Nancy Stiehler Thurston | Psychologist | 501 N. Villa Rd., Newberg, OR 97132 | 2013-12-12 |
| 1700138856 | Kristen Z. Grbavac O'halloran | Physical Therapist | 1515 Portland Road, Suite 102, Newberg, OR 97132 | 2012-10-12 |
| Find all providers in zip 97132 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982954715 | Joshua Dean Dillard | Nurse Anesthetist, Certified Registered | 1001 N Providence Dr, Newberg, OR 97132-7485 | 2012-09-19 |
| 1326398843 | Kirsten Mcmillan | Nurse Anesthetist, Certified Registered | 1001 Providence Dr, Newberg, OR 97132 | 2012-09-12 |
| 1790730059 | Michael Wray | Nurse Anesthetist, Certified Registered | 1001 Providence Dr, Department of Anesthesia, Newberg, OR 97132-7485 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285275495 | Sunstone Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 12538 Sw 134th Ave, Tigard, OR 97223-4721 | 2019-09-30 |
| 1487158390 | Springfield Or Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 1007 Harlow Rd Ste 110, Springfield, OR 97477-7125 | 2018-03-23 |
| 1710400254 | Juniper Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 1835 Nw Pence Ln, Bend, OR 97703-1551 | 2017-07-17 |
| 1174053334 | Kristen M Engstrom Crna LLC | Nurse Anesthetist, Certified Registered | 658 N Main St, Ashland, OR 97520-1710 | 2017-06-19 |
| 1154876183 | Cameron Mcguire | Nurse Anesthetist, Certified Registered | 930 9th Ave Sw, Albany, OR 97321-2419 | 2016-08-19 |
| 1891148094 | Stefany Mcmullen | Nurse Anesthetist, Certified Registered | 5230 Eola Dr Nw, Salem, OR 97304-3355 | 2016-07-22 |
| 1538537121 | Khia Gilbert | Nurse Anesthetist, Certified Registered | 14415 Se 119th Ave, Clackamas, OR 97015-7217 | 2015-09-13 |
| 1831567551 | Highlands Anesthesia, PC | Nurse Anesthetist, Certified Registered | 17158 Caddis Ct, Sisters, OR 97759-9826 | 2015-09-11 |
| 1518352350 | Jeremy Daniel Noel | Nurse Anesthetist, Certified Registered | 39609 Wall St, Sandy, OR 97055-5394 | 2015-03-30 |
| 1942695770 | 10th Planet LLC | Nurse Anesthetist, Certified Registered | 2125 Se Oak St, Portland, OR 97214-1606 | 2015-03-30 |
| Find all providers with the same taxonomy | ||||
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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.