MR. ROBERT WILLIAM DOLAN


Address: 1600 State St, Salem, OR 97301-4257
Phone: 5035406400

MR. ROBERT WILLIAM DOLAN (NPI# 1508400979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508400979
Entity Type Individual
Full Name MR. ROBERT WILLIAM DOLAN
Credential PA-C
Practice Address 1600 State St
Salem
OR 97301-4257
Practice Telephone 5035406400
Practice Fax Number 5035406404
Mailing Telephone 5035406400
Mailing Fax Number 5035406404
Enumeration Date 2019-10-29
Last Update Date 2019-12-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant PA192557 OR Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA192557 OR Physician Assistants & Advanced Practice Nursing Providers

Other Providers ROBERT DOLAN

NPI Name Taxonomy Address Enumeration
1710307236 Robert Vincent Dolan Surgery 1541 Lindendale Ave, Fullerton, CA 92831-1118 2014-04-23
1609942317 Robert Raymond Dolan Dentist 314 East Robinson Street, Carmi, IL 62821 2006-11-27
1447782453 Robert Dolan Student in an Organized Health Care Education/Training Program 701 Park Ave, Minneapolis, MN 55415-1623 2017-03-29
1386786937 Robert James Dolan Dentist 30 Office Park Way, Tobey Village Office Park, Pittsford, NY 14534-1734 2007-02-12
1821150871 Robert T Dolan Anesthesiology 60 Dudley St, Apt. 228, Chelsea, MA 02150-3054 2006-12-15
1992801195 Robert W Dolan Otolaryngology Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 2006-09-15
1558396614 Robert P. Dolan Internal Medicine 1551 Professional Ln Unit 290, Longmont, CO 80501-6970 2006-07-11

Office Location

Street Address 1600 STATE ST
City SALEM
State OR
Zip Code 97301-4257

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740278969 John J Coen Orthopaedic Surgery 1600 State St, Salem, OR 97301-4257 2005-10-11
1033710843 Clarissa Freeman Physical Therapist 1600 State St, Salem, OR 97301-4257 2020-11-06
1760026785 Jesse Wright Physician Assistant 1600 State St, Salem, OR 97301-4257 2019-11-01
1780179523 Michael Alexander Valdez Physician Assistant 1600 State St, Salem, OR 97301-4257 2018-06-25
1306394317 Lawrence Michael Dimacali Physician Assistant 1600 State St, Salem, OR 97301-4257 2016-09-19
1942757224 Rebecca Theisen Physician Assistant 1600 State St, Salem, OR 97301-4257 2016-09-05
1942650825 Thomas Mcgrath Physical Therapist 1600 State St, Salem, OR 97301-4257 2016-06-21
1932595600 Alana Ryan Family Medicine 1600 State St, Salem, OR 97301 2015-04-09
1972909661 Suzanne Michelle Nerli Physician Assistant 1600 State St, Salem, OR 97301-4257 2014-11-07
1750784039 Tommy Vu Physician Assistant 1600 State St, Salem, OR 97301-4257 2014-10-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205450970 Jehan Seals Behavior Technician 3400 State St Set G750, Salem, OR 97301 2020-05-29
1093335929 Sterling Recovery, LLC Dietitian, Registered 3758 Amber St Ne #105, Salem, OR 97301 2020-04-21
1760018360 Riverfront Mental Health LLC Counselor 338 State St, Suite 985, Salem, OR 97301 2020-03-16
1871126888 Amity Beth Haddon Maxwell Social Worker Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 2020-02-18
1861042632 Brenda Grizelda Vargas Behavioral Analyst 3400 State Ste Ste G750, Salem, OR 97301 2019-09-13
1588213177 Natalie Stone Registered Nurse 2045 Siverton Rd Ne, Salem, OR 97301 2019-09-06
1588228720 Jeramy Disenso Counselor 270 Cottage St Ne, Salem, OR 97301 2019-04-23
1801353297 Gwendolyn Kersey Registered Nurse 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 2019-02-21
1841769114 Spine Clinic PC Massage Therapist 1281 Lancaster Drive Ne, Salem, OR 97301 2018-11-16
1013482132 Kellie Linn Hansen Physical Therapist 4049 Market St Se, Salem, OR 97301 2018-10-04
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245538990 Megan S Welch Physician Assistant 16 Pelham Rd Ste 1, Salem, NH 03079 2011-03-04
1265971386 Angela Rehder Physician Assistant 875 Oak St Se, Suite 5020, Salem, OR 97301 2017-02-22
1942757224 Rebecca Theisen Physician Assistant 1600 State St, Salem, OR 97301-4257 2016-09-05
1184965253 Casey Lewis Shaw Physician Assistant 1600 State St, Salem, OR 97301-4257 2013-03-13
1093062960 Christopher J Shields Physician Assistant 16 Pelham Rd, Ste 1, Salem, NH 03079-2826 2012-08-10
1851658975 Nicole L Kehrer Physician Assistant 1600 State St, Salem, OR 97301-4257 2012-04-13
1063795003 Kevin Michael Dennis Physician Assistant 875 Oak St Se, Suite 5020, Salem, OR 97301-3975 2011-09-26
1386948347 Timothy Tseng Physician Assistant 1233 Edgewater St Nw, Salem, OR 97304-4049 2011-01-05
1144520453 Melissa Brooke Barone Physician Assistant 875 Oak St Se, Suite 5020, Salem, OR 97301-3975 2010-11-02
1700110616 Dana Nicole Schenker Physician Assistant 1970 Roanoke Blvd, Salem, VA 24153-6404 2009-09-24
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Competitor

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City SALEM
Zip Code 97301

Improve Information

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Dataset Information

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.

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