ALBANY FAMILY AND SPECIALTY MEDICINE (NPI# 1518008994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518008994 |
| Entity Type | Organization |
| Organization Name | ALBANY FAMILY AND SPECIALTY MEDICINE |
| Practice Address |
1705 Waverly Dr Se Albany OR 97322-6952 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 5419678221 |
| Mailing Telephone | 8586252990 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2012-10-16 |
| Authorized Official Name | MR. KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | MD19565 | OR | Suppliers |
| Street Address |
1705 WAVERLY DR SE |
| City | ALBANY |
| State | OR |
| Zip Code | 97322-6952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184603680 | Rebecca L Pengilly | Family Medicine | 1705 Waverly Dr Se, Albany, OR 97322-6952 | 2006-01-12 |
| 1275941486 | Jorden D.. Hinds | Physical Therapist | 1705 Waverly Dr Se, Albany, OR 97322-6952 | 2014-07-31 |
| 1194901405 | Yvonne Elaine Keep | Nurse Practitioner | 1705 Waverly Dr Se, Albany, OR 97322-6952 | 2008-01-16 |
| 1235351974 | Raymond N Chin | Family Medicine | 1705 Waverly Dr Se, Albany, OR 97322-6952 | 2007-05-03 |
| 1518048438 | Richard Lloyd Julyan | Family Medicine | 1705 Waverly Dr Se, Albany, OR 97322-6952 | 2006-10-18 |
| 1598715021 | Christopher P Swan | Family Medicine | 1705 Waverly Dr Se, Albany, OR 97322-6952 | 2006-05-12 |
| 1720038755 | Harry Daniels Moore | Family Medicine | 1705 Waverly Dr Se, Albany, OR 97322-6952 | 2006-05-11 |
| 1992755847 | Jeffrey E Robinson | Family Medicine | 1705 Waverly Dr Se, Albany, OR 97322-6952 | 2006-05-11 |
| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992942221 | Samaritan Firstcare Physicians | Non-Pharmacy Dispensing Site | 400 Nw Hickory Ave, 300, Albany, OR 97321-1700 | 2009-01-08 |
| 1326466244 | New York Oncology Hematology PC | Non-Pharmacy Dispensing Site | 400 Patroon Creek Blvd, Suite 1, Albany, NY 12206-5013 | 2014-03-29 |
| 1073758157 | The Corvallis Clinic At North Albany Village | Non-Pharmacy Dispensing Site | 633 N Albany Rd Nw, Albany, OR 97321-1433 | 2008-12-03 |
| 1265574321 | Geary Street Clinic | Non-Pharmacy Dispensing Site | 1700 Geary St Se, Albany, OR 97322-6842 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931814 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 6910 Se Milwaukie Ave, Portland, OR 97202-5717 | 2020-08-06 |
| 1962012955 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 111 A Ave, Lake Oswego, OR 97034-3116 | 2020-08-04 |
| 1366052367 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 25600 Sw Argyle Ave Ste B, Wilsonville, OR 97070-4701 | 2020-08-04 |
| 1659981652 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 2711 Ne Town Center Dr Ste 2, Hillsboro, OR 97006-8951 | 2020-08-04 |
| 1902416175 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 8179 N Lombard St, Portland, OR 97203-3130 | 2020-08-03 |
| 1144830365 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 945 Nw Lovejoy St, Portland, OR 97209-3475 | 2020-08-03 |
| 1174133300 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 7855 Sw Capitol Hwy, Portland, OR 97219-2465 | 2020-08-03 |
| 1386254514 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 3872 N Mississippi Ave, Portland, OR 97227-1161 | 2020-08-03 |
| 1194335364 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 2490 Willamette St Ste 4, Eugene, OR 97405-7211 | 2020-08-03 |
| 1265042436 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 11355 Sw Scholls Ferry Rd, Beaverton, OR 97008-7167 | 2020-08-03 |
| 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.