VA ROSEBURG HEALTH CARE SYSTEM (NPI# 1528093721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528093721 |
| Entity Type | Organization |
| Organization Name | VA ROSEBURG HEALTH CARE SYSTEM |
| Practice Address |
913 Nw Garden Valley Blvd Roseburg OR 97470-6523 |
| Practice Telephone | 5414401000 |
| Practice Fax Number | 5414401366 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GEORGE MARNELL (DIRECTOR) |
| Authorized Official Telephone | 5414401000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
085075393N6 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497002091 | Va Roseburg Health Care System | Clinic/Center | 607 Corona Loop Rd, Roseburg, OR 97471-9133 | 2012-08-14 |
| 1467548917 | Va Roseburg Health Care System | Clinic/Center | 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 | 2006-10-04 |
| Street Address |
913 NW GARDEN VALLEY BLVD |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-6523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003874546 | Roseburg Vamc | Department of Veterans Affairs (VA) Pharmacy | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2006-05-03 |
| 1114525607 | Kenny Duong | Pharmacist | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2020-10-15 |
| 1588262521 | Ayman Alholail | Pharmacist | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2020-10-12 |
| 1194332528 | Carrie Webster | Psychologist | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2020-09-29 |
| 1619580776 | Shane Gamble | Dietitian, Registered | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2020-08-28 |
| 1942811658 | Shannon O'leary | Pharmacist | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2020-08-14 |
| 1215554209 | Joseph Albrecht | Dietitian, Registered | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2020-06-25 |
| 1609402601 | Crystal Marie Leatherman | Dietitian, Registered | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6513 | 2020-03-21 |
| 1477189710 | Foua Xiong | Pharmacist | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2020-03-18 |
| 1700425741 | Leah Isip | Pharmacist | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2019-12-21 |
| Find all providers in the same location | ||||
| 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 | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801978382 | Janet G. Eggers | Nurse Practitioner | 621 W. Madrone St, Roseburg, OR 97470-3090 | 2006-10-20 |
| 1629178835 | Ann R Sedlacek | Nurse Practitioner | 428 Se Chadwick St, Roseburg, OR 97470-4340 | 2006-09-25 |
| 1811327364 | Suellen Adams Mclaughlin | Nurse Practitioner | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2013-11-20 |
| 1215244793 | Carlie G Corbin | Nurse Practitioner | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2010-09-07 |
| 1942365812 | Nancy A West | Nurse Practitioner | 621 W Madrone St, Roseburg, OR 97470-3090 | 2006-12-22 |
| 1730298977 | Cassandra Mae Donlon-silvestri | Nurse Practitioner | 913 Nw Garden Vally Blvd, Roseburg Veterans Administration Health Care System, Roseburg, OR 97470 | 2006-08-30 |
| 1891803532 | Elizabeth A. Davis | Nurse Practitioner | 913 Nw Garden Valley Blvd, Mhc (200), Roseburg, OR 97470-6523 | 2006-08-25 |
| 1992720965 | Tamara R Lee | Nurse Practitioner | 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 | 2006-07-12 |
| 1013949676 | Jo Ann G. Berenbach | Nurse Practitioner | 913 Nw Garden Valley Blvd, Building 2 Mhc, Roseburg, OR 97470-6523 | 2006-07-06 |
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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.