ROGUE VALLEY PHYSICIANS (NPI# 1538386123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538386123 |
| Entity Type | Organization |
| Organization Name | ROGUE VALLEY PHYSICIANS |
| Other Organization Name | VALLEY FAMILY PRACTICE |
| Practice Address |
3524 Heathrow Way Medford OR 97504 |
| Mailing Address |
2900 Doctors Park Dr Medford OR 97504-8127 |
| Practice Telephone | 5418429649 |
| Practice Fax Number | 5412822237 |
| Mailing Telephone | 5412822208 |
| Mailing Fax Number | 5412822237 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2015-07-17 |
| Authorized Official Name | WILLIAM JAMES SLOAN (CFO) |
| Authorized Official Telephone | 5418429649 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| VALLEY FAMILY PRACTICE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699761932 | Rogue Valley Physicians | Nurse Practitioner | 2900 Doctors Park Dr, Medford, OR 97504-8127 | 2005-09-22 |
| 1285851071 | Rogue Valley Physicians | Clinic/Center | 2900 Doctors Park Dr, Medford, OR 97504-8127 | 2007-04-20 |
| 1881811842 | Rogue Valley Physicians | Clinic/Center | 2940 Doctors Park Dr, Medford, OR 97504-8127 | 2007-04-19 |
| 1508083569 | Rogue Valley Physicians | Clinic/Center | 800 E Main St, Medford, OR 97504-7134 | 2007-04-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ROGUE VALLEY PHYSICIANS | 3524 Heathrow Way, Medford, OR 97504-4004 |
| Oregon Corporations, Companies and Business Names | ROGUE VALLEY PHYSICIANS, P.C. | 2900 Doctors Park Dr, Medford, OR 97504 |
| Street Address |
3524 HEATHROW WAY |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346254547 | John Paul Shonerd | Family Medicine | 3524 Heathrow Way, Medford, OR 97504-2770 | 2006-07-27 |
| 1346624459 | Scott Wilson | Nurse Practitioner | 3524 Heathrow Way, Medford, OR 97504-4004 | 2015-07-17 |
| 1811327281 | Sita Salina Marie Taibi | Physician Assistant | 3524 Heathrow Way, Medford, OR 97504-4004 | 2013-11-20 |
| 1336394089 | Monique Anntoinette Noyes | Nurse Practitioner | 3524 Heathrow Way, Medford, OR 97504 | 2008-11-21 |
| 1043497126 | Karen Ann Kozleski | Registered Nurse | 3524 Heathrow Way, Medford, OR 97504-4004 | 2008-01-30 |
| 1427068519 | Cindy Ann Konecne | Family Medicine | 3524 Heathrow Way, Medford, OR 97504-2770 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851942536 | Careatc | Clinic/Center | 1101 W Main St Ste 103, Medford, OR 97501-2966 | 2019-09-24 |
| 1235666272 | My Direct Health, LLC | Clinic/Center | 801 E Main St # 100, Medford, OR 97504-7169 | 2017-05-22 |
| 1538446315 | Southern Oregon Wellness Clinic, LLC | Clinic/Center | 2921 Doctors Park Dr Ste B, Medford, OR 97504-8127 | 2011-11-08 |
| 1821628439 | Karla Reinhart LLC | Clinic/Center | 1600 Delta Waters Rd Ste 105, Medford, OR 97504-9114 | 2020-01-22 |
| 1801131412 | Thomas J Marzili Md LLC | Clinic/Center | 128 Route 70, Suite 13, Medford, NJ 08055-2371 | 2012-12-07 |
| 1700113313 | Rogue Integrative Care, LLC | Clinic/Center | 2612 E Barnett Rd, Medford, OR 97504-8344 | 2009-11-03 |
| 1285851071 | Rogue Valley Physicians | Clinic/Center | 2900 Doctors Park Dr, Medford, OR 97504-8127 | 2007-04-20 |
| 1881811842 | Rogue Valley Physicians | Clinic/Center | 2940 Doctors Park Dr, Medford, OR 97504-8127 | 2007-04-19 |
| 1508083569 | Rogue Valley Physicians | Clinic/Center | 800 E Main St, Medford, OR 97504-7134 | 2007-04-19 |
| 1992922595 | Creekside Family Medicine, LLC | Clinic/Center | 2859 State St, Suite 103, Medford, OR 97504-4348 | 2007-04-18 |
| Find all providers in MEDFORD | ||||
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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.