KIMBERLY SUE ELTZROTH (NPI# 1548242282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548242282 |
| Entity Type | Individual |
| Full Name | KIMBERLY SUE ELTZROTH |
| Credential | M.D. |
| Practice Address |
875 Oak St Se Suite4090 Salem OR 97301-3985 |
| Practice Telephone | 5033992444 |
| Practice Fax Number | 5035616878 |
| Mailing Telephone | 5033992444 |
| Mailing Fax Number | 5035616878 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD26767 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 005974 | 05 |
| Street Address |
875 OAK ST SE SUITE4090 |
| City | SALEM |
| State | OR |
| Zip Code | 97301-3985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952307498 | Jerry Leroy Hubbard | Neurological Surgery | 875 Oak St Se, Ste 5060, Salem, OR 97301-3987 | 2005-06-21 |
| 1710447453 | Katie Joy Larue | Pharmacist | 875 Oak St Se, Salem, OR 97301-3975 | 2019-03-20 |
| 1538600333 | Rachel Wixson | Nurse Practitioner | 875 Oak St Se, Salem, OR 97301-3975 | 2017-03-13 |
| 1265971386 | Angela Rehder | Physician Assistant | 875 Oak St Se, Suite 5020, Salem, OR 97301 | 2017-02-22 |
| 1548625585 | Hematology Oncology of Salem, LLP | Physician Assistant | 875 Oak St Se, Suite 4030, Salem, OR 97301-3975 | 2015-12-17 |
| 1841664752 | Healogics Specialty Physicians of Oregon, LLC | Emergency Medicine | 875 Oak St Se, Salem, OR 97301-3975 | 2015-11-17 |
| 1134592041 | Oregon Oncology Specialists, LLP | Internal Medicine | 875 Oak St Se, Suite 4030, Salem, OR 97301-3975 | 2015-11-02 |
| 1841693363 | Charles V. Hatchette II, Md, LLC | Neurological Surgery | 875 Oak St Se, Suite 5060, Salem, OR 97301-3975 | 2014-09-29 |
| 1770997009 | Urooba Faheem | Psychiatry & Neurology | 875 Oak St Se, Salem, OR 97301-3975 | 2014-06-14 |
| 1689922676 | Michael Christian Slabaugh | Physician Assistant | 875 Oak St Se, Ste 3010, Salem, OR 97301 | 2012-08-22 |
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| 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 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629308994 | Dale Alan Cruise | Obstetrics & Gynecology | 3622 El Dorado Loop S, Salem, OR 97302-9737 | 2010-01-07 |
| 1083845721 | Betsy S August Md LLC | Obstetrics & Gynecology | 55 Highland Ave Ste 103, Salem, MA 01970-2100 | 2009-07-29 |
| 1013159292 | Shruti Satyanarayan Biyani | Obstetrics & Gynecology | 18 Keewaydin Drive, Salem, NH 03079 | 2009-04-02 |
| 1326210063 | Pacific Obstetrics & Gynecology, L.L.C. | Obstetrics & Gynecology | 700 Bellevue St Se Ste 210, Salem, OR 97301-3855 | 2008-04-01 |
| 1588770325 | Darcy Lynn Blanchard | Obstetrics & Gynecology | 2020 Capitol St. Se, Salem, OR 97301 | 2006-08-22 |
| 1548375074 | Thomas A Murray IIi | Obstetrics & Gynecology | 55 Highland Ave Ste 302, Salem, MA 01970 | 2006-08-21 |
| 1134132368 | Mary Therese Brady | Obstetrics & Gynecology | 4 Nowell Ct, Salem, NH 03079-1228 | 2006-08-15 |
| 1205846854 | Fu-nen Lee | Obstetrics & Gynecology | 2376 Southeast Blvd, Salem, OH 44460-3472 | 2006-08-08 |
| 1386682409 | Cheryl A Lugenbill | Obstetrics & Gynecology | 939 Oak St Se, Salem, OR 97301 | 2006-06-02 |
| 1871551705 | William H Edwards | Obstetrics & Gynecology | 45 Stiles Rd, Suite 101, Salem, NH 03079-4808 | 2006-05-02 |
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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.