RENEE ANDREA STOR (NPI# 1548366800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548366800 |
| Entity Type | Individual |
| Full Name | RENEE ANDREA STOR |
| Other Name | RICHARD ARTHUR STOR |
| Credential | M.D. |
| Practice Address |
5125 Skyline Rd S Skyline Medical Office Salem OR 97306-5400 |
| Mailing Address |
2570 Ptarmigan St Nw Salem OR 97304-2409 |
| Practice Telephone | 5033615400 |
| Mailing Telephone | 5035662128 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2008-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | OR MD11940 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
5125 SKYLINE RD S SKYLINE MEDICAL OFFICE |
| City | SALEM |
| State | OR |
| Zip Code | 97306-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407826563 | Christian A Speer | Internal Medicine | 5125 Skyline Rd S, Gastroenterology, Salem, OR 97306-9427 | 2006-01-23 |
| 1881249597 | Anastasiya Makarenko | Student in an Organized Health Care Education/Training Program | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2019-08-08 |
| 1174075154 | Kaiser Foundation Health Plan of The Northwest | General Practice | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-10-26 |
| 1457803587 | Lilian May | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-10-24 |
| 1700336138 | Darryl Johnson | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-10-10 |
| 1740739937 | Marilee Neuschwander | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-09-28 |
| 1548716921 | Barbara Ann Schnabel | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-08-26 |
| 1720457922 | Bryan Hurliman | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2015-09-17 |
| 1629453527 | Mary Katherine Burch | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2015-07-21 |
| 1366836041 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2015-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609050 | Andrea P Merryman | Dental Assistant | 5135 Skyline Rd South, Salem, OR 97306 | 2018-08-20 |
| 1215470315 | Anthony Quoc Ngo | Nurse Practitioner | 5050 Skyline Village Loop, Salem, OR 97306 | 2016-11-22 |
| 1134521305 | Wendy Poling | Occupational Therapy Assistant | 1966 Madras St Se Apt 1082, Salem, OR 97306 | 2014-09-19 |
| 1659601045 | Monarch Medical Group LLC | Clinic/Center | 5686 Commercial St Se, Suite 100, Salem, OR 97306 | 2010-01-06 |
| 1316188006 | Judith A Mitchell | Physician Assistant | 4999 Skyline Rd. S., Salem, OR 97306 | 2009-03-10 |
| 1164685574 | Leon Chira | Pharmacist | 2431 Concomly Rd S, Salem, OR 97306 | 2008-07-07 |
| 1912175035 | Salem Clinic, PC | General Practice | 2531 Boone Road Se, Salem, OR 97306 | 2008-02-11 |
| 1326257486 | Robert Allen Long | Physical Therapist | 6250 Commercial St N.e., Salem, OR 97306 | 2007-05-22 |
| 1922137504 | Charlene Garbutt | Dental Assistant | 5135 Skyline Rd. S., Salem, OR 97306 | 2007-03-02 |
| 1417085747 | Michelle West | Dental Assistant | 5135 Skyline R S, Salem, OR 97306 | 2007-02-28 |
| Find all providers in zip 97306 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831708916 | P3 Health Partners-oregon LLC | Internal Medicine | 2525 12th St Se Ste 240250, Salem, OR 97302-2281 | 2020-07-24 |
| 1285279042 | Gaps Health Or PC | Internal Medicine | 780 Commercial St Se Ste 100, Salem, OR 97301-3465 | 2019-11-15 |
| 1427476753 | Lee Austin Fredrickson Jr. | Internal Medicine | 2020 E State St Ste C, Salem, OH 44460-2479 | 2014-04-03 |
| 1407119381 | Christina Joy Mckinnis | Internal Medicine | 27 Silverbrook Rd, Salem, NH 03079-4067 | 2012-06-16 |
| 1124331392 | Xi Zheng | Internal Medicine | 1049 Edgewater St Nw, Salem, OR 97304-4046 | 2010-07-16 |
| 1578894689 | Gary D Ollbrich Inc | Internal Medicine | 1044 Commercial St Se, Salem, OR 97302-4112 | 2010-01-29 |
| 1700114105 | Edward W Cipolla Do Pa | Internal Medicine | 330 Woodstown Rd Ste 1, Salem, NJ 08079-2093 | 2009-11-23 |
| 1053568592 | Garry Tim Miller II | Internal Medicine | 555 W Sr 164 North, Salem, UT 84653-1666 | 2008-08-27 |
| 1275700825 | Jatinder Aujla | Internal Medicine | 55 Highland Ave Ste 304, Salem, MA 01970-2100 | 2008-05-13 |
| 1780889386 | Ryan D Zaklin | Internal Medicine | 84 Highland Ave Ste 311, Salem, MA 01970-2733 | 2007-06-15 |
| Find all providers in SALEM | ||||
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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.