MB HEALTHCARE ASSOCIATES INC (NPI# 1568568707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568568707 |
| Entity Type | Organization |
| Organization Name | MB HEALTHCARE ASSOCIATES INC |
| Practice Address |
33 N Central Ave Suite 425 Medford OR 97501-5900 |
| Mailing Address |
Po Box 965 Medford OR 97501-0069 |
| Practice Telephone | 5417795877 |
| Practice Fax Number | 5416643287 |
| Mailing Telephone | 5417795877 |
| Mailing Fax Number | 5416643287 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2008-03-19 |
| Authorized Official Name | MARGUERITE SMITH JR. (1/2 OWNER) |
| Authorized Official Telephone | 5417795877 |
| Authorized Official Credential | NP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 79042695 | OR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 240508 | 05 |
| Street Address |
33 N CENTRAL AVE SUITE 425 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740272715 | Rick Jacobs | Psychologist | 33 N Central Ave, Medford, OR 97501-5939 | 2005-08-16 |
| 1083091540 | Derrick James Lanning | Peer Specialist | 33 N Central Ave, 419, Medford, OR 97501-5900 | 2015-05-04 |
| 1568864429 | Carol Law | Counselor | 33 N Central Ave, Suite 207, Medford, OR 97501-5900 | 2014-09-23 |
| 1215278122 | Jeffrey S Danzik | Social Worker | 33 N Central Ave, 400, Medford, OR 97501-5900 | 2013-03-04 |
| 1245409788 | Jerem St John Egan | Massage Therapist | 33 N Central Ave, Suite 410, Medford, OR 97501-5900 | 2008-02-28 |
| 1417166455 | Shirley Laraine Johnson | Social Worker | 33 N Central Ave, Suite 320, Medford, OR 97501-5900 | 2007-05-22 |
| 1326177833 | Rita Heinz | Social Worker | 33 N Central Ave, Medford, OR 97501-5900 | 2007-03-02 |
| 1447286927 | Jennifer J. Hibbs | Social Worker | 33 N Central Ave, Ste. #416, Medford, OR 97501-5900 | 2006-06-25 |
| 1417931395 | Marguerite Jean Smith | Nurse Practitioner | 33 N Central Ave, Suite 425, Medford, OR 97501-5900 | 2005-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629687702 | Joy Dunn | Specialist | 1801 Fire Ave, Medford, NY 11763-1783 | 2020-07-24 |
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1619450525 | Erica Sanniola | Specialist | 55 Apple Ln, Medford, NY 11763-4044 | 2018-09-07 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1093267114 | Rhiannon Skye Sgambati | Specialist | 152 Fordham Ave, Medford, NY 11763-3107 | 2016-10-25 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1932565660 | Vincent Giardina Jr. | Specialist | 1 Elena Ct, Medford, NJ 08055-9175 | 2016-01-11 |
| 1730551417 | Carson Mckee Case | Specialist | 924 E. Jackson, Medford, OR 97504 | 2015-10-21 |
| 1841674066 | Zachary Fisher | Specialist | 200 Peekskill Ave, Medford, NY 11763-3123 | 2015-07-17 |
| 1720472798 | Stephanie Mullen | Specialist | 173 Buffalo Ave, Medford, NY 11763-3714 | 2015-03-26 |
| 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.