WILLAMETTE ORTHOPEDIC GROUP LLC (NPI# 1588955314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588955314 |
| Entity Type | Organization |
| Organization Name | WILLAMETTE ORTHOPEDIC GROUP LLC |
| Other Organization Name | HOPE ORTHOPEDICS OF OREGON - URGENT CARE |
| Practice Address |
1600 State St Salem OR 97301-4257 |
| Practice Telephone | 5035406300 |
| Practice Fax Number | 5035406404 |
| Mailing Telephone | 5035406300 |
| Mailing Fax Number | 5035406404 |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-05-16 |
| Authorized Official Name | MISS DAVID L SCHLACTUS (CEO) |
| Authorized Official Telephone | 5033157338 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Allopathic & Osteopathic Physicians | ||
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 278228 | 05 |
| Other Name | Type Code |
|---|---|
| Hope Orthopedics of Oregon - Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013437862 | Willamette Orthopedic Group LLC | Orthopaedic Surgery | 254 Ne Norton Ln, Mcminnville, OR 97128-8470 | 2017-06-22 |
| 1336406354 | Willamette Orthopedic Group LLC | Orthopaedic Surgery | 607 Se Jefferson St, Dallas, OR 97338 | 2012-04-16 |
| 1720315302 | Willamette Orthopedic Group LLC | Orthopaedic Surgery | 1128 Ne 2nd St, Corvallis, OR 97330-6230 | 2009-11-03 |
| 1811224496 | Willamette Orthopedic Group LLC | Orthopaedic Surgery | 5825 Shoreview Ln N, Keizer, OR 97303-3978 | 2009-11-03 |
| 1134145360 | Willamette Orthopedic Group LLC | Orthopaedic Surgery | 1600 State St, Salem, OR 97301-4257 | 2006-07-14 |
| Street Address |
1600 STATE ST |
| City | SALEM |
| State | OR |
| Zip Code | 97301-4257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740278969 | John J Coen | Orthopaedic Surgery | 1600 State St, Salem, OR 97301-4257 | 2005-10-11 |
| 1033710843 | Clarissa Freeman | Physical Therapist | 1600 State St, Salem, OR 97301-4257 | 2020-11-06 |
| 1760026785 | Jesse Wright | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2019-11-01 |
| 1508400979 | Robert William Dolan | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2019-10-29 |
| 1780179523 | Michael Alexander Valdez | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2018-06-25 |
| 1306394317 | Lawrence Michael Dimacali | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2016-09-19 |
| 1942757224 | Rebecca Theisen | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2016-09-05 |
| 1942650825 | Thomas Mcgrath | Physical Therapist | 1600 State St, Salem, OR 97301-4257 | 2016-06-21 |
| 1932595600 | Alana Ryan | Family Medicine | 1600 State St, Salem, OR 97301 | 2015-04-09 |
| 1972909661 | Suzanne Michelle Nerli | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2014-11-07 |
| Find all providers in the same location | ||||
| 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 | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447292511 | Preston Adam Waldrop | Orthopaedic Surgery | 101 Knotbreak Road, Salem, VA 24153-7304 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184893984 | Matthew T A Sugalski Md PC | Orthopaedic Surgery | 6542 Se Lake Road, Suite 201, Milwaukie, OR 97222-2237 | 2008-02-26 |
| 1639176480 | Stanley L James | Orthopaedic Surgery | 55 Coburg Rd, Eugene, OR 97401-2433 | 2005-07-07 |
| 1346633294 | Deschutes Orthopedics, LLC | Orthopaedic Surgery | 1693 Sw Chandler Ave, Suite 250, Bend, OR 97702-3236 | 2015-03-16 |
| 1063822583 | Justin D Hudson | Orthopaedic Surgery | 600 Country Club Rd, Eugene, OR 97401-2240 | 2014-05-06 |
| 1750643060 | John C. Anderson, M.d., P.C. | Orthopaedic Surgery | 831 Nw Council Dr, Suite 130, Gresham, OR 97030-3721 | 2012-06-12 |
| 1811263635 | Micah B Naimark | Orthopaedic Surgery | 1303 Ne Cushing Dr Ste 100, Bend, OR 97701 | 2012-03-26 |
| 1437393949 | Jeffrey M Tuman | Orthopaedic Surgery | 55 Coburg Rd, Eugene, OR 97401-2433 | 2009-04-28 |
| 1225271133 | Milwaukie Orthopedic Service Inc | Orthopaedic Surgery | 10202 Se 32nd Ave, Suite 101, Milwaukie, OR 97222-3610 | 2009-04-08 |
| 1316103450 | Bret T Kean Md PC | Orthopaedic Surgery | 6542 Se Lake Road, Suite 201, Milwaukie, OR 97222-2237 | 2008-07-29 |
| 1083885040 | Karl R Knudsen Md PC | Orthopaedic Surgery | 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1120 | 2008-03-18 |
| Find all providers with the same taxonomy | ||||
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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.