MICHAEL C KOESTER (NPI# 1598752446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598752446 |
| Entity Type | Individual |
| Full Name | MICHAEL C KOESTER |
| Credential | MD |
| Practice Address |
55 Coburg Rd Slocum Orthopedics PC Eugene OR 97401-2433 |
| Practice Telephone | 5414858111 |
| Practice Fax Number | 5413426379 |
| Mailing Telephone | 5414858111 |
| Mailing Fax Number | 5413426379 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2020-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
21084 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MC RAILROAD | P00342319 | 01 |
| OR | 288049 | 05 |
| Street Address |
55 COBURG RD SLOCUM ORTHOPEDICS PC |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176480 | Stanley L James | Orthopaedic Surgery | 55 Coburg Rd, Eugene, OR 97401-2433 | 2005-07-07 |
| 1922624741 | Amelia T Devereaux | Specialist/Technologist, Other | 55 Coburg Rd, Eugene, OR 97401-2433 | 2020-06-17 |
| 1437615499 | Kymry Scott | Nurse Practitioner | 55 Coburg Rd, Eugene, OR 97401-2433 | 2019-02-14 |
| 1235606534 | Zachary Austin Roth | Orthopaedic Surgery | 55 Coburg Rd, Eugene, OR 97401-2433 | 2018-10-25 |
| 1720565484 | Jessica Lee Cline | Occupational Therapist | 55 Coburg Rd, Eugene, OR 97401-2433 | 2018-07-25 |
| 1073039277 | Steven M Robert | Physical Medicine & Rehabilitation | 55 Coburg Rd, Eugene, OR 97401-2433 | 2017-08-18 |
| 1073041398 | Darby Stark | Registered Nurse | 55 Coburg Rd, Eugene, OR 97401-2433 | 2017-05-31 |
| 1821537408 | Jason Timothy Queer | Physician Assistant | 55 Coburg Rd, Eugene, OR 97401-2433 | 2017-02-16 |
| 1932659992 | John Stanievich Jr. | Physician Assistant | 55 Coburg Rd, Eugene, OR 97401-2433 | 2016-10-13 |
| 1700236692 | Luke Seidel | Specialist | 55 Coburg Rd, Eugene, OR 97401-2433 | 2016-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 2080S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sports Medicine |
| A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487020640 | Bushnell University | Pediatrics | 828 E 11th Ave, Eugene, OR 97401-3745 | 2015-08-11 |
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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.