GERALD ENGSTROM (NPI# 1609851898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609851898 |
| Entity Type | Individual |
| Full Name | GERALD ENGSTROM |
| Credential | MD |
| Practice Address |
2510 Nw Edenbower Blvd Ste 112 Roseburg OR 97471 |
| Mailing Address |
2801 Nw Mercy Dr Ste 340 Roseburg OR 97471-2348 |
| Practice Telephone | 5414646260 |
| Practice Fax Number | 5412290014 |
| Mailing Telephone | 5416774319 |
| Mailing Fax Number | 5416772294 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2018-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD15315 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1813 W Harvard, Ste 427, Roseburg, OR 97470 | 5416733447 | 5416779712 |
| 2801 Nw Mercy Dr Ste 345, Roseburg, OR 974712348 | 5416733447 | 5416779712 |
| Street Address |
2510 NW EDENBOWER BLVD STE 112 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992031793 | Dempsie B Morrison | Internal Medicine | 2510 Nw Edenbower Blvd Ste 112, Roseburg, OR 97471-8899 | 2009-10-29 |
| 1174775951 | Vikas Garg | Internal Medicine | 2510 Nw Edenbower Blvd Ste 112, Roseburg, OR 97471-8899 | 2008-10-13 |
| 1629037486 | Sorin Petre | Internal Medicine | 2510 Nw Edenbower Blvd Ste 112, Roseburg, OR 97471-8899 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1871822767 | Centennial Medical Group, Inc. | Internal Medicine | 3369 Ne Stephens St Ste A, Roseburg, OR 97470-1259 | 2009-12-23 |
| 1316122708 | Gerald Engstrom | Internal Medicine | 1813 W Harvard Ave Ste 427, Roseburg, OR 97470-8712 | 2008-01-03 |
| 1841246048 | Lisa A Brandenburger | Internal Medicine | 2564 Nw Edenbower Blvd, Suite 126, Roseburg, OR 97471-8821 | 2006-05-26 |
| 1578524377 | Joseph M Black | Internal Medicine | 2550 Nw Edenbower Blvd, Suite 100, Roseburg, OR 97471-8829 | 2006-03-31 |
| 1891003497 | Centennial Medical Group West, LLC | Internal Medicine | 2801 Nw Mercy Dr, Suite 345, Roseburg, OR 97471-2348 | 2010-09-16 |
| 1992031793 | Dempsie B Morrison | Internal Medicine | 2510 Nw Edenbower Blvd Ste 112, Roseburg, OR 97471-8899 | 2009-10-29 |
| 1962637058 | Gi Associates, PC | Internal Medicine | 2560 Nw Medical Park Dr, Roseburg, OR 97471-5510 | 2009-05-19 |
| 1174775951 | Vikas Garg | Internal Medicine | 2510 Nw Edenbower Blvd Ste 112, Roseburg, OR 97471-8899 | 2008-10-13 |
| 1619986981 | Rodolfo B. Lorenzo | Internal Medicine | 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 | 2006-08-05 |
| 1629037486 | Sorin Petre | Internal Medicine | 2510 Nw Edenbower Blvd Ste 112, Roseburg, OR 97471-8899 | 2006-03-21 |
| Find all providers in ROSEBURG | ||||
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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.