SNAKE RIVER RADIOLOGY PC (NPI# 1619070208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619070208 |
| Entity Type | Organization |
| Organization Name | SNAKE RIVER RADIOLOGY PC |
| Practice Address |
964 W Idaho Ave Ontario OR 97914-2111 |
| Practice Telephone | 5418899545 |
| Practice Fax Number | 5418898376 |
| Mailing Telephone | 5418899545 |
| Mailing Fax Number | 5418898376 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JANET R CEGNAR (CORP SECRETARY) |
| Authorized Official Telephone | 5418899545 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 80408077 | 05 | |
| OR | 084934 | 05 |
| Street Address |
964 W IDAHO AVE |
| City | ONTARIO |
| State | OR |
| Zip Code | 97914-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457319980 | David G Wood | Radiology | 964 W Idaho Ave, Snake River Radiology PCc, Ontario, OR 97914-2111 | 2006-05-03 |
| 1720639446 | Amber Layne Kroeger | Speech-Language Pathologist | 964 W Idaho Ave, Ontario, OR 97914-2111 | 2019-09-24 |
| 1477033066 | Annabel Armstrong | Speech-Language Pathologist | 964 W Idaho Ave, Ontario, OR 97914-2111 | 2018-08-14 |
| 1578521936 | Robert T Yeager | Radiology | 964 W Idaho Ave, Snake River Radiology PC, Ontario, OR 97914-2111 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467925420 | The Family Place D/b/a Tfp Services Therapeutic | Case Manager/Care Coordinator | 390 Ne 2nd St., Ontario, OR 97914 | 2019-01-02 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1700334117 | Arlene Schwenke | Social Worker | 686 Nw 9th St., Ontario, OR 97914 | 2016-09-14 |
| 1871990408 | Sally Melissa Sluder | Nurse Practitioner | 351 Sw 9th Ave, Ontario, OR 97914 | 2014-11-25 |
| 1932460870 | E Patricia Jeanne Engel | Surgery | 1050 Sw 3rd Ave Ste 2600, Ontario, OR 97914 | 2012-06-07 |
| 1487946521 | Tyler Jepson | Physical Therapist | 1182 Sw 4th Avenue, Ontario, OR 97914 | 2011-05-09 |
| 1255641577 | Cami Lyn Rebmann | Pharmacist | 728 S 4th Ave, Ontario, OR 97914 | 2010-10-20 |
| 1295051126 | Project Dove | Case Manager/Care Coordinator | 915-02 Sw 2nd Ave, Ontario, OR 97914 | 2010-04-16 |
| 1467666024 | Tfp Therapeutic Service, Inc. | Counselor | 390 Ne 2nd Street, Ontario, OR 97914 | 2007-05-10 |
| 1639381569 | Emeritus Corporation | Assisted Living Facility | 1372 Southwest 8th Avenue, Ontario, OR 97914 | 2007-05-04 |
| Find all providers in zip 97914 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487177200 | Ontario Interventional Center | Radiology | 1520 N Mountain Ave Ste 205, Ontario, CA 91762-1133 | 2017-07-24 |
| 1740236231 | Valley Radiology Medical Group | Radiology | 936 E Francis St, Ontario, CA 91761-5683 | 2006-05-26 |
| 1093773533 | John Gambino | Radiology | 2275 Laurel Dr, Ontario, OR 97914-4107 | 2006-05-03 |
| 1457319980 | David G Wood | Radiology | 964 W Idaho Ave, Snake River Radiology PCc, Ontario, OR 97914-2111 | 2006-05-03 |
| 1629397781 | Saint Alphonsus Medical Center - Ontario, Inc. | Radiology | 351 Sw 9th St, Ontario, OR 97914-2639 | 2010-05-27 |
| 1578521936 | Robert T Yeager | Radiology | 964 W Idaho Ave, Snake River Radiology PC, Ontario, OR 97914-2111 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932621588 | Cascade Medical Imaging LLC | Radiology | 61270 Se Coombs Pl Ste 100, Bend, OR 97702-3704 | 2017-07-14 |
| 1003338963 | Central Oregon Magnetic Resonance Imaging LLC | Radiology | 61270 Se Coombs Pl Ste 150, Bend, OR 97702-3704 | 2017-07-12 |
| 1740713908 | Radiology Associates, PC | Radiology | 60472 Snap Shot Loop, Bend, OR 97702-2539 | 2017-04-05 |
| 1528413754 | Bay Area Radiology, PC | Radiology | 2823 Ne 55th Ave, Portland, OR 97213-3439 | 2016-04-25 |
| 1336503341 | Central Oregon Magnetic Resonance Imaging LLC | Radiology | 1253 Nw Canal Blvd Ste 101, Redmond, OR 97756-1334 | 2016-04-06 |
| 1790171585 | Dianna Howard | Radiology | 3181 Sw Sam Jackson Rd, Portland, OR 97239-3011 | 2015-04-08 |
| 1093147985 | Telerad of Or Account Management LLC | Radiology | 2315 W 28th Ave, Eugene, OR 97405-5901 | 2013-08-02 |
| 1245674506 | Jaryd Yee | Radiology | Ohsu Radiology Department, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239-3011 | 2013-04-17 |
| 1700175874 | Ramsey Al-hakim | Radiology | 3181 Sw Sam Jackson Park Rd # L605, Portland, OR 97239-3011 | 2011-03-29 |
| 1386961712 | Yama Kharoti | Radiology | 2801 N Gantenbein Ave Ste 4239, Portland, OR 97227-1623 | 2010-04-25 |
| 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.