CRAIG DOUGLAS ANDERSON (NPI# 1629014824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629014824 |
| Entity Type | Individual |
| Full Name | CRAIG DOUGLAS ANDERSON |
| Credential | MD |
| Practice Address |
350 Miller St Se # 100 Salem OR 97302 |
| Mailing Address |
350 Miller St Se # 100 Salem OR 97302-4272 |
| Practice Telephone | 5033714647 |
| Practice Fax Number | 5035847856 |
| Mailing Telephone | 5033714647 |
| Mailing Fax Number | 5035847856 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2019-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | MD20636 | OR | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD20636 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 150514 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4999 Skyline Rd S, Suite 100, Salem, OR 973062009 | 5033714647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275873515 | Craig Paul Anderson | Preventive Medicine | 13-020 Kabrich Circle, Pine Bluff, AR 71602 | 2013-02-24 |
| 1609158948 | Craig Robert Anderson | Pharmacist | 709 N Greenbay Rd, Waukegan, IL 60085 | 2011-09-13 |
| 1558547372 | Craig A Anderson | Physical Therapist | 3232 E 8th Ave, Spokane, WA 99202-5206 | 2008-01-10 |
| 1821218108 | Craig William Anderson | Chiropractor | 36 W. Main St, Broadalbin, NY 12025-0908 | 2007-04-27 |
| 1730250085 | Craig Graydon Anderson | Dentist | 1700 Crescent Pointe Pkwy, College Station, TX 77845 | 2006-11-10 |
| 1588763148 | Craig Fraser Anderson | Podiatrist | 681 Oak Grove Ave Ste F, Menlo Park, CA 94025-4333 | 2006-09-21 |
| 1871541227 | Craig W Anderson | Otolaryngology | 756 East 12200 South, Draper, UT 84020-9724 | 2006-05-05 |
| 1538138136 | Craig Norman Anderson | Chiropractor | 316 Western Ave, Ste. 1, Brattleboro, VT 05301-3672 | 2006-03-16 |
| 1669443982 | Craig Martin Anderson | Chiropractor | 315 Lemay Ferry Rd, Suite 132, Saint Louis, MO 63125-1501 | 2006-01-27 |
| 1326025347 | Craig S Anderson | Family Medicine | 801 N Cass Ave Ste 300, Westmont, IL 60559-1193 | 2005-12-30 |
| Street Address |
350 MILLER ST SE # 100 |
| City | SALEM |
| State | OR |
| Zip Code | 97302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619178662 | Pain Management Northwest, Inc | Specialist | 350 Miller St Se # 100, Salem, OR 97302 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265461396 | Twh Incorporated | Anesthesiology | 340 Route 45, Salem, NJ 08079-2027 | 2006-07-01 |
| 1942675467 | Pain Care Specialists of Oregon, LLC | Anesthesiology | 2480 Liberty St Ne Ste 180, Salem, OR 97301-8388 | 2015-12-09 |
| 1346583820 | Youngeun Cho | Anesthesiology | 2480 Liberty St Ne Ste 180, Salem, OR 97301-8388 | 2013-04-03 |
| 1861753386 | Andrew Richard Crichlow | Anesthesiology | 100 Knotbreak Rd, Salem, VA 24153 | 2012-05-31 |
| 1023243474 | Pain Care Specialists, PC | Anesthesiology | 2480 Liberty St Ne, Suite 180, Salem, OR 97301-8380 | 2009-05-28 |
| 1518118330 | Blue Ridge Pain Management Associates, PC | Anesthesiology | 100 Knotbreak Rd, Salem, VA 24153 | 2008-10-10 |
| 1003981929 | Rizwan N Khan | Anesthesiology | 911 N Shelby St, Salem, IN 47167-2304 | 2006-11-24 |
| 1093806192 | George M. Baylor | Anesthesiology | 100 Knotbreak Rd, Salem, VA 24153 | 2006-09-27 |
| 1174554877 | Douglas Richard Nemec | Anesthesiology | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912346461 | Vishal Khemlani | Anesthesiology | 6464 Sw Borland Rd Ste A2, Tualatin, OR 97062-8854 | 2013-06-18 |
| 1316140965 | Russell Robert Kinder | Anesthesiology | 10000 Se Main St Ste 128, Portland, OR 97216-2462 | 2007-06-08 |
| 1124075791 | Gregory Gullo | Anesthesiology | 2020 8th Ave, Suite 200, West Linn, OR 97068-4657 | 2006-05-28 |
| 1851353502 | Ahmed Ebeid | Anesthesiology | 851 Ne Baker St Ste 1, Mcminnville, OR 97128-4991 | 2006-04-06 |
| 1992798169 | Timothy L Kelly | Anesthesiology | 831 Nw Council Dr, Suite 300, Gresham, OR 97030-3721 | 2005-08-23 |
| 1013911361 | Brett T Quave | Anesthesiology | 701 Golf View Dr, Medford, OR 97504-9643 | 2005-06-01 |
| 1568083517 | Deschutes Pain Specialists LLC | Anesthesiology | 2235 Nw Shevlin Park Rd Ste 100, Bend, OR 97703-7111 | 2020-04-30 |
| 1487023388 | Comprehensive Pain Care, LLC | Anesthesiology | 842 E Main St, Medford, OR 97504-7134 | 2015-09-21 |
| 1235520503 | Andrew Oh Md PC | Anesthesiology | 140 Nw 14th Ave, Portland, OR 97209-2601 | 2015-02-09 |
| 1558751958 | Washington Center for Pain Management LLC | Anesthesiology | 11786 Sw Barnes Rd, Suite 270, Portland, OR 97225-5929 | 2015-01-23 |
| 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.