SAMARITAN NORTH LINCOLN HOSPITAL (NPI# 1629338868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629338868 |
Entity Type | Organization |
Organization Name | SAMARITAN NORTH LINCOLN HOSPITAL |
Practice Address |
3100 Ne 28th St Suite D1 Lincoln City OR 97367-4524 |
Practice Telephone | 8332225600 |
Mailing Telephone | 5417684950 |
Enumeration Date | 2012-05-22 |
Last Update Date | 2018-02-23 |
Authorized Official Name | LESLEY J. OGDEN III (CEO) |
Authorized Official Telephone | 5419967100 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 500652018 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942698154 | Samaritan North Lincoln Hospital | Preventive Medicine | 2930 Ne West Devils Lake Rd Ste 3, Lincoln City, OR 97367-5195 | 2014-12-23 |
1255489670 | Samaritan North Lincoln Hospital | Hospice, Inpatient | 3011 Ne 28th Street, Lincoln City, OR 97367-4524 | 2007-01-08 |
1306897491 | Samaritan North Lincoln Hospital | General Acute Care Hospital | 3043 Ne 28th Street, Lincoln City, OR 97367-4518 | 2006-05-13 |
1679927636 | Samaritan North Lincoln Hospital | Urology | 3100 Ne 28th St Ste B, Lincoln City, OR 97367-4524 | 2016-04-15 |
1699130757 | Samaritan North Lincoln Hospital | Podiatrist | 3011 Ne West Devils Lake Rd, Lincoln City, OR 97367-5131 | 2015-12-16 |
1841554177 | Samaritan North Lincoln Hospital | Internal Medicine | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 | 2012-07-02 |
1245599224 | Samaritan North Lincoln Hospital | Internal Medicine | 3100 Ne 28th St, Suite B, Lincoln City, OR 97367 | 2012-05-10 |
1417214388 | Samaritan North Lincoln Hospital | Surgery | 3100 Ne 28th St Ste C, Lincoln City, OR 97367-4524 | 2012-04-17 |
1902163827 | Samaritan North Lincoln Hospital | Otolaryngology | 3100 Ne 28th St, Suite B, Lincoln City, OR 97367-4524 | 2012-04-17 |
1033475298 | Samaritan North Lincoln Hospital | Internal Medicine | 2930 Ne West Devils Lake Rd, Suite 3, Lincoln City, OR 97367-5195 | 2012-04-02 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SAMARITAN NORTH LINCOLN HOSPITAL | 3043 Ne 28th St, Lincoln City, OR 97367-4518 |
Oregon Corporations, Companies and Business Names | SAMARITAN NORTH LINCOLN HOSPITAL | 3043 Ne 28th St, Lincoln City, OR 97367 |
Street Address |
3100 NE 28TH ST SUITE D1 |
City | LINCOLN CITY |
State | OR |
Zip Code | 97367-4524 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629017058 | Ronald O Franzke | Otolaryngology | 3100 Ne 28th St, Suite B, Lincoln City, OR 97367-4524 | 2006-06-04 |
1245599224 | Samaritan North Lincoln Hospital | Internal Medicine | 3100 Ne 28th St, Suite B, Lincoln City, OR 97367 | 2012-05-10 |
1902163827 | Samaritan North Lincoln Hospital | Otolaryngology | 3100 Ne 28th St, Suite B, Lincoln City, OR 97367-4524 | 2012-04-17 |
1669748273 | Laura Rollins-martin | Social Worker | 3100 Ne 28th St, Lincoln City, OR 97367-4524 | 2012-03-28 |
1558630954 | Alana M Dannen | Physical Therapist | 3100 Ne 28th St, Lincoln City, OR 97367-4524 | 2011-12-14 |
1376756700 | Arun Raman | Surgery | 3100 Ne 28th St, Suite B, Lincoln City, OR 97367-4524 | 2007-05-08 |
1700934338 | Samaritan North Lincoln Hospital | Surgery | 3100 Ne 28th St, Suite B, Lincoln City, OR 97367-4524 | 2007-01-08 |
1285677088 | Michael C. Egan | Surgery | 3100 Ne 28th St, Lincoln City, OR 97367-4524 | 2006-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881256121 | Amanda Suzanne Cherryholmes | Peer Specialist | 1206 Se 48th Place, Montgomery, Lincoln City, OR 97367 | 2019-07-08 |
1982198719 | Lakeside Family Dentistry | Dentist | 3173 Ne West Devils Lake Rd., Lincoln City, OR 97367 | 2018-06-15 |
1891282117 | Mark J Lee | Marriage & Family Therapist | 412 Southwest Highway 101, Lincoln City, OR 97367 | 2018-04-23 |
1508130196 | Michelle Marie Becker | Pharmacist | 1030 Se Oar Ave Bi-mart, Lincoln City, OR 97367 | 2012-02-29 |
1457651465 | Laurene Norelle Alcocer | Pharmacist | 4048 Ne Hwy 101, Lincoln City, OR 97367 | 2010-10-25 |
1518106228 | Estate of Kevin L. Chancellor | Dentist | 3173 Ne West Devils Lake Rd, Lincoln City, OR 97367 | 2009-02-19 |
1346403656 | Lincoln City Pharmacy & Gifts | Pharmacy | 1800 Se Hwy 101, Suite C, Lincoln City, OR 97367 | 2008-07-07 |
1841487139 | Assisted Living Concepts Inc | Assisted Living Facility | 1400 Se 19th, Lincoln City, OR 97367 | 2007-10-01 |
1376741074 | Frank Wesley Nettleship | Dentist | 9101 Keys Place, Lincoln City, OR 97367 | 2007-07-05 |
1306043989 | Julie Anne Bass | Case Manager/Care Coordinator | 4402 Devils Lake Blvd #2, Lincoln City, OR 97367 | 2007-06-28 |
Find all providers in zip 97367 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386022358 | Joseph Sedillo | Internal Medicine | 1879 Williams Hwy, Grants Pass, OR 97527-5864 | 2015-05-11 |
1013326362 | Steelhead Specialty Group, PC | Internal Medicine | 2880 Nw Stewart Pkwy Ste 300, Roseburg, OR 97471-1205 | 2014-08-11 |
1366860553 | Daniel Guy | Internal Medicine | 4805 Ne Glisan St Ste 11n-1, Portland, OR 97213-2933 | 2014-04-03 |
1730422015 | Annie Kwok Hung | Internal Medicine | 24988 Se Stark St Ste 140, Gresham, OR 97030-8326 | 2013-04-04 |
1033464318 | William Galen | Internal Medicine | 1221 Sw 10th Ave, 1804, Portland, OR 97205-2426 | 2012-07-23 |
1164711305 | Robert Francis Granatir | Internal Medicine | 3863 Saint Andrews Loop S, Salem, OR 97302-9498 | 2011-03-28 |
1730348632 | Sasha Elizabeth Stanton | Internal Medicine | 4805 Ne Glisan St # 2n103, Portland, OR 97213-2933 | 2008-06-05 |
1952578742 | Yale Sacks | Internal Medicine | 2200 Old Military Rd, Central Point, OR 97502-1022 | 2008-05-12 |
1114123601 | Joshua Michael Weese | Internal Medicine | 2880 Nw Stewart Parkway, Suite 300, Roseburg, OR 97471 | 2007-06-22 |
1437370947 | Stephen A Williams | Internal Medicine | 2880 Nw Stewart Parkway, Suite 300, Roseburg, OR 97471-1201 | 2007-05-01 |
Find all providers with the same taxonomy |
City | LINCOLN CITY |
Zip Code | 97367 |
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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.