PETER S KOSEK (NPI# 1639120801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639120801 |
| Entity Type | Individual |
| Full Name | PETER S KOSEK |
| Credential | MD |
| Practice Address |
3377 Riverbend Dr Springfield OR 97477 |
| Mailing Address |
1115 Se 164th Ave Dept 358 Vancouver WA 98683-8004 |
| Practice Telephone | 5412228400 |
| Practice Fax Number | 5412228401 |
| Mailing Telephone | 3607291253 |
| Mailing Fax Number | 3607293185 |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2019-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
MD18619 | OR | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
18619 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 062781 | 05 | |
| OR | REGENCE BCBSO | 006439001 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 360 S Garden Way Ste 101, Eugene, OR 974018034 | 5416849451 | 5416849566 |
| Street Address |
3377 RIVERBEND DR |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346235991 | Monica Nayan Deshpande | Nurse Practitioner | 3377 Riverbend Dr, Springfield, OR 97477-8800 | 2005-09-20 |
| 1033762901 | Cierra Hibbs-porter-rogge | Nurse Practitioner | 3377 Riverbend Dr, Springfield, OR 97477-8803 | 2019-07-19 |
| 1427618974 | Dustin Kyle Mckague | Nurse Practitioner | 3377 Riverbend Dr, Springfield, OR 97477-8803 | 2019-06-17 |
| 1265917629 | Amanda Greene | Dietitian, Registered | 3377 Riverbend Dr, Springfield, OR 97477 | 2018-10-01 |
| 1467967265 | Kristen G Lindeman | Nurse Practitioner | 3377 Riverbend Dr, Springfield, OR 97477-8803 | 2017-12-04 |
| 1003291147 | Lindsey Wilson | Nurse Practitioner | 3377 Riverbend Dr, Springfield, OR 97477-8803 | 2015-07-29 |
| 1528447026 | Cecelia Jacobson | Dietitian, Registered | 3377 Riverbend Dr, Springfield, OR 97477-8803 | 2015-05-29 |
| 1831578855 | Kimberly Kuo | Internal Medicine | 3377 Riverbend Dr, Springfield, OR 97477-8803 | 2015-05-22 |
| 1639562952 | Tok-hui Yeap | Dietitian, Registered | 3377 Riverbend Dr, Springfield, OR 97477-8803 | 2015-03-11 |
| 1407254014 | Cathleen Fritz | Physical Therapist | 3377 Riverbend Dr, 3rd Floor Riverbend Pavilion, Springfield, OR 97477-8803 | 2014-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760478697 | Merrill Jay Mirman | Pain Medicine | 652 E Springfield Rd, Springfield, PA 19064-3644 | 2005-09-26 |
| 1588100390 | Lester E Cox Medical Centers | Pain Medicine | 1001 E Primrose St, Suite 2 West, Springfield, MO 65807-5155 | 2017-01-18 |
| 1972851046 | Medical Arts Inc. | Pain Medicine | 205 5th Ave E, Springfield, TN 37172-2435 | 2012-08-21 |
| 1104187624 | Donald J. Boatright Md., PC | Pain Medicine | 205 5th Ave E, Springfield, TN 37172-2435 | 2012-05-31 |
| 1285993832 | Aditya Pulikal | Pain Medicine | 1001 E Primrose St, Springfield, MO 65807-5155 | 2012-05-16 |
| 1710927132 | Wayne Wallender | Pain Medicine | 1001 E Primrose St, Springfield, MO 65807-5155 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639392269 | Carlos Ceballos, Md | Pain Medicine | 10373 Ne Hancock St Ste 216, Portland, OR 97220-3873 | 2007-04-11 |
| 1760529218 | Raskal Enterprises, PC | Pain Medicine | 3334 Ne 29th Ave, Portland, OR 97212-2536 | 2007-01-31 |
| 1932535390 | Summit Health Solutions | Pain Medicine | 2364 Main St, Suite A, Philomath, OR 97370-9488 | 2013-09-17 |
| 1053744524 | Christopher Jason Smith | Pain Medicine | 545 Sw 2nd St, Ste 200, Corvallis, OR 97333-4466 | 2013-08-19 |
| 1952663528 | Jack Edward Berndt | Pain Medicine | 1957 Thompson Rd, Ste. F, Coos Bay, OR 97420-2031 | 2012-06-11 |
| 1467718908 | Katarzyna Barbara Iwan | Pain Medicine | 9925 Sw Nimbus Ave, #100, Beaverton, OR 97008-7591 | 2012-04-10 |
| 1649555145 | Frida Center LLC | Pain Medicine | 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221-1461 | 2011-10-15 |
| 1023237104 | Pain Mangement Partners, LLC | Pain Medicine | 2401 River Rd, Suite 101, Eugene, OR 97404-5414 | 2007-04-25 |
| 1760531339 | Advanced Pain Management Center PC | Pain Medicine | 10305 Sw Park Way Ste 300, Portland, OR 97225-5033 | 2007-01-10 |
| 1376610915 | William B Croson | Pain Medicine | 790 E 5th St, Coquille, OR 97423-1755 | 2006-11-29 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
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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.