DENIS PRIVALOV


Address: 875 Oak St Se Ste 5070, Salem, OR 97301-3998
Phone: 5035618565

DENIS PRIVALOV (NPI# 1649279035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649279035
Entity Type Individual
Full Name DENIS PRIVALOV
Credential MD
Practice Address 875 Oak St Se Ste 5070
Salem
OR 97301-3998
Practice Telephone 5035618565
Practice Fax Number 5035618560
Mailing Telephone 5035618565
Mailing Fax Number 5035618560
Enumeration Date 2005-07-18
Last Update Date 2012-05-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
MD154116 OR Allopathic & Osteopathic Physicians
N 207RN0300X Internal Medicine
Specialization: Nephrology
0101235688 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 875 OAK ST SE STE 5070
City SALEM
State OR
Zip Code 97301-3998

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659883551 Teardaad Makarachi Physician Assistant 875 Oak St Se Ste 5070, Salem, OR 97301 2017-11-01
1720481658 Zhongfeng Liu Physician Assistant 875 Oak St Se Ste 5070, Salem, OR 97301-3998 2014-10-06
1710164587 Andrea R Moore Internal Medicine 875 Oak St Se Ste 5070, Salem, OR 97301-3998 2008-01-23
1689869513 Misha Mohindra Internal Medicine 875 Oak St Se Ste 5070, Salem, OR 97301-3998 2007-09-13
1013107556 Aneet Jyot Deo Internal Medicine 875 Oak St Se Ste 5070, Salem, OR 97301-3998 2007-07-31
1467672261 Kidney Care Physicians LLC Internal Medicine 875 Oak St Se Ste 5070, Salem, OR 97301-3975 2007-04-26
1457450298 Eva Lee Internal Medicine 875 Oak St Se Ste 5070, Salem, OR 97301-3975 2006-09-21
1003915869 Brett W Mikeska Internal Medicine 875 Oak St Se Ste 5070, Salem, OR 97301-3975 2006-09-21
1891711446 Andreea Luiza Andone Internal Medicine 875 Oak St Se Ste 5070, Salem, OR 97301-3998 2006-07-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205450970 Jehan Seals Behavior Technician 3400 State St Set G750, Salem, OR 97301 2020-05-29
1093335929 Sterling Recovery, LLC Dietitian, Registered 3758 Amber St Ne #105, Salem, OR 97301 2020-04-21
1760018360 Riverfront Mental Health LLC Counselor 338 State St, Suite 985, Salem, OR 97301 2020-03-16
1871126888 Amity Beth Haddon Maxwell Social Worker Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 2020-02-18
1861042632 Brenda Grizelda Vargas Behavioral Analyst 3400 State Ste Ste G750, Salem, OR 97301 2019-09-13
1588213177 Natalie Stone Registered Nurse 2045 Siverton Rd Ne, Salem, OR 97301 2019-09-06
1588228720 Jeramy Disenso Counselor 270 Cottage St Ne, Salem, OR 97301 2019-04-23
1801353297 Gwendolyn Kersey Registered Nurse 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 2019-02-21
1841769114 Spine Clinic PC Massage Therapist 1281 Lancaster Drive Ne, Salem, OR 97301 2018-11-16
1013482132 Kellie Linn Hansen Physical Therapist 4049 Market St Se, Salem, OR 97301 2018-10-04
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396378717 Northwest Renal Clinic, Inc. Internal Medicine 925 Commercial St Se Ste 110, Salem, OR 97302-4172 2020-02-13
1982662052 Parkland Physician Services Inc Internal Medicine 18 Pelham Rd, Salem, NH 03079-4818 2006-05-01
1992794515 Ana Stankovic Internal Medicine 31 Stiles Rd Ste 2400, Salem, NH 03079 2005-10-17
1326400656 Center for Kidney and Metabolic Disorders Pllc Internal Medicine 31 Stiles Rd Ste 2400, Salem, NH 03079 2016-03-25
1285885160 Hima Bindu Yalamanchili Internal Medicine 1970 Roanoke Blvd, Salem, VA 24153-6404 2008-10-09
1649436585 Ken Jongho Park Internal Medicine 2400 Lancaster Dr Ne, Salem, OR 97305-1221 2008-07-30
1710164587 Andrea R Moore Internal Medicine 875 Oak St Se Ste 5070, Salem, OR 97301-3998 2008-01-23
1568668929 Yekaterina Gincherman Internal Medicine 875 Oak St Se, Suite 5070, Salem, OR 97301-3975 2007-06-22
1467672261 Kidney Care Physicians LLC Internal Medicine 875 Oak St Se Ste 5070, Salem, OR 97301-3975 2007-04-26
1902022817 Lance M Dicker Internal Medicine 875 Oak St Se, Ste 5070, Salem, OR 97301-3975 2007-04-18
Find all providers in SALEM

Competitor

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City SALEM
Zip Code 97301

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Dataset Information

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.

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