MR. THOMAS G FREGOSO (NPI# 1699861849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699861849 |
| Entity Type | Individual |
| Full Name | MR. THOMAS G FREGOSO |
| Credential | M.S. ATC |
| Practice Address |
114 Gill Coliseum Corvallis OR 97331-8547 |
| Mailing Address |
1595 Bobcat Ave Sw Albany OR 97321-4868 |
| Practice Telephone | 5417374188 |
| Practice Fax Number | 5417370864 |
| Mailing Telephone | 5412300826 |
| Mailing Fax Number | 5417370864 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | AT-AT-365996 | OR | Other Service Providers |
| Street Address |
114 GILL COLISEUM |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97331-8547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790280584 | Katie Homan | Specialist/Technologist | 114 Gill Coliseum, Corvallis, OR 97331-8547 | 2018-03-26 |
| 1083099832 | Anne Pollard | Specialist/Technologist | 114 Gill Coliseum, Sports Medicine, Corvallis, OR 97331-8547 | 2015-07-22 |
| 1447516281 | Good Samaritan Hospital Corvallis | Family Medicine | 114 Gill Coliseum, Room 62-63, Corvallis, OR 97331-8547 | 2012-04-05 |
| 1942427604 | Christopher Jason Lieuw | Specialist/Technologist | 114 Gill Coliseum, Corvallis, OR 97331-8547 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437663929 | Rachel Proteau | Student in an Organized Health Care Education/Training Program | Pharmacy Building, 1601 Sw Jefferson Way, Corvallis, OR 97331 | 2017-11-20 |
| 1194065995 | Candice Bailey | Veterinarian | 300 Magruder Hall, Corvallis, OR 97331 | 2013-02-15 |
| 1902189798 | Nicole Leblanc | Veterinarian | 700 Sw 30th Street, College of Veterinary Medicine Oregon State University, Corvallis, OR 97331 | 2011-09-28 |
| 1467698894 | Gail Carpenter Baggett | Physical Therapist | 425 Sw 26th St, Oregon State University - Dixon Recreation Center, Corvallis, OR 97331 | 2009-01-07 |
| 1306062401 | Barbara Sue Lerwick | Registered Nurse | 108 Sw Memorial Place, Plageman Building, Student Health Services, Corvallis, OR 97331 | 2007-04-17 |
| 1114097649 | Richard Eugene Lague | Physical Therapist | Hfc Dixon Recreation Center, Oregon State University, Corvallis, OR 97331 | 2006-11-09 |
| 1871682997 | Helen Kathleen Tennican | Physician Assistant | Oregon State University, 201 Plageman Building, Corvallis, OR 97331 | 2006-10-12 |
| 1043228570 | Linda M Samuels | Pharmacist | 109 Plageman Bldg, Osu Pharmacy, Corvallis, OR 97331 | 2006-08-03 |
| 1942214747 | Osu Student Health Center Pharmacy | Pharmacy | Plageman Building Room 109, Oregon State University, Corvallis, OR 97331 | 2006-07-28 |
| 1902833767 | Jeffrey C. Mull | Emergency Medicine | Oregon State University Student Health Services, Plageman 201, Corvallis, OR 97331 | 2006-06-27 |
| Find all providers in zip 97331 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710454392 | Assistive Learning Technology Consulting LLC | Specialist | 918 Nw Raintree Dr, Corvallis, OR 97330-9769 | 2018-10-31 |
| 1568814127 | Nora Virginia Richards | Specialist | 910 Nw 26th St, Corvallis, OR 97330-4327 | 2016-07-07 |
| 1154732469 | Jill Popowski | Specialist | 305 Sw C Ave Ste 1, Corvallis, OR 97333-4400 | 2014-05-09 |
| 1922354802 | Judy Marie Veary Powers | Specialist | 3730 Nw Jackson Ave, Corvallis, OR 97330-4946 | 2012-07-30 |
| 1295090157 | Karisa Boyce | Specialist | 2151 Nw Fillmore Ave, Corvallis, OR 97330-5624 | 2012-07-06 |
| 1881820553 | Mary Jane Kennel | Specialist | 990 Nw Circle Blvd Ste 201, Corvallis, OR 97330-1410 | 2009-06-08 |
| 1265633929 | Roxann Lee Weger | Specialist | 2155 Nw Evergreen St, Corvallis, OR 97330-1109 | 2007-05-30 |
| 1184781825 | Rebecca M Swiff | Specialist | 525 Nw 2nd St Ste 1, Corvallis, OR 97330-6487 | 2007-01-02 |
| 1326105040 | Clara A Bozievich | Specialist | 975 Nw Spruce Ave Ste 102, Corvallis, OR 97330-2297 | 2007-01-02 |
| 1851458590 | Wendy E Shumway | Specialist | 1600 Sw Western Blvd Ste 330, Corvallis, OR 97333-4082 | 2007-01-02 |
| Find all providers in CORVALLIS | ||||
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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.