MCKAILA ALLCORN (NPI# 1700197076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700197076 |
| Entity Type | Individual |
| Full Name | MCKAILA ALLCORN |
| Other Name | MCKAILA KLUGH |
| Credential | DO |
| Practice Address |
3043 Ne 28th Street Lincoln City OR 97367-4518 |
| Practice Telephone | 5419967118 |
| Practice Fax Number | 5419967378 |
| Mailing Telephone | 5419967118 |
| Mailing Fax Number | 5419967378 |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2016-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | DO166602 | OR | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | DO750 | RI | Allopathic & Osteopathic Physicians |
| Street Address |
3043 NE 28TH STREET |
| City | LINCOLN CITY |
| State | OR |
| Zip Code | 97367-4518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306897491 | Samaritan North Lincoln Hospital | General Acute Care Hospital | 3043 Ne 28th Street, Lincoln City, OR 97367-4518 | 2006-05-13 |
| 1306208707 | Charles Roesel | Registered Nurse | 3043 Ne 28th Street, Lincoln City, OR 97367-4518 | 2016-03-24 |
| 1164686432 | Mica A. Ward | Dietitian, Registered | 3043 Ne 28th Street, Lincoln City, OR 97367 | 2008-07-15 |
| 1679675854 | John R Holland | Emergency Medicine | 3043 Ne 28th Street, Lincoln City, OR 97367-9540 | 2006-09-01 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326085937 | Raj B. Baman | Emergency Medicine | 3043 Ne 28th St, Lincoln City, OR 97367-4518 | 2006-06-01 |
| 1760831887 | Matthew Richard Bowser | Emergency Medicine | 3043 Ne 28th St, Lincoln City, OR 97367-4518 | 2016-06-09 |
| 1295112324 | Stephanie Duckett | Emergency Medicine | 3043 Ne 28th St, Lincoln City, OR 97367-4518 | 2015-04-27 |
| 1144421256 | Zachary Yarnall Dembitsky | Emergency Medicine | 3043 Ne 28th St, Lincoln City, OR 97367-4518 | 2007-05-29 |
| 1548310436 | Steven Andescavage | Emergency Medicine | 3043 Ne 28th St, Department of Emergency Medicine, Lincoln City, OR 97367-4518 | 2007-01-11 |
| 1679649230 | John Edward Bohlman | Emergency Medicine | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 | 2006-11-27 |
| 1811069404 | Erling Johannes Oksenholt | Emergency Medicine | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 | 2006-11-15 |
| 1679675854 | John R Holland | Emergency Medicine | 3043 Ne 28th Street, Lincoln City, OR 97367-9540 | 2006-09-01 |
| 1245243625 | Lesley Jill Ogden | Emergency Medicine | 3043 Ne 28th St, Lincoln City, OR 97367-4518 | 2006-08-15 |
| 1528001179 | Darell Dean Orton | Emergency Medicine | 825 Nw Highway 101, Suite A, Lincoln City, OR 97367-3241 | 2006-06-13 |
| Find all providers in LINCOLN CITY | ||||
| 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.