ORTHO SPINE LLC (NPI# 1720278922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720278922 |
| Entity Type | Organization |
| Organization Name | ORTHO SPINE LLC |
| Practice Address |
2801 Nw Mercy Dr Ste 300 Roseburg OR 97470-2348 |
| Practice Telephone | 5416772131 |
| Practice Fax Number | 5416772136 |
| Mailing Telephone | 5416772131 |
| Mailing Fax Number | 5416772136 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |
| Authorized Official Name | DR. SUSAN LAI WILLIAMS (OWNER) |
| Authorized Official Telephone | 5416772131 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD27538 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
2801 NW MERCY DR STE 300 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-2348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841294774 | Douglas Edward Anderson | Internal Medicine | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471-2348 | 2005-06-09 |
| 1144885575 | Michael Peterson | Physician Assistant | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471-2348 | 2019-05-01 |
| 1417225939 | Ibrahim Osman | Internal Medicine | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471 | 2011-12-12 |
| 1932499373 | Deepika Narasimha | Internal Medicine | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471-2348 | 2011-04-18 |
| 1265745715 | Ashraf Abusara | Internal Medicine | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471-2348 | 2010-07-26 |
| 1033365135 | Centennial Medical Group Inc. | Internal Medicine | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471-2348 | 2008-08-08 |
| 1285753160 | Courtney Rae Virgilio | Internal Medicine | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471-2348 | 2007-03-29 |
| 1639174527 | Dana M Finch | Nurse Practitioner | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861419418 | William L. Streitz Md PC | Orthopaedic Surgery | 1813 W Harvard Ave Ste 207, Roseburg, OR 97470-2791 | 2006-07-17 |
| 1295705481 | Robert G Kloepper | Orthopaedic Surgery | 2460 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471 | 2006-01-23 |
| 1205815594 | Nicholes Sexton | Orthopaedic Surgery | 277 Nw Medical Loop, Roseburg, OR 97471-1644 | 2006-01-13 |
| 1902880024 | Michael John Krnacik | Orthopaedic Surgery | 277 Medical Loop, Roseburg, OR 97470-2348 | 2005-12-01 |
| 1053752063 | Stanley Burkle Young | Orthopaedic Surgery | 901 Bellwood Ln, Roseburg, OR 97471-9299 | 2013-07-08 |
| 1922301696 | Centennial Medical Group North, LLC | Orthopaedic Surgery | 277 Nw Medical Loop, Roseburg, OR 97471-1644 | 2010-12-17 |
| 1023200953 | Thomas H Thompson Md PC | Orthopaedic Surgery | 2508 Nw Medical Park Dr, Roseburg, OR 97471-5510 | 2007-08-14 |
| 1336237429 | Brian E. Hayes, M.d., P.C. | Orthopaedic Surgery | 1813 W Harvard Ave, Suite 100, Roseburg, OR 97470-2752 | 2006-10-11 |
| 1780782367 | Cary Todd Sanders | Orthopaedic Surgery | 2460 Nw Stewart Pkwy, Ste. 100, Roseburg, OR 97471-1516 | 2006-09-20 |
| 1720009129 | William Leonard Streitz | Orthopaedic Surgery | 1813 W Harvard Ave Ste 207, Roseburg, OR 97470-2791 | 2006-07-21 |
| Find all providers in ROSEBURG | ||||
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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.