DR. KRISTY LANE JESSOP-SHANKOWSKI (NPI# 1740568609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740568609 |
| Entity Type | Individual |
| Full Name | DR. KRISTY LANE JESSOP-SHANKOWSKI |
| Credential | M.D. |
| Practice Address |
3521 Nw Samaritan Dr Suite 201 Corvallis OR 97330-4744 |
| Mailing Address |
Po Box 1189 Corvallis OR 97339-1189 |
| Practice Telephone | 5417685140 |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 157473 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
3521 NW SAMARITAN DR SUITE 201 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-4744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154373868 | Dena M. Hulting | Physician Assistant | 3521 Nw Samaritan Dr, Suite 101, Corvallis, OR 97330-4744 | 2006-05-17 |
| 1144834813 | Joshua Wong | Pharmacist | 3521 Nw Samaritan Dr, Corvallis, OR 97330-4744 | 2020-09-01 |
| 1851756100 | Good Samaritan Hospital | Pharmacist | 3521 Nw Samaritan Dr, Suite 202, Corvallis, OR 97330-4744 | 2015-12-30 |
| 1205225836 | Morgan A Bahm | Nurse Practitioner | 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-4744 | 2015-01-20 |
| 1124443320 | Dean Crowell | Physician Assistant | 3521 Nw Samaritan Dr, Ste 101, Corvallis, OR 97330-4744 | 2014-02-25 |
| 1427497569 | Good Samaritan Hospital Corvallis | Pharmacy | 3521 Nw Samaritan Dr, Ste 200, Corvallis, OR 97330-4744 | 2013-06-21 |
| 1063787851 | Good Samaritan Hospital, Corvallis | Nurse Practitioner | 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-3756 | 2012-03-13 |
| 1538235726 | Keith E Harris | Internal Medicine | 3521 Nw Samaritan Dr, Suite 101, Corvallis, OR 97330-4744 | 2006-11-28 |
| 1528146073 | Jacque Falk Davis | Physician Assistant | 3521 Nw Samaritan Dr, Suite 101, Corvallis, OR 97330-4744 | 2006-11-01 |
| 1215015763 | Kristen Henry Reeve | Physician Assistant | 3521 Nw Samaritan Dr, Suite 101, Corvallis, OR 97330-4744 | 2006-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952662892 | Ian James Pennell-walklin | Internal Medicine | 3600 Nw Samaritan Dr Ste 1w001b, Corvallis, OR 97330-3737 | 2012-06-07 |
| 1790041549 | Good Samaritan Hospital Corvallis | Internal Medicine | 5234 Philomath Blvd., Suite B, Corvallis, OR 97330-3767 | 2012-04-05 |
| 1518268614 | John Theodore Vincent | Internal Medicine | 3079 Nw Snowberry Pl, Corvallis, OR 97330-3530 | 2010-11-05 |
| 1417111295 | Elizabeth H Waldron | Internal Medicine | 2610 Nw Glenwood Dr, House Call Doc, LLC, Corvallis, OR 97330-3134 | 2008-07-11 |
| 1700092020 | Lloyd Harvey Wiggins | Internal Medicine | 2743 Nw Rolling Green Dr, Corvallis, OR 97330-3521 | 2007-05-15 |
| 1538217872 | Charles Lewis Fein | Internal Medicine | 4350 Nw Canary Pl, Corvallis, OR 97330 | 2007-01-05 |
| 1144238551 | James David Gallant | Internal Medicine | 1128 Ne 2nd St Ste 101, Corvallis, OR 97330-6251 | 2006-08-03 |
| 1073548582 | Willamette Internal Medicine, PC | Internal Medicine | 6029 Sw Grand Oaks Dr, Corvallis, OR 97333-3957 | 2006-07-12 |
| 1588608954 | Constance Hume-rodman | Internal Medicine | 108 Sw Memorial Pl, Corvallis, OR 97331-8667 | 2006-06-16 |
| 1659355899 | Samantha Rao Shah | Internal Medicine | 3521 Nw Samaritan Dr Ste 201, Corvallis, OR 97330-4744 | 2005-12-01 |
| 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.