ALEX RENEE SHAFFER (NPI# 1740761519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740761519 |
| Entity Type | Individual |
| Full Name | ALEX RENEE SHAFFER |
| Credential | PA-C |
| Practice Address |
150 Ne Kenneth Ford Dr Roseburg OR 97470-1042 |
| Practice Telephone | 5416729596 |
| Mailing Telephone | 5416729596 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2019-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4311 11th Ave Ne Ste 200, Seattle, WA 981056367 | 2066164001 | 2066163889 |
| Street Address |
150 NE KENNETH FORD DR |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801881974 | Joe Wayne Howard Jr. | Dentist | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470 | 2005-09-15 |
| 1457951147 | Richelle Gix | Denturist | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2020-10-30 |
| 1144834912 | Meredith Lafrance | Dietitian, Registered | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2020-08-31 |
| 1104434224 | Melissa Snell | Family Medicine | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2020-07-14 |
| 1902428428 | Amal Alyusuf | Family Medicine | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2020-05-07 |
| 1861012213 | Christy Sunny | Family Medicine | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2020-04-25 |
| 1013536382 | John Travis Melling | Family Medicine | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2020-04-15 |
| 1437618691 | Gabrielle Ann Kelly | Family Medicine | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2019-03-18 |
| 1750878484 | Tsz Ho Wong | Family Medicine | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2018-04-18 |
| 1295247666 | Teresa Dove | Dental Hygienist | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2017-10-25 |
| Find all providers in the same location | ||||
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412505 | Lisa Mai | Physician Assistant | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1214 | 2020-09-18 |
| 1609480359 | Jacob Watters | Physician Assistant | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2020-09-01 |
| 1851937924 | Thanita Pradhanang | Physician Assistant | 1740 Nw Goetz St, Roseburg, OR 97471-1613 | 2019-11-22 |
| 1679129753 | Shannon Danette Trammell | Physician Assistant | 340 Nw Medical Loop, Roseburg, OR 97471-1645 | 2019-08-14 |
| 1144885575 | Michael Peterson | Physician Assistant | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471-2348 | 2019-05-01 |
| 1962978866 | Kaitlyn E Bogardus | Physician Assistant | 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 | 2018-10-17 |
| 1629554811 | Gary Sorcher | Physician Assistant | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2018-07-11 |
| 1548756158 | Timothy Lawrence Garvey Jr. | Physician Assistant | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2018-07-06 |
| 1437641404 | Michael F Graham | Physician Assistant | 2570 Nw Edenbower Blvd., Suite 100, Roseburg, OR 97471-6214 | 2018-06-05 |
| 1801314372 | Jacob Dean Thompson | Physician Assistant | 1813 W Harvard Ave, #310, Roseburg, OR 97471 | 2017-09-06 |
| 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.