SOUTHERN OREGON COLON AND RECTAL SURGICAL ASSOCIATES LLC (NPI# 1750699542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750699542 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OREGON COLON AND RECTAL SURGICAL ASSOCIATES LLC |
| Practice Address |
520 Sw Ramsey Ave Ste 204 Grants Pass OR 97527-5535 |
| Practice Telephone | 5414798308 |
| Practice Fax Number | 5414740447 |
| Mailing Telephone | 5414798308 |
| Mailing Fax Number | 5414740447 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-10-14 |
| Authorized Official Name | RICHARD S NELSON (OWNER) |
| Authorized Official Telephone | 5414798308 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | DO29287 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 234880 | 05 |
| Street Address |
520 SW RAMSEY AVE STE 204 |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97527-5535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003986696 | Cathryn Diann Draper | Nurse Practitioner | 520 Sw Ramsey Ave Ste 204, Grants Pass, OR 97527-5535 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
| 1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| 1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
| 1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
| 1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| Find all providers in zip 97527 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194090399 | Christopher Jay Longaker | Colon & Rectal Surgery | 12235 Nw Big Fir Cir, Portland, OR 97229-3903 | 2012-03-21 |
| 1659798932 | Rodrigo Pedraza Rosales | Colon & Rectal Surgery | 4805 Ne Glisan St Ste 6n60, Portland, OR 97213-2933 | 2014-03-24 |
| 1295173763 | Paul Michael Kaminsky | Colon & Rectal Surgery | 2222 Nw Lovejoy St Ste 601, Portland, OR 97210 | 2013-06-06 |
| 1023313749 | Northwest Center for Colorectal Health, LLC | Colon & Rectal Surgery | 9155 Sw Barnes Rd, Suite 211, Portland, OR 97225-6625 | 2011-01-12 |
| 1093030074 | Alizah Rabin Rotramel | Colon & Rectal Surgery | 1040 Nw 22nd Ave, Suite 540, Portland, OR 97210-3057 | 2010-04-01 |
| 1336399682 | Michael Gregory Doorly | Colon & Rectal Surgery | 364 Se 8th Ave, Suite 301a, Hillsboro, OR 97123-4253 | 2008-09-23 |
| 1386843894 | Sungeyun David Cho | Colon & Rectal Surgery | 9900 Se Sunnyside Rd, Dept of Surgery, Clackamas, OR 97015-9777 | 2007-07-13 |
| 1285782987 | Phuong Hoang Nguyen | Colon & Rectal Surgery | 1245 Nw 4th St, Redmond, OR 97756-1680 | 2007-01-08 |
| 1962578104 | Megan M Cavanaugh | Colon & Rectal Surgery | 9155 Sw Barnes Rd, Suite 231, Portland, OR 97225-6625 | 2006-11-28 |
| 1629140603 | Gary H Leaverton | Colon & Rectal Surgery | 511 Sw 10th Avenue, Suite 714, Portland, OR 97205 | 2006-11-14 |
| Find all providers with the same taxonomy | ||||
| City | GRANTS PASS |
| Zip Code | 97527 |
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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.