GRANTS PASS CLINIC LLP (NPI# 1760418032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760418032 |
| Entity Type | Organization |
| Organization Name | GRANTS PASS CLINIC LLP |
| Practice Address |
495 Ramsey Ave Grants Pass OR 97527-5681 |
| Mailing Address |
495 Sw Ramsey Ave Grants Pass OR 97527-5681 |
| Practice Telephone | 5414766644 |
| Practice Fax Number | 5414725673 |
| Mailing Telephone | 5414725580 |
| Mailing Fax Number | 5414725673 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2011-10-18 |
| Authorized Official Name | ROSS GASSAWAY (CEO) |
| Authorized Official Telephone | 5414725500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | OR | Suppliers | |
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
495 RAMSEY AVE |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97527-5681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700850 | Caroline Jean Brown | Family Medicine | 495 Ramsey Ave, Grants Pass, OR 97527-5681 | 2005-06-16 |
| 1780649939 | Marcel Wiggers | Internal Medicine | 495 Ramsey Ave, Grants Pass, OR 97527-5681 | 2006-04-19 |
| 1679534002 | Andrew Pitzak | Internal Medicine | 495 Ramsey Ave, Grants Pass, OR 97527-5681 | 2006-03-28 |
| 1619977089 | Neil Alan Phillips | Pediatrics | 495 Ramsey Ave, Grants Pass, OR 97527-5681 | 2005-07-28 |
| 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 | 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 |
|---|---|---|---|---|
| 1225455223 | Justin Isert | Internal Medicine | 1233 Nw Lawnridge Ave, Grants Pass, OR 97526-1215 | 2014-03-27 |
| 1063420982 | Roger Ward Steinbrenner | Internal Medicine | 181 Nw Bunnell, Grants Pass, OR 97526-6012 | 2006-08-04 |
| 1770572380 | Mona Mynnel Tara | Internal Medicine | 714 Nw 5th St, Grants Pass, OR 97526-1529 | 2005-10-17 |
| 1396741294 | Ronald S Sinclair | Internal Medicine | 495 Sw Ramsey A Ve, Grants Pass, OR 97527 | 2005-06-24 |
| 1891790523 | Chutuoc Christine Trandinh | Internal Medicine | 8600 New Hope Rd, Grants Pass, OR 97527-8978 | 2005-06-17 |
| 1992700991 | Thomas R Brandes | Internal Medicine | 495 Sw Ramsey Ave, Grants Pass, OR 97527 | 2005-06-16 |
| 1871596635 | James Lee Calvert | Internal Medicine | 181 Nw Bunnell Ave, Grants Pass, OR 97526-6012 | 2005-05-24 |
| 1730605296 | Qurat Ul Ain | Internal Medicine | 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | 2017-08-16 |
| 1639692304 | Mirza Faris Ali Baig | Internal Medicine | 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | 2017-07-25 |
| 1083137251 | Alexander Erino Bonato | Internal Medicine | 500 Sw Ramsey Ave, Grants Pass, OR 97527 | 2017-07-19 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97527 |
Please comment or provide details below to improve the information on GRANTS PASS CLINIC LLP.
| 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.