MR. CHARLES GERARD HURBIS (NPI# 1760542724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760542724 |
| Entity Type | Individual |
| Full Name | MR. CHARLES GERARD HURBIS |
| Credential | M.D. |
| Practice Address |
2695 N 17th St Coos Bay OR 97420-2134 |
| Practice Telephone | 5412660900 |
| Practice Fax Number | 5412660800 |
| Mailing Telephone | 5412660900 |
| Mailing Fax Number | 5412660800 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
MD16892 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 011820 | 05 |
| Street Address |
2695 N 17TH ST |
| City | COOS BAY |
| State | OR |
| Zip Code | 97420-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880606 | Danielle Goette | Massage Therapist | 320 Central Ave Suite 226, Coos Bay, OR 97420 | 2020-01-14 |
| 1730643735 | Nicole Hand-therapeutic Massage | Massage Therapist | 3229 Broadway Avenue, Suite D, Coos Bay, OR 97420 | 2019-01-24 |
| 1528531100 | A Better Reality | Clinic/Center | 2690 N. 17th Sstreet, Coos Bay, OR 97420 | 2019-01-07 |
| 1396216883 | Elizabeth Rose Stephens | Health Educator | 97381 Newport Lane, Coos Bay, OR 97420 | 2018-12-10 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1285091884 | Richard T Rigney | Counselor | 62754 Karl Road, Coos Bay, OR 97420 | 2016-01-27 |
| 1821493032 | James Thomas Agee | Pharmacist | 2051 Newmark Avenue, Walmart Pharmacy 1880, Coos Bay, OR 97420 | 2014-10-30 |
| 1346663895 | Steven D. Richardson D.m.d. L.l.c | Dentist | 1835 Ocean Blvd Se, Coos Bay, OR 97420 | 2014-02-03 |
| 1144669243 | Michael Jason Cole | Pharmacist | 1020 South First Ave, Coos Bay, OR 97420 | 2013-06-21 |
| 1639518053 | Jonathan Thomas Small | Physical Therapist | 2645 North 17th St, Coos Bay, OR 97420 | 2013-06-19 |
| Find all providers in zip 97420 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470214 | W. Wallace Webster Md LLC | Otolaryngology | 620 Commercial Ave Ste A, Coos Bay, OR 97420-1846 | 2020-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821274317 | Southern Oregon Ear Nose & Throat, PC | Otolaryngology | 555 Black Oak Dr Ste 210, Medford, OR 97504-8491 | 2008-01-14 |
| 1689720468 | Michael M Kim | Otolaryngology | 2525 Nw Lovejoy St Ste 402, Portland, OR 97210-2865 | 2007-01-26 |
| 1508921354 | David Dean Magilke | Otolaryngology | 9427 Sw Barnes Rd Ste 394, Portland, OR 97225-6616 | 2006-12-22 |
| 1891801551 | Jeffrey Morris Israel | Otolaryngology | 720 Sw Hume St, Portland, OR 97219-4475 | 2006-08-22 |
| 1083920177 | David Michael Souza | Otolaryngology | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2010-08-26 |
| 1427296623 | Rogue Valley Ear, Nose, Throat & Facial Plastics PC | Otolaryngology | 1601 Ne 6th St, Grants Pass, OR 97526-1035 | 2009-01-26 |
| 1124202346 | Michael E Villano Md LLC | Otolaryngology | 431 Ne Revere Ave, 110, Bend, OR 97701-4189 | 2007-12-24 |
| 1497763932 | Tom D. Wang | Otolaryngology | 3303 Sw Bond Ave, Mail Code: Ch 5e, Portland, OR 97239-4501 | 2006-08-03 |
Please comment or provide details below to improve the information on MR. CHARLES GERARD HURBIS.
| 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.