DR. FARA KATRINA ETZEL


Address: 2395 Center St Ne, Salem, OR 97301-4464
Phone: 5033642181

DR. FARA KATRINA ETZEL (NPI# 1770525263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770525263
Entity Type Individual
Full Name DR. FARA KATRINA ETZEL
Credential M.D.
Practice Address 2395 Center St Ne
Salem
OR 97301-4464
Practice Telephone 5033642181
Practice Fax Number 5033640364
Mailing Telephone 5033642181
Mailing Fax Number 5033640364
Enumeration Date 2006-06-11
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics MD23500 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 182833 05

Office Location

Street Address 2395 CENTER ST NE
City SALEM
State OR
Zip Code 97301-4464

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992731343 James Kenneth Lace Pediatrics 2395 Center St Ne, Salem, OR 97301-4464 2006-06-25
1396781605 Jon Michael Gilbert Pediatrics 2395 Center St Ne, Salem, OR 97301-4464 2006-06-22
1053353649 Marge L Dettwiler Nurse Practitioner 2395 Center St Ne, Salem, OR 97301-4464 2006-06-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205450970 Jehan Seals Behavior Technician 3400 State St Set G750, Salem, OR 97301 2020-05-29
1093335929 Sterling Recovery, LLC Dietitian, Registered 3758 Amber St Ne #105, Salem, OR 97301 2020-04-21
1760018360 Riverfront Mental Health LLC Counselor 338 State St, Suite 985, Salem, OR 97301 2020-03-16
1871126888 Amity Beth Haddon Maxwell Social Worker Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 2020-02-18
1861042632 Brenda Grizelda Vargas Behavioral Analyst 3400 State Ste Ste G750, Salem, OR 97301 2019-09-13
1588213177 Natalie Stone Registered Nurse 2045 Siverton Rd Ne, Salem, OR 97301 2019-09-06
1588228720 Jeramy Disenso Counselor 270 Cottage St Ne, Salem, OR 97301 2019-04-23
1801353297 Gwendolyn Kersey Registered Nurse 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 2019-02-21
1841769114 Spine Clinic PC Massage Therapist 1281 Lancaster Drive Ne, Salem, OR 97301 2018-11-16
1013482132 Kellie Linn Hansen Physical Therapist 4049 Market St Se, Salem, OR 97301 2018-10-04
Find all providers in zip 97301

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730440058 Matthew Hatler Pediatrics 2478 13th St. Se, Salem, OR 97302-2546 2012-06-04
1033409016 William Christopher Thomsen Jr. Pediatrics 1641 Millwood Dr, Salem, VA 24153-4616 2011-04-12
1275708539 Children's Medical Group Pediatrics 24906 75th St, Salem, WI 53168-9705 2008-04-28
1346378213 Cooper Pediatrics Pediatrics 330 Woodstown Road., Medical Arts Bldg 7, Salem, NJ 08079 2007-03-01
1053424291 Linda J Morgan Pediatrics 57 Highlands Ave, Er, Salem, MA 01970 2006-08-15
1700813854 Dorin Meredith Kemmerle Pediatrics 4350 Commercial St Se, Salem, OR 97302-3914 2006-06-26
1043252612 Kimberly Ann Heggen Pediatrics 891 23rd St Ne, Salem, OR 97301-1793 2006-06-11
1083675953 Donald T Mcauliffe Pediatrics 72 Highland Avenue, Pediatric Associates of Greater Salem, Salem, MA 01970 2006-03-30
1336116474 Madeleine Ana Ortiz Pediatrics 1076 E State St, Salem, OH 44460-2228 2006-03-08
1104813062 Edward Zalitis Pediatrics 72 Highland Ave, Salem, MA 01970-2738 2005-10-05
Find all providers in SALEM

Competitor

Search similar providers

City SALEM
Zip Code 97301

Improve Information

Please comment or provide details below to improve the information on DR. FARA KATRINA ETZEL.

Dataset Information

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.

Trending Searches