MR. KURT L. ATKIN (NPI# 1770646663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770646663 |
| Entity Type | Individual |
| Full Name | MR. KURT L. ATKIN |
| Credential | PA-C |
| Practice Address |
1155 Mission St Se Suite 205 Salem OR 97302-6228 |
| Practice Telephone | 5033626304 |
| Practice Fax Number | 5033625570 |
| Mailing Telephone | 5033626304 |
| Mailing Fax Number | 5033625570 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00563 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON LICENSE | PA00563 | 01 |
| OR | 058979 | 05 |
| Street Address |
1155 MISSION ST SE SUITE 205 |
| City | SALEM |
| State | OR |
| Zip Code | 97302-6228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306893979 | Mission Medical Imaging | Radiology | 1155 Mission St Se, Suite 105, Salem, OR 97302-6228 | 2006-05-28 |
| 1114268273 | Shawna Cozens | Physician Assistant | 1155 Mission St Se, Suite 205, Salem, OR 97302-6228 | 2013-03-13 |
| 1518225242 | Wvp Medical Group, LLC | Clinic/Center | 1155 Mission St Se, Suite 205, Salem, OR 97302-6228 | 2012-05-01 |
| 1316114465 | Lynette Myra Lenz | Physician Assistant | 1155 Mission St Se, Suite 205, Salem, OR 97302 | 2008-05-08 |
| 1942318613 | Willamette Valley Radiology | Radiology | 1155 Mission St Se, Suite 105, Salem, OR 97302-6228 | 2006-08-25 |
| 1801904586 | Anthony George Pappas | Radiology | 1155 Mission St Se, Suite 105, Salem, OR 97302-6228 | 2006-08-25 |
| 1396858353 | Salem Family Physicians, P.C. | Legal Medicine | 1155 Mission St Se, Suite 205, Salem, OR 97302-6228 | 2006-08-16 |
| 1902819469 | William Ebbert Purnell Jr. | Radiology | 1155 Mission St Se, Suite 105, Salem, OR 97302-6228 | 2006-08-15 |
| 1093759052 | Richard Hall | Family Medicine | 1155 Mission St Se, Salem, OR 97302-6228 | 2006-06-16 |
| 1699715409 | Deborah Cox | Pediatrics | 1155 Mission St Se, Salem, OR 97302-6228 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
| 1639614852 | Gregory Bull | Physician Assistant | 622 Fernwood Dr, Salem, VA 24153-2654 | 2016-12-24 |
| 1841648862 | Theron J Wiese | Physician Assistant | 1395 Commercial St Se, Salem, OR 97302-4205 | 2016-05-31 |
| 1922329697 | Charleen Ann Thorburn | Physician Assistant | 22 Keewaydin Dr, Salem, NH 03079-2839 | 2010-06-17 |
| 1316188006 | Judith A Mitchell | Physician Assistant | 4999 Skyline Rd. S., Salem, OR 97306 | 2009-03-10 |
| 1215912712 | Amy Gouley | Physician Assistant | 1793 13th St Se, Salem, OR 97302-2541 | 2005-12-07 |
| 1306827100 | William Earle Williams | Physician Assistant | 1233 Edgewater St Nw, Salem, OR 97304-4049 | 2005-11-08 |
| 1700485224 | Roderick Mao | Physician Assistant | 159 N Broadway, Salem, NH 03079-2136 | 2020-10-26 |
| 1447719752 | Christine Nicole Jeffries | Physician Assistant | 360 Church St Se, Salem, OR 97301-3796 | 2019-03-16 |
| 1265999338 | Brolin Johnson | Physician Assistant | 1793 13th St Se, Salem, OR 97302-2541 | 2019-02-26 |
| Find all providers in SALEM | ||||
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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.