GOOD SAMARITAN HOSPITAL CORVALLIS (NPI# 1790041549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790041549 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN HOSPITAL CORVALLIS |
| Other Organization Name | SAMARITAN OCCUPATIONAL MEDICINE - CORVALLIS |
| Practice Address |
5234 Philomath Blvd. Suite B Corvallis OR 97330-3767 |
| Mailing Address |
5234 Sw Philomath Blvd Ste B Corvallis OR 97333-1042 |
| Practice Telephone | 5417686211 |
| Practice Fax Number | 5417689385 |
| Mailing Telephone | 5417686211 |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2018-11-08 |
| Authorized Official Name | BECKY PAPE (CEO) |
| Authorized Official Telephone | 5417685009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500651540 | 05 |
| Other Name | Type Code |
|---|---|
| Samaritan Occupational Medicine - Corvallis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774751 | Good Samaritan Hospital Corvallis | Psychiatric Hospital | 3509 Nw Samaritan Dr Ste 110, Corvallis, OR 97330-3893 | 2020-03-05 |
| 1073073250 | Good Samaritan Hospital Corvallis | Internal Medicine | 3640 Nw Samaritan Dr Ste 100c, Corvallis, OR 97330-3784 | 2019-03-22 |
| 1164887402 | Good Samaritan Hospital Corvallis | Pharmacist | 3517 Nw Samaritan Dr # 202, Corvallis, OR 97330-3767 | 2015-12-30 |
| 1295103448 | Good Samaritan Hospital Corvallis | Internal Medicine | 441 Nw Elks Dr, Corvallis, OR 97330-3744 | 2015-09-04 |
| 1013326537 | Good Samaritan Hospital Corvallis | Physical Therapist | 845 Sw 30th Street, Corvallis, OR 97331-8629 | 2014-08-08 |
| 1801130612 | Good Samaritan Hospital Corvallis | Clinic/Center | 501 Nw Elks Dr Ste 200, Corvallis, OR 97330-3757 | 2012-11-16 |
| 1275882102 | Good Samaritan Hospital Corvallis | Obstetrics & Gynecology | 3517 Nw Samaritan Drive, Suite 202, Corvallis, OR 97330 | 2012-09-06 |
| 1023376654 | Good Samaritan Hospital Corvallis | Psychiatry & Neurology | 1052 29th Avenue Sw, Albany, OR 97321-3416 | 2012-05-02 |
| 1770849572 | Good Samaritan Hospital Corvallis | Psychiatry & Neurology | 3517 Nw Samaritan Drive Suite 101, Corvallis, OR 97330-3768 | 2012-04-05 |
| 1427323690 | Good Samaritan Hospital Corvallis | Family Medicine | 5234 Philomath Boulevard, Corvallis, OR 97333-1042 | 2012-03-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GOOD SAMARITAN HOSPITAL CORVALLIS | 3600 Nw Samaritan Dr, Corvallis, OR 97330 |
| Street Address |
5234 PHILOMATH BLVD. SUITE B |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-3767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| 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 |
|---|---|---|---|---|
| 1952662892 | Ian James Pennell-walklin | Internal Medicine | 3600 Nw Samaritan Dr Ste 1w001b, Corvallis, OR 97330-3737 | 2012-06-07 |
| 1518268614 | John Theodore Vincent | Internal Medicine | 3079 Nw Snowberry Pl, Corvallis, OR 97330-3530 | 2010-11-05 |
| 1417111295 | Elizabeth H Waldron | Internal Medicine | 2610 Nw Glenwood Dr, House Call Doc, LLC, Corvallis, OR 97330-3134 | 2008-07-11 |
| 1700092020 | Lloyd Harvey Wiggins | Internal Medicine | 2743 Nw Rolling Green Dr, Corvallis, OR 97330-3521 | 2007-05-15 |
| 1538217872 | Charles Lewis Fein | Internal Medicine | 4350 Nw Canary Pl, Corvallis, OR 97330 | 2007-01-05 |
| 1144238551 | James David Gallant | Internal Medicine | 1128 Ne 2nd St Ste 101, Corvallis, OR 97330-6251 | 2006-08-03 |
| 1073548582 | Willamette Internal Medicine, PC | Internal Medicine | 6029 Sw Grand Oaks Dr, Corvallis, OR 97333-3957 | 2006-07-12 |
| 1588608954 | Constance Hume-rodman | Internal Medicine | 108 Sw Memorial Pl, Corvallis, OR 97331-8667 | 2006-06-16 |
| 1659355899 | Samantha Rao Shah | Internal Medicine | 3521 Nw Samaritan Dr Ste 201, Corvallis, OR 97330-4744 | 2005-12-01 |
| 1134100944 | Karen Lee Weisman | Internal Medicine | 2310 Nw Kings Blvd, Corvallis, OR 97330-3925 | 2005-11-09 |
| Find all providers in CORVALLIS | ||||
Please comment or provide details below to improve the information on GOOD SAMARITAN HOSPITAL CORVALLIS.
| 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.