GORGE BONE DENSITY TESTING LLC (NPI# 1790833721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790833721 |
| Entity Type | Organization |
| Organization Name | GORGE BONE DENSITY TESTING LLC |
| Other Organization Name | THOMAS A NICHOL |
| Practice Address |
1825 E 19th St Suite 3 The Dalles OR 97058-3365 |
| Practice Telephone | 5094931467 |
| Practice Fax Number | 5094933765 |
| Mailing Telephone | 5094931467 |
| Mailing Fax Number | 5094933765 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-09-05 |
| Authorized Official Name | THOMAS J NICHOL (OPERATING MANAGER) |
| Authorized Official Telephone | 5094931467 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
MD16255 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WASHINGTON MEDICAID | 1059047 | 01 |
| OR | PACIFIC SOURCE | K285401 | 01 |
| OR | 002415 | 05 |
| Other Name | Type Code |
|---|---|
| THOMAS A NICHOL | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295744365 | Gorge Bone Density Testing LLC | Radiology | 1825 E 19th St, Suite 3, The Dalles, OR 97058-3365 | 2006-08-06 |
| Street Address |
1825 E 19TH ST SUITE 3 |
| City | THE DALLES |
| State | OR |
| Zip Code | 97058-3365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407839665 | Daniel S Morris | Internal Medicine | 1825 E 19th St, The Dalles, OR 97058-3388 | 2005-11-22 |
| 1073870192 | Kathryn C Jenewein | Podiatrist | 1825 E 19th St, The Dalles, OR 97058-3365 | 2012-04-13 |
| 1316222136 | Jonathan Rosen Soffer | Nurse Practitioner | 1825 E 19th St, The Dalles, OR 97058-3365 | 2011-10-12 |
| 1497037675 | Brittany Ella Fallon | Nurse Practitioner | 1825 E 19th St, The Dalles, OR 97058-3365 | 2011-09-14 |
| 1376705897 | James M Edwards | Internal Medicine | 1825 E 19th St, The Dalles, OR 97058 | 2008-06-26 |
| 1417005455 | Gorge Bone Density Testing | Internal Medicine | 1825 E 19th St, Suite 3, The Dalles, OR 97058-3365 | 2007-01-08 |
| 1942377296 | Lucille I Kirchner | Internal Medicine | 1825 E 19th St, The Dalles, OR 97058 | 2006-11-30 |
| 1295744365 | Gorge Bone Density Testing LLC | Radiology | 1825 E 19th St, Suite 3, The Dalles, OR 97058-3365 | 2006-08-06 |
| 1780693143 | Dorothy Della Sherwood | Internal Medicine | 1825 E 19th St, The Dalles, OR 97058-3365 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538646864 | Ashlee Kai Mcnamara | Behavior Technician | 2525 W 8th St., #34, The Dalles, OR 97058 | 2018-07-19 |
| 1548784689 | Mireya Moreno Ibarra | Behavior Technician | 401 East 3rd Street, Suite 101, The Dalles, OR 97058 | 2017-07-31 |
| 1407304991 | Joshua Seidel | Pharmacist | 515 Mt Hood St, The Dalles, OR 97058 | 2016-09-14 |
| 1366809048 | Mid-columbia Medical Center | Surgery | 1810 E. 19th St. #225, The Dalles, OR 97058 | 2016-01-26 |
| 1558731141 | Louise Goodnight | Case Manager/Care Coordinator | 419 East 7 Th Street, The Dalles, OR 97058 | 2015-09-25 |
| 1578944666 | Jessica Donnell | Dental Hygienist | 2529 E 12th St, The Dalles, OR 97058 | 2015-06-15 |
| 1487034328 | Savanna Schaan | Specialist | 609 W 14th St, The Dalles, OR 97058 | 2015-06-05 |
| 1801299102 | Mary E Zenorini | Social Worker | 1620 E. 12th St, The Dalles, OR 97058 | 2014-09-30 |
| 1669889143 | Diane Joan Irwin | Social Worker | 419 E 7th St #207, The Dalles, OR 97058 | 2014-07-17 |
| 1124452008 | Lacey A Nichols | Counselor | 312 E. Third St., The Dalles, OR 97058 | 2013-08-27 |
| Find all providers in zip 97058 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1417005455 | Gorge Bone Density Testing | Internal Medicine | 1825 E 19th St, Suite 3, The Dalles, OR 97058-3365 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912257460 | Samaritan Pacific Health Services, Inc. | Internal Medicine | 531 Nw Hwy 101, Suite A, Depoe Bay, OR 97341-9801 | 2012-09-12 |
| 1578812277 | Mid-valley Healthcare, Inc. | Internal Medicine | 100 Mullins Drive, Suite B1, Lebanon, OR 97355 | 2012-09-10 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1548558117 | Jina Tushar Makadia | Internal Medicine | 3181 Sam Jackson Park Road, Mail Code L457, Oregon Health & Science University, Div of Id, Portland, OR 97239-3098 | 2011-07-18 |
| 1679705289 | Columbia Sands Medical Specialities, LLC | Internal Medicine | 1245 Nw 4th St Ste 201, Redmond, OR 97756-1680 | 2009-08-14 |
| 1417181629 | Phil Holland Alday Jr. | Internal Medicine | 3181 Sw Sam Jackson Park Road L457, Portland, OR 97239-3098 | 2009-05-04 |
| 1851506299 | Melissa Rose Nyendak | Internal Medicine | Oregon Health and Science University, 3181 Sw Sam Jackson Park Road L457, Portland, OR 97239 | 2007-05-11 |
| 1174745418 | Raymond Bracis, Md | Internal Medicine | 1015 Nw 22nd Ave #r200, Portland, OR 97210 | 2007-05-03 |
| 1083758130 | Paul Raymond Cieslak | Internal Medicine | 3007 Ne 53rd Ave, Portland, OR 97213-2439 | 2007-02-19 |
| 1457461022 | Mark Alden Crislip | Internal Medicine | 1015 Nw 22nd, R200, Portland, OR 97210 | 2006-08-30 |
| Find all providers with the same taxonomy | ||||
| City | THE DALLES |
| Zip Code | 97058 |
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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.