THOMAS T MESDAG (NPI# 1811091044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811091044 |
| Entity Type | Individual |
| Full Name | THOMAS T MESDAG |
| Credential | DPM |
| Practice Address |
343 E Main St Monmouth OR 97361 |
| Mailing Address |
Po Box 95 Monmouth OR 97361 |
| Practice Telephone | 5038383668 |
| Practice Fax Number | 5036062944 |
| Mailing Telephone | 5038383668 |
| Mailing Fax Number | 5036062944 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2011-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | OP00145 | OR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 268177 | 05 |
| Street Address |
343 E MAIN ST |
| City | MONMOUTH |
| State | OR |
| Zip Code | 97361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512320 | Wesley Stoecker | Physical Therapist | 512 Main St., Suite 300, Monmouth, OR 97361 | 2020-06-10 |
| 1699050492 | Joshua Fitzgerald Sandeman | Nurse Practitioner | 180 Atwater St N Ofc, Monmouth, OR 97361 | 2011-10-13 |
| 1649487927 | Kimberli Ann Wicks Freilinger | Counselor | 1458 Meadowglen Ct., Monmouth, OR 97361 | 2007-05-17 |
| 1083718357 | Michelle L Hasbrook | Dentist | 120 N. Atwater St., Monmouth, OR 97361 | 2006-09-08 |
| 1417239997 | Life Dream Now | Community/Behavioral Health | 235 Gentle Ave E, Monmouth, OR 97361-1108 | 2011-09-12 |
| 1063805513 | Jordan Ambrose | Chiropractor | 953 Caroline Way E, Monmouth, OR 97361-1202 | 2015-03-09 |
| 1407027584 | Lisa Rochelle Roe | Massage Therapist | 110 Monmouth Ave N Lowr Level, Monmouth, OR 97361-1327 | 2008-03-18 |
| 1265458905 | Christopher Mccarthy Silva | Nurse Practitioner | 345 Monmouth Ave N, Monmouth, OR 97361-1329 | 2006-07-14 |
| 1003440827 | Bo Johnson | Specialist/Technologist | 345 Monmouth Ave N, Monmouth, OR 97361-1329 | 2020-03-02 |
| 1255810107 | Scott Perfect | Counselor | 345 Monmouth Ave N, Monmouth, OR 97361-1329 | 2018-08-11 |
| Find all providers in zip 97361 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992871495 | Jacqueline Maria Kordich | Podiatrist | 343 Main St E, Monmouth, OR 97361-2334 | 2006-11-27 |
| 1972739548 | Sheila Raedine Feaster | Podiatrist | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2009-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154869659 | Mid-columbia Medical Center | Podiatrist | 33 Nichols Pkwy, Hood River, OR 97031-3121 | 2017-02-03 |
| 1033560867 | John M Barnes Dpm LLC | Podiatrist | 9615 Nw Randall Ln, Portland, OR 97229-5294 | 2016-06-22 |
| 1619338829 | Cara Beach | Podiatrist | 9900 Sw Hall Blvd Ste 100, Portland, OR 97223-5838 | 2016-03-15 |
| 1265743090 | Nanjin Jasmine Park | Podiatrist | 5311 Sw Baird St, Portland, OR 97219-5023 | 2010-06-26 |
| 1689991804 | Cassandra Bree Tomczak | Podiatrist | 19250 Sw 65th Ave Ste 200, Tualatin, OR 97062 | 2010-04-27 |
| 1326363839 | Kessa Mauras | Podiatrist | 1100 E. Marina Way, Suite 223, Hood River, OR 97031 | 2010-03-29 |
| 1598907537 | Joshua Johnson Boone | Podiatrist | 551 Lone Prine Blvd, The Dalles, OR 97058 | 2009-04-06 |
| 1699928168 | Kristy R Six | Podiatrist | 400 Sw Bluff Dr Ste 220, Bend, OR 97702-1697 | 2008-10-28 |
| 1306093265 | Gilbert Alan Hice | Podiatrist | 953 Foots Creek Road, Gold Hill, OR 97525 | 2008-08-22 |
| 1982870382 | Debra Kaye Lynch | Podiatrist | 4905 River Road N, Keizer, OR 97303 | 2008-05-06 |
| Find all providers with the same taxonomy | ||||
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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.