MARJORIE NICOLE HARVILL-BROOKS (NPI# 1831148196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831148196 |
| Entity Type | Individual |
| Full Name | MARJORIE NICOLE HARVILL-BROOKS |
| Other Name | MARJORIE NICOLE HARVILL |
| Credential | DO |
| Practice Address |
940 Royal Ave Suite 350 Medford OR 97504-6193 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5417327460 |
| Practice Fax Number | 5417327461 |
| Mailing Telephone | 5417327460 |
| Mailing Fax Number | 5417327460 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2015-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | DO154075 | OR | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
DO154075 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MEDICAID | 500634857 | 01 |
| Street Address |
940 ROYAL AVE SUITE 350 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649250895 | Sanjeev Sharma | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 940 Royal Ave, Suite 450, Medford, OR 97504-6193 | 2006-01-21 |
| 1316358393 | Kevin J Tyndall | Physician Assistant | 940 Royal Ave, Suite 420, Medford, OR 97504-6193 | 2014-05-13 |
| 1750703559 | Jessica Lynn Luckman | Nurse Practitioner | 940 Royal Ave, Ste 350, Medford, OR 97504-6193 | 2014-01-13 |
| 1902193527 | Kendall Lee Olson-cassidy | Registered Nurse | 940 Royal Ave, Suite 350, Medford, OR 97504-6193 | 2011-07-03 |
| 1972896710 | Andrew Galffy | Obstetrics & Gynecology | 940 Royal Ave, Ste 350, Medford, OR 97504-6193 | 2011-05-26 |
| 1578772935 | Aaron Wayne Partsafas | Surgery | 940 Royal Ave, Suite 420, Medford, OR 97504-6194 | 2007-05-22 |
| 1568689701 | Sisters of Providence In Oregon | Clinic/Center | 940 Royal Ave, Suite 450, Medford, OR 97504-6193 | 2007-04-19 |
| 1144345455 | Timothy B Hutchings | Obstetrics & Gynecology | 940 Royal Ave, Ste 350, Medford, OR 97504-6193 | 2007-03-20 |
| 1427116862 | Betty Kay Taylor | Advanced Practice Midwife | 940 Royal Ave, Ste 350, Medford, OR 97504-6193 | 2006-12-05 |
| 1750460283 | Providence Health & Services - Oregon | Clinic/Center | 940 Royal Ave, Suite 420, Medford, OR 97504-6193 | 2006-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831451079 | Stephen Rogers | Obstetrics & Gynecology | 60500 Arnold Market Rd, Bend, OR 97702-9277 | 2012-06-13 |
| 1881615102 | Sarah Hamilton Boyles | Obstetrics & Gynecology | 9155 Sw Barnes Rd Ste 735, Portland, OR 97225-6634 | 2006-07-21 |
| 1477816049 | Daniel Do Hoon Lee | Obstetrics & Gynecology | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2012-06-19 |
| 1346255833 | Mary Anna Denman | Obstetrics & Gynecology | 9155 Sw Barnes Rd Ste 735, Portland, OR 97225-6634 | 2006-07-31 |
| 1891712477 | Connie Sue Dimarco | Obstetrics & Gynecology | 2400 Hartman Ln, Springfield, OR 97477-1118 | 2006-07-17 |
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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.