HEALOGICS SPECIALTY PHYSICIANS OF OREGON, LLC (NPI# 1841664752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841664752 |
| Entity Type | Organization |
| Organization Name | HEALOGICS SPECIALTY PHYSICIANS OF OREGON, LLC |
| Practice Address |
875 Oak St Se Salem OR 97301-3975 |
| Mailing Address |
5220 Belfort Rd Ste 130 Jacksonville FL 32256-6018 |
| Practice Telephone | 9044463756 |
| Practice Fax Number | 9044463013 |
| Mailing Telephone | 9044463451 |
| Mailing Fax Number | 9044463032 |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | DAVID BASSIN (CEO) |
| Authorized Official Telephone | 8556895105 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | HEALOGICS SPECIALTY PHYSICIANS OF OREGON, LLC | 5220 Belfort Rd, Ste 130, Jacksonville, FL 32256 |
| Street Address |
875 OAK ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-3975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952307498 | Jerry Leroy Hubbard | Neurological Surgery | 875 Oak St Se, Ste 5060, Salem, OR 97301-3987 | 2005-06-21 |
| 1710447453 | Katie Joy Larue | Pharmacist | 875 Oak St Se, Salem, OR 97301-3975 | 2019-03-20 |
| 1538600333 | Rachel Wixson | Nurse Practitioner | 875 Oak St Se, Salem, OR 97301-3975 | 2017-03-13 |
| 1265971386 | Angela Rehder | Physician Assistant | 875 Oak St Se, Suite 5020, Salem, OR 97301 | 2017-02-22 |
| 1548625585 | Hematology Oncology of Salem, LLP | Physician Assistant | 875 Oak St Se, Suite 4030, Salem, OR 97301-3975 | 2015-12-17 |
| 1134592041 | Oregon Oncology Specialists, LLP | Internal Medicine | 875 Oak St Se, Suite 4030, Salem, OR 97301-3975 | 2015-11-02 |
| 1841693363 | Charles V. Hatchette II, Md, LLC | Neurological Surgery | 875 Oak St Se, Suite 5060, Salem, OR 97301-3975 | 2014-09-29 |
| 1770997009 | Urooba Faheem | Psychiatry & Neurology | 875 Oak St Se, Salem, OR 97301-3975 | 2014-06-14 |
| 1689922676 | Michael Christian Slabaugh | Physician Assistant | 875 Oak St Se, Ste 3010, Salem, OR 97301 | 2012-08-22 |
| 1063795003 | Kevin Michael Dennis | Physician Assistant | 875 Oak St Se, Suite 5020, Salem, OR 97301-3975 | 2011-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235276700 | Kevin Craig Walters | Preventive Medicine | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306257183 | Albany General Hospital | Preventive Medicine | 400 Hickory St Nw Ste 101, Albany, OR 97321-1700 | 2014-05-14 |
| 1659609899 | Cameron Scott, Md PC | Preventive Medicine | 1460 G St, Springfield, OR 97477-4112 | 2009-11-30 |
| 1508015546 | Harry E. Kleiner Do PC | Preventive Medicine | 1460 G St, Springfield, OR 97477-4112 | 2008-09-15 |
| 1558426494 | Robert J Charles Md PC | Preventive Medicine | 1460 G Street, Springfield, OR 97477-4197 | 2006-12-22 |
| 1811055437 | Doctors Emergency Room Corp PC | Preventive Medicine | 1460 G St, Springfield, OR 97477-4112 | 2006-12-05 |
| 1356446389 | Lee W. Davidson, Md. P.C. | Preventive Medicine | 1460 G St, Springfield, OR 97477-4112 | 2006-09-14 |
| 1689682577 | Desmond A Crooks, Md P.C. | Preventive Medicine | 1460 G St, Springfield, OR 97477-4112 | 2006-08-04 |
| 1659389534 | Eric A Spencer Md PC | Preventive Medicine | 1460 G St, Springfield, OR 97477-4112 | 2006-08-04 |
| 1992713879 | John A Mackey Md PC | Preventive Medicine | 1460 G St, Springfield, OR 97477-4112 | 2006-08-04 |
| 1710995691 | Marc B Schnapper Md PC | Preventive Medicine | 1460 G St, Springfield, OR 97477-4112 | 2006-08-04 |
| 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.