ALLERGY & ASTHMA CENTER OF SOUTHERN OREGON PC (NPI# 1851954853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851954853 |
| Entity Type | Organization |
| Organization Name | ALLERGY & ASTHMA CENTER OF SOUTHERN OREGON PC |
| Practice Address |
1813 W Harvard Ave Suite 241 Roseburg OR 97471 |
| Mailing Address |
3860 Crater Lake Ave Suite A Medford OR 97504 |
| Practice Telephone | 5418581003 |
| Practice Fax Number | 5418574499 |
| Mailing Telephone | 5418581003 |
| Mailing Fax Number | 5418574499 |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | EDWARD KERWIN (PHYSICIAN OWNER) |
| Authorized Official Telephone | 5418581003 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164562401 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 2628 Clover St, Klamath Falls, OR 97601-1132 | 2007-02-07 |
| 1205976867 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 2262 Ashland St, Ashland, OR 97520-1406 | 2007-02-06 |
| 1952441594 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 1722 Williams Hwy, Grants Pass, OR 97527-5661 | 2007-02-06 |
| 1760548408 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 3860 Crater Lake Ave Ste A, Medford, OR 97504-9741 | 2006-12-28 |
| Street Address |
1813 W HARVARD AVE SUITE 241 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780677146 | Laurence M. Sharp | Family Medicine | 1813 W Harvard Ave, Suite 426, Roseburg, OR 97471-2752 | 2005-08-31 |
| 1801314372 | Jacob Dean Thompson | Physician Assistant | 1813 W Harvard Ave, #310, Roseburg, OR 97471 | 2017-09-06 |
| 1851828511 | Kimberlly Joy Stevens | Nurse Practitioner | 1813 W Harvard Ave, Suite 241, Roseburg, OR 97471-8708 | 2017-05-12 |
| 1871030338 | Ashley D Heuer | Physician Assistant | 1813 W Harvard Ave, Suite 310, Roseburg, OR 97471-2752 | 2017-01-23 |
| 1619410982 | Tabitha Waller | Nurse Practitioner | 1813 W Harvard Ave, Suite 241, Roseburg, OR 97471-2752 | 2016-11-18 |
| 1780065870 | Umpqua Valley Internists PC | Internal Medicine | 1813 W Harvard Ave, Ste 423, Roseburg, OR 97471-2752 | 2015-06-15 |
| 1679965149 | Joshua J Middlekauff | Nurse Practitioner | 1813 W Harvard Ave, Suite 201, Roseburg, OR 97471-2752 | 2015-02-20 |
| 1144631326 | Community Health Alliance | Community/Behavioral Health | 1813 W Harvard Ave, Ste 448, Roseburg, OR 97471-2752 | 2014-05-09 |
| 1669742870 | Kirstin Allene Carhart | Registered Nurse | 1813 W Harvard Ave, Suite 436, Roseburg, OR 97471-2752 | 2012-01-04 |
| 1720308620 | Aruna Jayaram | Internal Medicine | 1813 W Harvard Ave, Suite 201, Roseburg, OR 97471-2752 | 2010-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922304302 | Eastside Allergy Asthma & General Internal Medicine PC | Allergy & Immunology | 2850 Se Powell Blvd, Suite 206, Gresham, OR 97080-1494 | 2011-02-02 |
| 1164562401 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 2628 Clover St, Klamath Falls, OR 97601-1132 | 2007-02-07 |
| 1205976867 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 2262 Ashland St, Ashland, OR 97520-1406 | 2007-02-06 |
| 1952441594 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 1722 Williams Hwy, Grants Pass, OR 97527-5661 | 2007-02-06 |
| 1760548408 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 3860 Crater Lake Ave Ste A, Medford, OR 97504-9741 | 2006-12-28 |
| 1194733519 | Joel Michael Depper | Allergy & Immunology | 1250 Ne 3rd St, Suite B-100, Bend, OR 97701-4331 | 2006-08-03 |
| 1568482610 | Robert Henry Schwartz | Allergy & Immunology | 27 Ne Killingsworth St, Portland, OR 97211-2623 | 2006-07-20 |
| 1659317683 | John D Minor | Allergy & Immunology | 2233-f Willamette St, Allergy & Asthma Center PC, Eugene, OR 97405 | 2006-06-20 |
| 1134100092 | Kevin M Kral | Allergy & Immunology | 2065 Ne Williamson Ct, Suite A, Bend, OR 97701-3867 | 2005-11-08 |
| 1568465847 | Edward Kerwin | Allergy & Immunology | 3860 Crater Lake Ave, Medford, OR 97504-9741 | 2005-05-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ALLERGY & ASTHMA CENTER OF SOUTHERN OREGON PC.
| 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.