MS. TRACEY MARIE RUSS (NPI# 1881056109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881056109 |
| Entity Type | Individual |
| Full Name | MS. TRACEY MARIE RUSS |
| Credential | PTA |
| Practice Address |
3445 Boone Rd Se Salem OR 97317-9336 |
| Mailing Address |
33815 Se Peoria Road Corvallis OR 97333 |
| Practice Telephone | 5035763000 |
| Mailing Telephone | 7203526745 |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | 0012073 | CO | Managed Care Organizations |
| Street Address |
3445 BOONE RD SE |
| City | SALEM |
| State | OR |
| Zip Code | 97317-9336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215071998 | South Salem Rehabilitation, LLC | Skilled Nursing Facility | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2007-02-16 |
| 1134737513 | Virginia Rose Edwards Gray | Physical Therapist | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2020-07-21 |
| 1619513769 | Kaitlyn Mary Mcgowan | Nurse Practitioner | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2019-11-25 |
| 1376187815 | Colby L Curtis | Physical Therapy Assistant | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2019-10-28 |
| 1013576263 | Amber Khan | Speech-Language Pathologist | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2019-06-11 |
| 1245720622 | Michelle Jean Thoreson | Physical Therapist | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2018-05-11 |
| 1518481142 | Ryan Johnson | Physical Therapy Assistant | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2017-07-26 |
| 1093237620 | Kyleen Johnson | Speech-Language Pathologist | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2017-07-14 |
| 1538608195 | Kendra Sinn | Physical Therapy Assistant | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2017-02-15 |
| 1912453952 | Sarah Bea Fischer | Occupational Therapy Assistant | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2016-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962932996 | Corinna Leona Zib | Counselor | 4726 Appaloosa Ct Se, Salem, OR 97317 | 2017-06-13 |
| 1639537889 | Nikole Stormo | Massage Therapist | 4675 Campbell Dr Se Apt267, Salem, OR 97317 | 2016-02-03 |
| 1174698971 | Christian Community Placement Center | Foster Care Agency | 4890 32nd Ave Se, Salem, OR 97317 | 2006-11-21 |
| 1235653569 | Alexis Panther | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317 | 2017-07-28 |
| 1114479128 | Jocelyn Gran | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97317 | 2016-10-26 |
| 1841410057 | Jennifer Krug | Specialist/Technologist | 5000 Deer Park Dr Se, Salem, OR 97317 | 2007-04-27 |
| 1649498262 | Carol Adams | Social Worker | 1164 63rd Ave Ne, Salem, OR 97317-2313 | 2007-04-20 |
| 1992114490 | Pathways - Child and Family Services - LLC | Community/Behavioral Health | 1164 63rd Ave Ne, Salem, OR 97317-2313 | 2014-08-08 |
| 1417513235 | James Matthew Conway | Social Worker | 5100 Center St Ne, Salem, OR 97317-3217 | 2019-05-16 |
| 1043876865 | Home Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5100 Center St Ne, Salem, OR 97317-3217 | 2019-05-16 |
| Find all providers in zip 97317 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073061859 | Logan Calahan | Health Maintenance Organization | 5028 Cumberland Ct Se, Salem, OR 97306-2011 | 2016-09-21 |
| 1306394796 | Rejuven8 Massage and Float Therapy, LLC | Health Maintenance Organization | 249 Liberty St Ne # B60, Salem, OR 97301-3503 | 2016-09-14 |
| 1467835520 | En8 Pain Management | Health Maintenance Organization | 1803 Lansing Ave Ne, Salem, OR 97301-8733 | 2015-07-07 |
| 1093121709 | Rejuven8 Massage, LLC | Health Maintenance Organization | 388 State St. Ne # B60, Salem, OR 97301-3866 | 2014-07-02 |
| 1316183783 | Mid Valley Employees Benefit Trust | Health Maintenance Organization | 245 Commercial St Se Ste 220, Salem, OR 97301-3466 | 2009-01-06 |
| 1215488671 | Salem Medical Massage, LLC | Health Maintenance Organization | 249 Liberty St Ne # B60, Salem, OR 97301-3503 | 2016-10-20 |
| 1790113934 | Kaiser Permanent | Health Maintenance Organization | 2400 Lancaster Dr Ne, Addiction Medicine, Salem, OR 97305-1221 | 2013-10-25 |
| 1164711933 | Caps | Health Maintenance Organization | 2421 Lancaster Dr Ne, Salem, OR 97305-1220 | 2011-04-01 |
| 1063658425 | Marion Polk Community Health Plan, LLC. | Health Maintenance Organization | 245 Commercial St Se Ste 220, Salem, OR 97301-3466 | 2009-01-06 |
| 1508002973 | Marion Polk Community Health Plan Advantage, Inc. | Health Maintenance Organization | 245 Commercial St Se Ste 220, Salem, OR 97301-3466 | 2009-01-06 |
| Find all providers in SALEM | ||||
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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.