DR. J ERIC BRUNSWICK (NPI# 1902864275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902864275 |
| Entity Type | Individual |
| Full Name | DR. J ERIC BRUNSWICK |
| Credential | M.D. |
| Practice Address |
3737 Shasta Way Ste A Klamath Falls OR 97603-4982 |
| Practice Telephone | 5418832337 |
| Practice Fax Number | 5418832504 |
| Mailing Telephone | 5418832337 |
| Mailing Fax Number | 5418832504 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2010-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD19341 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
3737 SHASTA WAY STE A |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97603-4982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679521561 | Thomas C Koch | Emergency Medicine | 3737 Shasta Way Ste A, Klamath Falls, OR 97603-4982 | 2006-05-04 |
| 1396793287 | Laura L Moore | Internal Medicine | 3737 Shasta Way Ste A, Klamath Falls, OR 97603-4982 | 2006-05-04 |
| 1285682070 | Kathie J Lang | Family Medicine | 3737 Shasta Way Ste A, Klamath Falls, OR 97603-4982 | 2006-05-04 |
| 1255389045 | Bryan James Stuart | Family Medicine | 3737 Shasta Way Ste A, Klamath Falls, OR 97603-4982 | 2006-05-04 |
| 1104884469 | Tlp Inc | Clinic/Center | 3737 Shasta Way Ste A, Klamath Falls, OR 97603-4982 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790323699 | Mike Hampson | Counselor | 3203 Vandenberg Road, Klamath Falls, OR 97603 | 2019-12-11 |
| 1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
| 1720518392 | Maile Kalus | Counselor | 3647 Or-39, Klamath Falls, OR 97603 | 2017-06-15 |
| 1174067201 | Amber Wu | Audiologist | 4036 S 6th St Ste 3, Klamath Falls, OR 97603 | 2016-12-08 |
| 1568870681 | Nathan William Bailey | Dentist | 2301 Mountain View Blvd, Suite D, Klamath Falls, OR 97603 | 2014-08-01 |
| 1376987784 | Janice Marie Heiney | Denturist | 2607 Crosby Ave, Klamath Falls, OR 97603 | 2013-04-29 |
| 1083958011 | John W Cooper | Denturist | 3949 Shasta Way, Klamath Falls, OR 97603 | 2012-11-15 |
| 1205137742 | Robert Knight | Community Health Worker | 3314 Vandenburg Rd., Klamath Falls, OR 97603 | 2010-11-16 |
| 1841526431 | Tim R Jones | Counselor | 3949 South 6th St, Klamath Falls, OR 97603 | 2009-11-02 |
| 1316135833 | Ernest Thompson O'neal | Emergency Medicine | 211 Arnold Ave. Ste 15, Klamath Falls, OR 97603 | 2007-10-10 |
| Find all providers in zip 97603 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962667634 | William C Fridinger | Emergency Medicine | 1692 Cove Point Rd, Klamath Falls, OR 97601-9300 | 2008-07-22 |
| 1316135833 | Ernest Thompson O'neal | Emergency Medicine | 211 Arnold Ave. Ste 15, Klamath Falls, OR 97603 | 2007-10-10 |
| 1447314570 | G. Scott Mccreadie | Emergency Medicine | Sky Lakes Medical Center, 2865 Daggett Ave, Klamath Falls, OR 97601 | 2006-12-21 |
| 1891732277 | Jeffrey Aaron Salisbury | Emergency Medicine | 6803 Shasta Way, Klamath Falls, OR 97603-5275 | 2006-06-02 |
| 1265845473 | Paul Michael Girardi | Emergency Medicine | 2865 Daggett Ave, Klamath Falls, OR 97601 | 2014-06-05 |
| 1932544632 | Jason Yost | Emergency Medicine | 2801 Daggett Ave, Cascades East Family Medicine, Klamath Falls, OR 97601-1106 | 2013-05-08 |
| 1831532118 | Jay Taylor Williams | Emergency Medicine | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2013-04-17 |
| 1740415579 | Southern Oregon Emergency Care LLC | Emergency Medicine | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2009-05-22 |
| 1073756359 | Ryan Brent Udink | Emergency Medicine | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2009-04-15 |
| 1770741027 | Robert Thomas Melton | Emergency Medicine | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2008-05-22 |
| Find all providers in KLAMATH FALLS | ||||
| City | KLAMATH FALLS |
| Zip Code | 97603 |
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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.