WVP MEDICAL GROUP, LLC (NPI# 1922583616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922583616 |
Entity Type | Organization |
Organization Name | WVP MEDICAL GROUP, LLC |
Practice Address |
2995 Ryan Dr Se Ste 200 Salem OR 97301-5157 |
Practice Telephone | 5033717701 |
Practice Fax Number | 5035817422 |
Mailing Telephone | 5033717701 |
Enumeration Date | 2018-09-27 |
Last Update Date | 2018-09-27 |
Authorized Official Name | DEAN ANDRETTA (CFO) |
Authorized Official Telephone | 5033717701 |
Is Organization Subpart | Y |
Parent Organization Name | WVP MEDICAL GROUP, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Clinical Support Providers | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831504968 | Wvp Medical Group, LLC | Clinic/Center | 2485 12th St. Se, Salem, OR 97302-0000 | 2014-06-27 |
1982148789 | Wvp Medical Group, LLC | Internal Medicine | 5050 Skyline Village Loop S, Salem, OR 97306-9490 | 2016-12-13 |
1538535059 | Wvp Medical Group, LLC | Clinic/Center | 1430 Monmouth St, Independence, OR 97351-1127 | 2015-08-19 |
1710231550 | Wvp Medical Group, LLC | Family Medicine | 2365 Grear St Ne, Salem, OR 97301-2747 | 2012-11-01 |
1518225242 | Wvp Medical Group, LLC | Clinic/Center | 1155 Mission St Se, Suite 205, Salem, OR 97302-6228 | 2012-05-01 |
1164780060 | Wvp Medical Group, LLC | Clinic/Center | 1000 Se Uglow Ave, Dallas, OR 97338-2645 | 2012-04-27 |
1538459938 | Wvp Medical Group, LLC | Clinic/Center | 2478 13th St Se, Ste. 200, Salem, OR 97302-2546 | 2011-04-19 |
1750684767 | Wvp Medical Group, LLC | Clinic/Center | 5100 River Rd N, Keizer, OR 97303-5371 | 2010-12-13 |
1124352877 | Wvp Medical Group, LLC | Family Medicine | 2485 12th St Se, Salem, OR 97302-2151 | 2009-09-29 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | WVP MEDICAL GROUP, LLC | 245 Commercial St Se Ste 200, Salem, OR 97301 |
Street Address |
2995 RYAN DR SE STE 200 |
City | SALEM |
State | OR |
Zip Code | 97301-5157 |
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 | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871632000 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 1137 25th St Ne, Salem, OR 97301-1604 | 2007-02-05 |
1538238928 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 1095 25th St Se, Salem, OR 97301-5049 | 2006-11-07 |
1114967817 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 3321 Harold Dr Ne, Salem, OR 97305-1339 | 2006-06-08 |
1679520787 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 3325 Harold Dr Ne, Salem, OR 97305-1339 | 2006-05-27 |
1104322841 | Lilac Wellness | Clinic/Center | 2651 Commercial St Se Ste 1, Salem, OR 97302-4872 | 2018-04-02 |
1215448907 | Edge Medical Services Inc. | Clinic/Center | 13160 Jerusalem Hill Rd Nw, Salem, OR 97304-9622 | 2017-10-20 |
1235674136 | Breathe Easy With Jenn, PC | Clinic/Center | 3000 Market St Ne Ste 541, Salem, OR 97301-1835 | 2016-12-30 |
1689003550 | Central Utah Clinic, P.C. | Clinic/Center | 555 W Sr 164, Salem, UT 84653 | 2013-11-01 |
1902104094 | Alouf Aesthetics | Clinic/Center | 1602 Apperson Dr, Salem, VA 24153-7217 | 2011-03-14 |
1942233986 | Central Utah Clinic, P.C. | Clinic/Center | 555 W Sr 164, Salem, UT 84653 | 2006-07-09 |
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.