CHARLES D HYDE (NPI# 1972644250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972644250 |
| Entity Type | Individual |
| Full Name | CHARLES D HYDE |
| Credential | FNP |
| Practice Address |
690 N Main St Mount Angel OR 97362-9518 |
| Practice Telephone | 5038452000 |
| Practice Fax Number | 5038452384 |
| Mailing Telephone | 5038452000 |
| Mailing Fax Number | 5038452384 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2009-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP576A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806538800 | 05 | |
| ID | BC PLMC | NPGN2 | 01 |
| ID | BC MVMC | NPRN0 | 01 |
| ID | BS PLMC | 000010139848 | 01 |
| ID | BS CMMC | 000010139847 | 01 |
| ID | BS MVMC | 000010149870 | 01 |
| ID | BC CMMC | NPGO0 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386951861 | Charles B. Hyde | Case Manager/Care Coordinator | 1723 Mahan Center Blvd., Tallahasse, FL 32308 | 2010-09-07 |
| 1295764876 | Charles I. Hyde | Radiology | 212 Canal St, Suite 206, New York, NY 10013-4155 | 2006-07-03 |
| Street Address |
690 N MAIN ST |
| City | MOUNT ANGEL |
| State | OR |
| Zip Code | 97362-9518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942268354 | Faith L. Koschmann | Family Medicine | 690 N Main St, Mount Angel, OR 97362-9518 | 2006-05-03 |
| 1760801310 | Foundations Health and Wellness Center LLC | Chiropractor | 690 N Main St, Mount Angel, OR 97362-9518 | 2014-04-10 |
| 1912321308 | Michael John Petracci | Chiropractor | 690 N Main St, Mount Angel, OR 97362 | 2014-02-06 |
| 1437107083 | James Edward Domst | Family Medicine | 690 N Main St, Mount Angel, OR 97362-9518 | 2006-05-05 |
| 1962450551 | Mayda Ramos | Internal Medicine | 690 N Main St, Mount Angel, OR 97362-9518 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215230651 | Jess Ransom Miller | Family Medicine | 250 W Marquam St, Mount Angel, OR 97362 | 2010-12-07 |
| 1669691721 | Heidi Margarita Abreu Pacheco | Internal Medicine | 250 W Marquam St, Mount Angel, OR 97362 | 2007-04-25 |
| 1750630695 | Amy Roth | Occupational Therapist | 540 S. Main St, Mt. Angel, OR 97362-0000 | 2012-09-06 |
| 1356989271 | Brittany Micaela Curths | Behavior Technician | 315 S Pershing St, Mount Angel, OR 97362-9508 | 2019-12-11 |
| 1528171543 | Silverton Health | Clinic/Center | 250 W Marquam St, Mount Angel, OR 97362-9520 | 2006-08-16 |
| 1902207830 | Jennie Jorgensen | Social Worker | 250 W Marquam St, Mount Angel, OR 97362-9520 | 2014-09-10 |
| 1922163096 | Jack Lee Otterstrom | Counselor | 250 W Marquam St, Mount Angel, OR 97362-9520 | 2006-12-27 |
| 1962844241 | Providence Health & Services-oregon | Hospice Care, Community Based | 580 S Main St, Mount Angel, OR 97362-9540 | 2013-07-26 |
| 1831196302 | Providence Health & Services Oregon | Home Health | 570 S Main Street, Mount Angel, OR 97362-9540 | 2005-06-30 |
| 1669030508 | Sheila Helen Houle | Occupational Therapist | 540 S Main St, Mount Angel, OR 97362-9540 | 2019-06-05 |
| Find all providers in zip 97362 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484631 | Dana Marie Hampton | Nurse Practitioner | 2474 Sw Perkins Ave, Pendleton, OR 97801-4302 | 2020-10-13 |
| 1730796525 | Eden Fair | Nurse Practitioner | 841 E Cascade Ave, Sisters, OR 97759-5014 | 2020-09-25 |
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1548870306 | Virtual Recovery | Nurse Practitioner | 1038 Heathrow Dr, Eugene, OR 97402-1585 | 2020-08-06 |
| 1174148969 | Martina D Ford | Nurse Practitioner | 9370 Sw Greenburg Rd Ste 200, Tigard, OR 97223-5421 | 2020-06-08 |
| 1134740152 | South Coast Healthcare LLC | Nurse Practitioner | 29641 Ellensburg Ave, Gold Beach, OR 97444-8701 | 2020-04-30 |
| 1124657887 | Shelly Prather | Nurse Practitioner | 350 Wheeler St, Lebanon, OR 97355-4349 | 2020-04-05 |
| 1811521586 | Valorine Tsopmoh Tsopmoh | Nurse Practitioner | 924 Se Sacha Pl, Hillsboro, OR 97123-4685 | 2020-03-02 |
| 1174163356 | Erika Nichole Adams | Nurse Practitioner | 180 Ford Rd., John Day, OR 97845 | 2020-01-15 |
| 1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT ANGEL |
| Zip Code | 97362 |
Please comment or provide details below to improve the information on CHARLES D HYDE.
| 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.