CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORP. (NPI# 1982076055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982076055 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORP. |
| Practice Address |
740 Nw Hill Ave Roseburg OR 97471-1672 |
| Mailing Address |
1601 Cummins Dr Ste D Modesto CA 95358-6411 |
| Practice Telephone | 5416721631 |
| Mailing Telephone | 2094917710 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | THEOPHILE KOURY (PRESIDENT) |
| Authorized Official Telephone | 5103502600 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881059657 | California Emergency Physicians Medical Group, A Professional Corp. | Internal Medicine | 179 Fairview Ln, Sonora, CA 95370-4809 | 2015-12-22 |
| 1457833295 | California Emergency Physicians Medical Group, A Professional Corp. | Internal Medicine | 1303 E Herndon Ave, Fresno, CA 93720-3309 | 2018-08-29 |
| 1952776353 | California Emergency Physicians Medical Group, A Professional Corp. | Assisted Living Facility | 2100 Powell St, Ste 900, Emeryville, CA 94608-1826 | 2015-12-10 |
| 1306210554 | California Emergency Physicians Medical Group, A Professional Corp. | Internal Medicine | 9106 Pine View Ln, Clinton, MD 20735-3229 | 2015-11-25 |
| 1851765770 | California Emergency Physicians Medical Group, A Professional Corp. | Assisted Living Facility | 1325 Las Villas Way, Escondido, CA 92026-1946 | 2015-11-16 |
| 1770950230 | California Emergency Physicians Medical Group, A Professional Corp. | Internal Medicine | 760 E Bobier Dr, Vista, CA 92084-3806 | 2015-08-31 |
| 1871960427 | California Emergency Physicians Medical Group, A Professional Corp. | Internal Medicine | 1325 Las Villas Way, Escondido, CA 92026-1946 | 2015-08-31 |
| 1205212032 | California Emergency Physicians Medical Group, A Professional Corp. | Internal Medicine | 22 S Athol Ave, Baltimore, MD 21229-3405 | 2015-08-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORPORATION | 2100 Powell St Ste 400, Emeryville, CA 94608-1826 |
| Oregon Corporations, Companies and Business Names | CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORPORATION | 2100 Powell St Ste 400, Emeryville, CA 94608 |
| Street Address |
740 NW HILL AVE |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-1672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932106069 | Fisher Care, Inc. | Skilled Nursing Facility | 740 Nw Hill Ave, Roseburg, OR 97471-1672 | 2005-07-05 |
| 1952850760 | Avalon Health Care - Rose Haven, LLC | General Practice | 740 Nw Hill Ave, Roseburg, OR 97471-1672 | 2016-09-22 |
| 1225581242 | Avalon Health Care - Rose Haven, LLC | Skilled Nursing Facility | 740 Nw Hill Ave, Roseburg, OR 97471-1672 | 2016-07-26 |
| 1780844993 | Kristoffer Scott Johns | Speech-Language Pathologist | 740 Nw Hill Ave, Roseburg, OR 97470-1672 | 2008-06-11 |
| 1245406156 | Rose Haven | Skilled Nursing Facility | 740 Nw Hill Ave, Roseburg, OR 97470-1672 | 2008-05-01 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265884902 | Park Medical Group, LLC | Internal Medicine | 1813 W Harvard Ave Ste 241, Roseburg, OR 97471-8708 | 2016-07-06 |
| 1518283605 | Janus Medical Group Inc | Internal Medicine | 1224 Ne Walnut St, Roseburg, OR 97470-2026 | 2010-04-14 |
| 1891925129 | Hennie Tambot Abrio | Internal Medicine | 3369 Ne Stephens St, Ste 100, Roseburg, OR 97470-1200 | 2009-07-21 |
| 1174759997 | Angela L. Jones | Internal Medicine | 1813 W Harvard Ave Ste 423, Roseburg, OR 97471-8712 | 2009-06-08 |
| 1417986670 | David S. Weingarten, M.d., PC | Internal Medicine | 1813 W Harvard Ave Ste 422, Roseburg, OR 97470-8705 | 2006-07-01 |
| 1114995735 | Shelley G Brittain | Internal Medicine | 1937 W. Harvard Ave., Roseburg, OR 97471-2720 | 2006-03-09 |
| 1740266816 | Connie L Grady | Internal Medicine | 2371 Ne Stephens St, Suite 200, Roseburg, OR 97470-1372 | 2005-12-20 |
| 1851377931 | Corina Gabriela Rachita | Internal Medicine | 2395 Nw Stewart Pkwy, Roseburg, OR 97470-5653 | 2005-12-20 |
| 1053395160 | Siobhan A Oreilly | Internal Medicine | 272 Medical Loop, Suite B, Roseburg, OR 97471-5597 | 2005-12-01 |
| 1790768877 | Joel H Lee | Internal Medicine | 1813 W Harvard Avenue #423, Roseburg, OR 97471 | 2005-11-22 |
| Find all providers in ROSEBURG | ||||
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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.