TREASURE VALLEY MEDICAL GROUP (NPI# 1982694345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982694345 |
Entity Type | Organization |
Organization Name | TREASURE VALLEY MEDICAL GROUP |
Other Organization Name | TREASURE VALLEY INTERNAL MEDICINE |
Practice Address |
1050 Sw 3rd Ave Suite 3200 Ontario OR 97914-2193 |
Mailing Address |
351 Sw 9th St Ontario OR 97914-2639 |
Practice Telephone | 5418817370 |
Practice Fax Number | 5418817379 |
Mailing Telephone | 5418817370 |
Mailing Fax Number | 5418817379 |
Enumeration Date | 2005-10-26 |
Last Update Date | 2007-12-21 |
Authorized Official Name | HEATHER LYNN RIVERA (PRACTICE MANAGER) |
Authorized Official Telephone | 5418817358 |
Is Organization Subpart | Y |
Parent Organization Name | HOLY ROSARY MEDICAL CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
OR | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | OMAP GROUP NUMBER | 134400 | 01 |
OR | RAILROAD MEDICARE | DB4506 | 01 |
Other Name | Type Code |
---|---|
Treasure Valley Internal Medicine | Doing Business As Name - Organization |
Street Address |
1050 SW 3RD AVE SUITE 3200 |
City | ONTARIO |
State | OR |
Zip Code | 97914-2193 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801892104 | Frank J Spokas Jr. | Surgery | 1050 Sw 3rd Ave, Ste 2600, Ontario, OR 97914 | 2005-06-22 |
1407265838 | Logan Bake | Physical Therapist | 1050 Sw 3rd Ave, Ontario, OR 97914-2193 | 2014-08-11 |
1649619966 | Ashley Rene Kossick | Speech-Language Pathologist | 1050 Sw 3rd Ave, Ontario, OR 97914-2193 | 2013-06-19 |
1518236785 | Stephanie Candice Johnson Mooney | Nurse Practitioner | 1050 Sw 3rd Ave, Ste 3200, Ontario, OR 97914 | 2011-12-17 |
1760779904 | Micah James Wilson | Nurse Practitioner | 1050 Sw 3rd Ave, Ste 3200, Ontario, OR 97914-2193 | 2011-07-08 |
1093034159 | Saint Alphonsus Medical Center - Ontario, Inc. | Podiatrist | 1050 Sw 3rd Ave, Ste 3200, Ontario, OR 97914-2193 | 2010-05-27 |
1538306725 | Richard T. Davis, Md PC | Orthopaedic Surgery | 1050 Sw 3rd Ave, Suite 1200, Ontario, OR 97914-2193 | 2009-01-09 |
1063692028 | Andrew W. Allen | Anesthesiology | 1050 Sw 3rd Ave, Ste 2600, Ontario, OR 97914-2193 | 2007-11-07 |
1518167634 | Ontario Ear, Nose and Throat | Otolaryngology | 1050 Sw 3rd Ave, Suite 3600, Ontario, OR 97914-2193 | 2007-07-18 |
1508083635 | Pamela Pember Bruce | Surgery | 1050 Sw 3rd Ave, Ste 2600, Ontario, OR 97914 | 2007-04-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467925420 | The Family Place D/b/a Tfp Services Therapeutic | Case Manager/Care Coordinator | 390 Ne 2nd St., Ontario, OR 97914 | 2019-01-02 |
1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
1700334117 | Arlene Schwenke | Social Worker | 686 Nw 9th St., Ontario, OR 97914 | 2016-09-14 |
1871990408 | Sally Melissa Sluder | Nurse Practitioner | 351 Sw 9th Ave, Ontario, OR 97914 | 2014-11-25 |
1932460870 | E Patricia Jeanne Engel | Surgery | 1050 Sw 3rd Ave Ste 2600, Ontario, OR 97914 | 2012-06-07 |
1487946521 | Tyler Jepson | Physical Therapist | 1182 Sw 4th Avenue, Ontario, OR 97914 | 2011-05-09 |
1255641577 | Cami Lyn Rebmann | Pharmacist | 728 S 4th Ave, Ontario, OR 97914 | 2010-10-20 |
1295051126 | Project Dove | Case Manager/Care Coordinator | 915-02 Sw 2nd Ave, Ontario, OR 97914 | 2010-04-16 |
1467666024 | Tfp Therapeutic Service, Inc. | Counselor | 390 Ne 2nd Street, Ontario, OR 97914 | 2007-05-10 |
1639381569 | Emeritus Corporation | Assisted Living Facility | 1372 Southwest 8th Avenue, Ontario, OR 97914 | 2007-05-04 |
Find all providers in zip 97914 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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1043688161 | Jenine Titus | Clinic/Center | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2015-09-04 |
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1063026466 | Kyle D. Homertgen Bend Osteopathic Care PC | Clinic/Center | 147 Sw Shevlin Hixon Dr Ste 204, Bend, OR 97702-1137 | 2020-09-02 |
1396252177 | Rising Heart Healing | Clinic/Center | 492 E 13th Ave Ste 208, Eugene, OR 97401-4268 | 2018-01-03 |
1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
1932566320 | Dr Steven Clark and Associates, LLC | Clinic/Center | 697 Nw Division St, Gresham, OR 97030-5424 | 2016-01-15 |
1174907638 | Bridgeton Chiropractic, LLC | Clinic/Center | 10350 N Vancouver Way # 92, Portland, OR 97217-7530 | 2015-07-15 |
1356745301 | Deschutes Health LLC | Clinic/Center | 612 Ne Savannah Dr, Suite 1, Bend, OR 97701-4874 | 2014-10-20 |
1447677059 | Ent Facial Plastic and Laser Center, Inc | Clinic/Center | 600 Nw 11th St Ste E21, Hermiston, OR 97838-8603 | 2014-03-20 |
1154661163 | Sundara Acupuncture LLC | Clinic/Center | 17175 Sw Lisa St, Beaverton, OR 97006-4185 | 2013-02-28 |
1053659938 | Dedicated Sleep, LLC | Clinic/Center | 21260 S Springwater Rd, Estacada, OR 97023-9650 | 2013-01-28 |
1912241746 | Portland Preventive Cardiology LLC | Clinic/Center | 8855 Sw Canyon Ln, Portland, OR 97225-3411 | 2012-11-16 |
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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.