Leon Norman Hsu (NPI# 1780940734, PAC ID# 0749573897) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1780940734 |
PAC ID by PECOS | 0749573897 |
Professional Enrollment ID | I20160727000222 |
Full Name | Leon Norman Hsu |
Organization Legal Name | DERMATOLOGY AND LASER ASSOC. OF MEDFORD |
Address |
2959 Siskiyou Blvd Suite B Medford OR 97504-8131 |
Phone Number | 5417733636 |
Gender | M |
Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
Graduation Year | 2012 |
Primary Specialty | DERMATOLOGY |
Group Practice PAC ID | 9436122793 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
380009 | OHSU HOSPITAL |
051316 | FAIRCHILD MEDICAL CENTER |
380018 | ASANTE ROGUE REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2959 Siskiyou Blvd, Suite B, Medford, OR 97504-8131 | 5417733636 | DERMATOLOGY AND LASER ASSOC. OF MEDFORD |
Organization Legal Name | DERMATOLOGY AND LASER ASSOC. OF MEDFORD |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeri Kersten Mendelson | Dermatology | Dermatology and Laser Assoc. of Medford | 2959 Siskiyou Blvd, Suite B, Medford, OR 97504-8131 |
Dwight Richard Tribelhorn | Dermatology | Dermatology and Laser Assoc. of Medford | 2959 Siskiyou Blvd, Suite B, Medford, OR 97504-8131 |
Laurel Naversen Geraghty | Dermatology | Dermatology and Laser Assoc. of Medford | 2959 Siskiyou Blvd, Suite B, Medford, OR 97504-8131 |
Jon David Igelman | Dermatology | Dermatology and Laser Assoc. of Medford | 2959 Siskiyou Blvd, Suite B, Medford, OR 97504-8131 |
Douglas N Naversen | Dermatology | Dermatology and Laser Assoc. of Medford | 2959 Siskiyou Blvd, Suite B, Medford, OR 97504-8131 |
Street Address |
2959 SISKIYOU BLVD SUITE B |
City | MEDFORD |
State | OR |
Zip | 97504-8131 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeri Kersten Mendelson | Dermatology | Dermatology and Laser Assoc. of Medford | 2959 Siskiyou Blvd, Suite B, Medford, OR 97504-8131 |
Dwight Richard Tribelhorn | Dermatology | Dermatology and Laser Assoc. of Medford | 2959 Siskiyou Blvd, Suite B, Medford, OR 97504-8131 |
Laurel Naversen Geraghty | Dermatology | Dermatology and Laser Assoc. of Medford | 2959 Siskiyou Blvd, Suite B, Medford, OR 97504-8131 |
Jon David Igelman | Dermatology | Dermatology and Laser Assoc. of Medford | 2959 Siskiyou Blvd, Suite B, Medford, OR 97504-8131 |
Douglas N Naversen | Dermatology | Dermatology and Laser Assoc. of Medford | 2959 Siskiyou Blvd, Suite B, Medford, OR 97504-8131 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kimberly Anne Zaslow | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
Benjamin Robert Oldson | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
Shirley A Malcolm | Osteopathic Manipulative Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
Denise M Viss | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
Carissa D Scalf | Psychologist, Clinical | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
Wesley T Ramoso | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
Uzomechine Thabiso Chiedozi | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
Grant A Jolliffe | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
Travis Adam Day | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
Jasmin Williams | Clinical Social Worker | Options for Southern Oregon | 1700 E Barnett Rd, Medford, OR 97504-0052 |
Find all physicians in zip 97504 |
City | MEDFORD |
Zip Code | 97504 |
Specialty | DERMATOLOGY |
City + Specialty | MEDFORD + DERMATOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.