Brian D Wadley (NPI# 1124076732, PAC ID# 2264425966) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1124076732 |
| PAC ID by PECOS | 2264425966 |
| Professional Enrollment ID | I20150310001947 |
| Full Name | Brian D Wadley |
| Organization Legal Name | SANTIAM MEMORIAL HOSPITAL |
| Address |
1375 N 10th Ave Suite B Stayton OR 97383-2099 |
| Phone Number | 5037697546 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6103729751 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380089 | LEGACY MERIDIAN PARK MEDICAL CENTER |
| 380025 | LEGACY MOUNT HOOD MEDICAL CENTER |
| 380056 | SANTIAM HOSPITAL |
| 380009 | OHSU HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 610 Nw 11th St, Hermiston, OR 97838-6601 | 5416673438 | GOOD SHEPHERD HEALTH CARE SYSTEM |
| 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 | 5037697546 | SANTIAM MEMORIAL HOSPITAL |
| 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 5036927447 | TUALATIN IMAGING PC |
| Organization Legal Name | SANTIAM MEMORIAL HOSPITAL |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle M Shroyer | Certified Registered Nurse Anesthetist (crna) | Santiam Memorial Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 |
| Benjamin J Lee | Cardiovascular Disease (cardiology) | Santiam Memorial Hospital | 1371 N 10th Ave, Stayton, OR 97383-2037 |
| Jackie Burman-solgan | Nurse Practitioner | Santiam Memorial Hospital | 114 Se Church St, Sublimity, OR 97385-9714 |
| Lauren Carlson | Nurse Practitioner | Santiam Memorial Hospital | 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 |
| Christian L Spencer | Physician Assistant | Santiam Memorial Hospital | 1369 N 10th Ave, Stayton, OR 97383-2037 |
| Scott T Hadden | Family Practice | Santiam Memorial Hospital | 1373 N 10th Ave, Santiam Women's Clinic, Stayton, OR 97383-2037 |
| Janine Tracy Vansant | Internal Medicine | Santiam Memorial Hospital | 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 |
| Erin L Cramer | Physician Assistant | Santiam Memorial Hospital | 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 |
| Amanda R Johnston | Emergency Medicine | Santiam Memorial Hospital | 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 |
| John Gallo | Family Medicine | Santiam Memorial Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 |
| Street Address |
1375 N 10TH AVE SUITE B |
| City | STAYTON |
| State | OR |
| Zip | 97383-2099 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Carlson | Nurse Practitioner | Santiam Memorial Hospital | 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 |
| Janine Tracy Vansant | Internal Medicine | Santiam Memorial Hospital | 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 |
| Erin L Cramer | Physician Assistant | Santiam Memorial Hospital | 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 |
| Amanda R Johnston | Emergency Medicine | Santiam Memorial Hospital | 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 |
| Monica L Byers | Nurse Practitioner | Stayton Family Practice Inc | 1375 N 10th Ave, Stayton, OR 97383-2037 |
| Emily R Weimer | Family Medicine | Santiam Memorial Hospital | 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 |
| Kalsang W Phuntshog | Internal Medicine | Santiam Memorial Hospital | 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 |
| Angila M Johnson | Physician Assistant | Santiam Memorial Hospital | 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 |
| John N Hoffman | Diagnostic Radiology | Santiam Memorial Hospital | 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 |
| Sarah C Wagner | Physician Assistant | Santiam Memorial Hospital | 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria A Fife | Nurse Practitioner | 1095 N 1st Ave, Stayton, OR 97383-1203 | |
| Michelle M Shroyer | Certified Registered Nurse Anesthetist (crna) | Santiam Memorial Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 |
| John Gallo | Family Medicine | Santiam Memorial Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 |
| Laurie M Duff | Certified Registered Nurse Anesthetist (crna) | Santiam Memorial Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 |
| Joaquin E Espinoza | Emergency Medicine | Santiam Memorial Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 |
| Travis C Blackhurst | Certified Registered Nurse Anesthetist (crna) | Santiam Memorial Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 |
| Arkady Klykov | Internal Medicine | Santiam Memorial Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 |
| Mark William Donnelly | Emergency Medicine | Santiam Memorial Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 |
| Steven M Maland | Certified Registered Nurse Anesthetist (crna) | Santiam Memorial Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 |
| Allyson Hudson Sterling | General Surgery | Santiam Memorial Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 |
| Find all physicians in zip 97383 | |||
| City | STAYTON |
| Zip Code | 97383 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | STAYTON + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Brian D Wadley.
| 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.