Mallory Lynn Fillmore (NPI# 1215272505, PAC ID# 2466697578) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1215272505 |
| PAC ID by PECOS | 2466697578 |
| Professional Enrollment ID | I20151110001301 |
| Full Name | Mallory Lynn Fillmore |
| Organization Legal Name | EUGENE GASTROENTEROLOGY CONSULTANTS PC |
| Address |
3355 Riverbend Dr Suite 500 Springfield OR 97477-8800 |
| Phone Number | 5418689500 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9830185875 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3355 Riverbend Dr, Suite 500, Springfield, OR 97477-8800 | 5418689500 | EUGENE GASTROENTEROLOGY CONSULTANTS PC |
| Organization Legal Name | EUGENE GASTROENTEROLOGY CONSULTANTS PC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald K Yang | Gastroenterology | Eugene Gastroenterology Consultants PC | 3355 Riverbend Dr, Suite 500, Springfield, OR 97477-8800 |
| Terrence C Lee | Gastroenterology | Eugene Gastroenterology Consultants PC | 3355 Riverbend Dr, Suite 500, Springfield, OR 97477-8800 |
| Davis Lok Sim | Gastroenterology | Eugene Gastroenterology Consultants PC | 3355 Riverbend Dr, Suite 500, Springfield, OR 97477-8800 |
| Jubeen Moaven | Gastroenterology | Eugene Gastroenterology Consultants PC | 3355 Riverbend Dr, Suite 500, Springfield, OR 97477-8800 |
| Nathan Drue Holman | Gastroenterology | Eugene Gastroenterology Consultants PC | 3355 Riverbend Dr, Suite 500, Springfield, OR 97477-8800 |
| Page Marie Crenshaw | Nurse Practitioner | Eugene Gastroenterology Consultants PC | 3355 Riverbend Dr, Suite 500, Springfield, OR 97477-8800 |
| Jonathan Gonenne | Gastroenterology | Eugene Gastroenterology Consultants PC | 3355 Riverbend Dr, Suite 500, Springfield, OR 97477-8800 |
| Shane Jefferson Mills | Gastroenterology | Eugene Gastroenterology Consultants PC | 3355 Riverbend Dr, Suite 500, Springfield, OR 97477-8800 |
| Peter S Kay | Gastroenterology | Eugene Gastroenterology Consultants PC | 3355 Riverbend Dr, Suite 500, Springfield, OR 97477-8800 |
| Amy D Littlejohn | Physician Assistant | Eugene Gastroenterology Consultants PC | 3355 Riverbend Dr, Suite 500, Springfield, OR 97477-8800 |
| Street Address |
3355 RIVERBEND DR SUITE 500 |
| City | SPRINGFIELD |
| State | OR |
| Zip | 97477-8800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaime M Fair | Critical Care (intensivists) | Northwest Intensivists, LLC | 3355 Riverbend Dr, Suite 240, Springfield, OR 97477-8800 |
| Donald K Yang | Gastroenterology | Eugene Gastroenterology Consultants PC | 3355 Riverbend Dr, Suite 500, Springfield, OR 97477-8800 |
| Jarrod D Hemmer | Nurse Practitioner | Northwest Intensivists, LLC | 3355 Riverbend Dr, Suite 240, Springfield, OR 97477-8800 |
| Terrence C Lee | Gastroenterology | Eugene Gastroenterology Consultants PC | 3355 Riverbend Dr, Suite 500, Springfield, OR 97477-8800 |
| Matthew B Walter | Pulmonary Disease | Northwest Intensivists, LLC | 3355 Riverbend Dr, Suite 240, Springfield, OR 97477-8800 |
| Daniel A Cusati Oropeza | General Surgery | Northwest Surgical Specialists LLP | 3355 Riverbend Dr, Suite 300, Springfield, OR 97477-8800 |
| Karthik P Mahadevan | Pulmonary Disease | Northwest Intensivists, LLC | 3355 Riverbend Dr, Suite 240, Springfield, OR 97477-8800 |
| Heidi Marie Semple | Nurse Practitioner | Northwest Surgical Specialists LLP | 3355 Riverbend Dr, Suite 300, Springfield, OR 97477-8800 |
| Winnie W Henderson | General Surgery | Northwest Surgical Specialists LLP | 3355 Riverbend Dr, Suite 300, Springfield, OR 97477-8800 |
| Nichole Ingalls | General Surgery | Northwest Surgical Specialists LLP | 3355 Riverbend Dr, Suite 300, Springfield, OR 97477-8800 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas P Trezona | Surgical Oncology | Cascade Surgical Oncology PC | 3783 International Ct, Suite 200, Springfield, OR 97477-1025 |
| Sydney Katherine Johnstone | Physician Assistant | Cascade Surgical Oncology PC | 3783 International Ct, Suite 200, Springfield, OR 97477-1025 |
| Jason R Oilar | Optometry | 3783 International Ct, Suite 160, Springfield, OR 97477-1025 | |
| Deven L Smith | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Lauren A Hammock | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Denis M Mccarthy | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| John Paul Ditomasso | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| David Scott Meyers | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Lamont A Wettstein | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Joe Robert Mcfarlane | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Find all physicians in zip 97477 | |||
| City | SPRINGFIELD |
| Zip Code | 97477 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SPRINGFIELD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Mallory Lynn Fillmore.
| 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.