Sita S Taibi
ROGUE VALLEY PHYSICIANS


Address: 3524 Heathrow Way, Medford, OR 97504-4004
Phone: 5416463505

Sita S Taibi (NPI# 1811327281, PAC ID# 3779713060) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1811327281
PAC ID by PECOS 3779713060
Professional Enrollment ID I20140306001164
Full Name Sita S Taibi
Organization Legal Name ROGUE VALLEY PHYSICIANS
Address 3524 Heathrow Way
Medford
OR 97504-4004
Phone Number 5416463505
Gender F
Medical School LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2013
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 1850374240
Number of Group Practice Members 26
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
380018 ASANTE ROGUE REGIONAL MEDICAL CENTER
380075 PROVIDENCE MEDFORD MEDICAL CENTER

Other Locations

Address Phone Organization
2900 Doctors Park Dr, Suite 200, Medford, OR 97504-8198 5412822208 ROGUE VALLEY PHYSICIANS
3524 Heathrow Way, Medford, OR 97504-4004 5416463505 ROGUE VALLEY PHYSICIANS

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_2 Syndromic Surveillance Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name ROGUE VALLEY PHYSICIANS
Physicians 30

Physicians with the same organization

Name Specialty Organization Address
Dea N Collins Nurse Practitioner Rogue Valley Physicians 229 W Stewart Ave, Medford, OR 97501-3663
Christine A Stanek Nurse Practitioner Rogue Valley Physicians 3524 Heathrow Way, Medford, OR 97504-4004
Julie Newmann Lucero Physician Assistant Rogue Valley Physicians 2900 Doctors Park Dr, Suite 250, Medford, OR 97504-4348
Karen A Kozleski Nurse Practitioner Rogue Valley Physicians 3524 Heathrow Way, Medford, OR 97504-4004
Kristine A Groskopp Family Medicine Rogue Valley Physicians 800 E Main St, Medford, OR 97504-7134
Monique A Noyes Nurse Practitioner Rogue Valley Physicians 800 E Main St, Medford, OR 97504-7134
Scott E Wilson Nurse Practitioner Rogue Valley Physicians 3524 Heathrow Way, Medford, OR 97504-4004
Cindy A Konecne Osteopathic Manipulative Medicine Rogue Valley Physicians 3524 Heathrow Way, Medford, OR 97504-4004
Thomas D Margulies Internal Medicine Rogue Valley Physicians 229 W Stewart Ave, Medford, OR 97501-3663
William C Husum Internal Medicine Rogue Valley Physicians 2900 Doctors Park Dr, Suite 250, Medford, OR 97504-4348

Office Location

Street Address 3524 HEATHROW WAY
City MEDFORD
State OR
Zip 97504-4004

Physicians in the same location

Name Specialty Organization Address
Christine A Stanek Nurse Practitioner Rogue Valley Physicians 3524 Heathrow Way, Medford, OR 97504-4004
Karen A Kozleski Nurse Practitioner Rogue Valley Physicians 3524 Heathrow Way, Medford, OR 97504-4004
Scott E Wilson Nurse Practitioner Rogue Valley Physicians 3524 Heathrow Way, Medford, OR 97504-4004
Cindy A Konecne Osteopathic Manipulative Medicine Rogue Valley Physicians 3524 Heathrow Way, Medford, OR 97504-4004
Michael Ray Miller Clinical Social Worker Rogue Valley Physicians 3524 Heathrow Way, Medford, OR 97504-4004
Mary Elizabeth Caron Osteopathic Manipulative Medicine Rogue Valley Physicians 3524 Heathrow Way, Medford, OR 97504-4004
John P Shonerd Osteopathic Manipulative Medicine Rogue Valley Physicians 3524 Heathrow Way, Medford, OR 97504-4004

Physicians in the same zip code

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

Competitor

Search similar physicians

City MEDFORD
Zip Code 97504
Specialty PHYSICIAN ASSISTANT
City + Specialty MEDFORD + PHYSICIAN ASSISTANT

Improve Information

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Dataset Information

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.

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