Kery R White (NPI# 1669957759, PAC ID# 4486995735) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1669957759 |
| PAC ID by PECOS | 4486995735 |
| Professional Enrollment ID | I20190415000813 |
| Full Name | Kery R White |
| Organization Legal Name | ICCO LLC |
| Address |
598 E 13th Ave Eugene OR 97401-4783 |
| Phone Number | 5416363473 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1355406729 |
| Number of Group Practice Members | 72 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1800 Coburg Rd, Eugene, OR 97401-4995 | 5413458760 | ICCO LLC |
| 2710 Willamette St, Eugene, OR 97405-3238 | 5417353161 | ICCO LLC |
| 598 E 13th Ave, Eugene, OR 97401-4783 | 5416363473 | ICCO LLC |
| 445 Harlow Rd, Suite 100, Springfield, OR 97477-1341 | 5415006949 | ICCO LLC |
| 5781 Main St, Springfield, OR 97478-5426 | 5416540282 | ICCO LLC |
| Organization Legal Name | ICCO LLC |
| Physicians | 84 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda M Bono | Nurse Practitioner | Icco LLC | 4480 Hwy 101 N, Florence, OR 97439 |
| Martin R Roco | Nurse Practitioner | Icco LLC | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 |
| Jessica L Guido | Nurse Practitioner | Icco LLC | 1740 Nw Goetz St, Roseburg, OR 97471-1613 |
| Cynthia J Smith | Nurse Practitioner | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Lyle R Torguson | Family Medicine | Icco LLC | 35859 Hwy 58, Pleasant Hill, OR 97455-9651 |
| Cynthia Renee Voegeli | Nurse Practitioner | Icco LLC | 1800 Coburg Rd, Eugene, OR 97401-4995 |
| Trina J Viner | Physician Assistant | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Mildred H Rowley | Family Medicine | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Nathaniel J Collins | Physician Assistant | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Erin P Cassidy | Nurse Practitioner | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Street Address |
598 E 13TH AVE |
| City | EUGENE |
| State | OR |
| Zip | 97401-4783 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia J Smith | Nurse Practitioner | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Trina J Viner | Physician Assistant | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Mildred H Rowley | Family Medicine | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Nathaniel J Collins | Physician Assistant | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Erin P Cassidy | Nurse Practitioner | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Rachel Jean Nosce | Family Medicine | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Anna L Gelok | Physician Assistant | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Kristen E Konig | Nurse Practitioner | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Anna Lisa Bowden | Physician Assistant | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Todd M Morse | Physical Therapy | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott A Cherne | Ophthalmology | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| Anthony P Grillo | Ophthalmology | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| Omer Gal | Ophthalmology | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| Claude Brist | Optometry | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| Bradley J Lorenzen | Optometry | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| Robin E Bautista | Optometry | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| John J Deguire | Ophthalmology | Scott A Cherne, Md, PC | 1125 Darlene Ln, Eugene, OR 97401-1601 |
| Bruce R Manchester | Certified Registered Nurse Anesthetist | Northwest Anesthesia Physicians PC | 1125 Darlene Ln, Eugene, OR 97401-1601 |
| Jill S Ritchie | Occupational Therapy | Premere Rehab LLC | 1282 Goodpasture Island Rd, Eugene, OR 97401-1755 |
| Brittany Herson | Occupational Therapy | Premere Rehab LLC | 1282 Goodpasture Island Rd, Eugene, OR 97401-1755 |
| Find all physicians in zip 97401 | |||
| City | EUGENE |
| Zip Code | 97401 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | EUGENE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kery R White.
| 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.