Nicole M Kruppa (NPI# 1437446408, PAC ID# 5092020131) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1437446408 |
| PAC ID by PECOS | 5092020131 |
| Professional Enrollment ID | I20160616001793 |
| Full Name | Nicole M Kruppa |
| Organization Legal Name | CORVALLIS CLINIC PC |
| Address |
1705 Waverly Dr Se Albany OR 97322-6952 |
| Phone Number | 5417541150 |
| Gender | F |
| Medical School | UNIVERSITY OF NEVADA SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1456244540 |
| Number of Group Practice Members | 107 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380014 | GOOD SAMARITAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1705 Waverly Dr Se, Albany, OR 97322-6952 | 5417541150 | CORVALLIS CLINIC PC |
| 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 5417541150 | CORVALLIS CLINIC PC |
| Organization Legal Name | CORVALLIS CLINIC PC |
| Physicians | 124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kilani K Gaston | Physical Therapy | Corvallis Clinic PC | 2350 Nw Century Dr, 100 The Corvallis Clinic At Walnut Boulevard, Corvallis, OR 97330-3495 |
| Paul E Jaques | Physical Therapy | Corvallis Clinic PC | 1815 14th Ave Se, Albany, OR 97322-8502 |
| Lee Ann Chamberlain | Nurse Practitioner | Corvallis Clinic PC | 2001 Nw Monroe Ave, 104 Quickcare, Corvallis, OR 97330-5567 |
| David T Huang | Ophthalmology | Corvallis Clinic PC | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 |
| Diana Jerline Scott | Nurse Practitioner | Corvallis Clinic PC | 444 Nw Elks Dr, Corvallis, OR 97330-3745 |
| Damian E Jorgensen | Family Medicine | Corvallis Clinic PC | 633 N Albany Rd Nw, Albany, OR 97321-1433 |
| Gary M Gray | Physical Therapy | Corvallis Clinic PC | 1705 Waverly Dr Se, Albany, OR 97322-6952 |
| John N Navarro | Physician Assistant | Corvallis Clinic PC | 1705 Waverly Dr Se, Albany, OR 97322-6952 |
| Roland Solensky | Allergy/immunology | Corvallis Clinic PC | 1705 Waverly Dr Se, Albany, OR 97322-6952 |
| Ruth S Palma | Nurse Practitioner | Corvallis Clinic PC | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 |
| Street Address |
1705 WAVERLY DR SE |
| City | ALBANY |
| State | OR |
| Zip | 97322-6952 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary M Gray | Physical Therapy | Corvallis Clinic PC | 1705 Waverly Dr Se, Albany, OR 97322-6952 |
| John N Navarro | Physician Assistant | Corvallis Clinic PC | 1705 Waverly Dr Se, Albany, OR 97322-6952 |
| Roland Solensky | Allergy/immunology | Corvallis Clinic PC | 1705 Waverly Dr Se, Albany, OR 97322-6952 |
| Elisabeth R Mahmud | Nurse Practitioner | Corvallis Clinic PC | 1705 Waverly Dr Se, Albany, OR 97322-6952 |
| Rebecca L Pengilly | Family Medicine | Corvallis Clinic PC | 1705 Waverly Dr Se, Albany, OR 97322-6952 |
| Yvonne E Keep | Nurse Practitioner | Corvallis Clinic PC | 1705 Waverly Dr Se, Albany, OR 97322-6952 |
| Jorden D Hinds | Physical Therapy | Corvallis Clinic PC | 1705 Waverly Dr Se, Albany, OR 97322-6952 |
| Michelle J Curtis | Obstetrics/gynecology | Corvallis Clinic PC | 1705 Waverly Dr Se, Albany, OR 97322-6952 |
| Royce K Ryker | Nurse Practitioner | Corvallis Clinic PC | 1705 Waverly Dr Se, Albany, OR 97322-6952 |
| Aimee L Casemier | Physical Therapy | Corvallis Clinic PC | 1705 Waverly Dr Se, Albany, OR 97322-6952 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marty D Surface | Nurse Practitioner | Albany General Hospital | 4600 Evergreen Pl Se, Suite 200, Albany, OR 97322 |
| Christopher M Guempel | Physical Therapy | Guempel and Hann Physical Therapy, LLC | 1107 9th Ave Se, Albany, OR 97322-3205 |
| Franklin L Hann Jr. | Physical Therapy | Guempel and Hann Physical Therapy, LLC | 1107 9th Ave Se, Albany, OR 97322-3205 |
| Curt Glenn Eberhart | Physical Therapy | Guempel and Hann Physical Therapy, LLC | 1107 9th Ave Se, Albany, OR 97322-3205 |
| Melissa R Mcnulty | Physical Therapy | Limitless Physical Therapy of Albany LLC | 947 Geary St Se, Albany, OR 97322-4904 |
| Marisa C Aptecker | Chiropractic | 943 Geary St Se, Albany, OR 97322-4904 | |
| Nicholas R Brown | Chiropractic | 2216 9th Ave Se, Albany, OR 97322-5022 | |
| Patricia M Ohare | Dermatology | 1200 Queen Ave Se, Albany, OR 97322-6661 | |
| Jennifer M Wilson | Nurse Practitioner | Albany General Hospital | 1700 Geary St Se, Albany, OR 97322-6842 |
| John R Ward | Family Medicine | Albany General Hospital | 1700 Geary St Se, Suite 300a, Albany, OR 97322-6842 |
| Find all physicians in zip 97322 | |||
| City | ALBANY |
| Zip Code | 97322 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | ALBANY + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Nicole M Kruppa.
| 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.