Jacob Adrian Vanderstarre (NPI# 1003267782, PAC ID# 6103112289) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1003267782 |
| PAC ID by PECOS | 6103112289 |
| Professional Enrollment ID | I20190730000259 |
| Full Name | Jacob Adrian Vanderstarre |
| Organization Legal Name | SALEM EMERGENCY PHYSICIANS SERVICE, PC |
| Address |
890 Oak St Se Bldg A Salem OR 97301-3905 |
| Phone Number | 5038141278 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8628061124 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380051 | SALEM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 890 Oak St Se, Bldg A, Salem, OR 97301-3905 | 5038141278 | SALEM EMERGENCY PHYSICIANS SERVICE, PC |
| Organization Legal Name | SALEM EMERGENCY PHYSICIANS SERVICE, PC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Barr | Emergency Medicine | Salem Emergency Physicians Service, PC | 890 Oak St Se, Bldg A, Salem, OR 97301-3905 |
| Michael T Oh | Emergency Medicine | Salem Emergency Physicians Service, PC | 890 Oak St Se, Bldg A, Salem, OR 97301-3905 |
| Peter Hakim | Emergency Medicine | Salem Emergency Physicians Service, PC | 890 Oak St Se, Bldg A, Salem, OR 97301-3905 |
| Timothy S Duenas | Emergency Medicine | Salem Emergency Physicians Service, PC | 890 Oak St Se, Bldg A, Salem, OR 97301-3905 |
| Mary Carroll Francis Lee | Emergency Medicine | Salem Emergency Physicians Service, PC | 890 Oak St Se, Bldg A, Salem, OR 97301-3905 |
| Matthew Joseph Pitzer | Emergency Medicine | Salem Emergency Physicians Service, PC | 890 Oak St Se, Bldg A, Salem, OR 97301-3905 |
| Alison Mccray | Nurse Practitioner | Salem Emergency Physicians Service, PC | 890 Oak St Se, Bldg A, Salem, OR 97301-3905 |
| Michael Joseph Barra | Emergency Medicine | Salem Emergency Physicians Service, PC | 890 Oak St Se, Bldg A, Salem, OR 97301-3905 |
| Kyle P Hoesterey | Emergency Medicine | Salem Emergency Physicians Service, PC | 890 Oak St Se, Bldg A, Salem, OR 97301-3905 |
| Spencer Douglas Reid | Emergency Medicine | Salem Emergency Physicians Service, PC | 890 Oak St Se, Bldg A, Salem, OR 97301-3905 |
| Street Address |
890 OAK ST SE BLDG A |
| City | SALEM |
| State | OR |
| Zip | 97301-3905 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deona J Willis | Nurse Practitioner | Salem Health | 890 Oak St Se, Salem, OR 97301-3905 |
| Curtis B Gill | Nurse Practitioner | Salem Health | 890 Oak St Se, Salem, OR 97301-3905 |
| Matthew S A Boles | Anesthesiology | Oregon Anesthesiology Group PC | 890 Oak St Se, Salem, OR 97301-3905 |
| Jacob M Nicholson | Nurse Practitioner | Salem Health | 890 Oak St Se, Salem, OR 97301-3905 |
| Mojabeng Phoofolo | Internal Medicine | Salem Health | 890 Oak St Se, Salem, OR 97301-3905 |
| Kerrie E Spicer | Nurse Practitioner | Salem Health | 890 Oak St Se, Salem, OR 97301-3905 |
| Gabriela R Bradley | Nurse Practitioner | Salem Health | 890 Oak St Se, Salem, OR 97301-3905 |
| Gregory L Craft | Anesthesiology | Oregon Anesthesiology Group PC | 890 Oak St Se, Salem, OR 97301-3905 |
| Courtney Elizabeth Brozovich | Physician Assistant | Salem Health | 890 Oak St Se, Salem, OR 97301-3905 |
| Steven James Mattison | Anesthesiology | Oregon Anesthesiology Group PC | 890 Oak St Se, Salem, OR 97301-3905 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John R Hannig | Obstetrics/gynecology | Salem Health | Building M 755 Mission St Se, Salem Health Rehabiliation, Salem, OR 97301 |
| Cheryl A Lugenbill | Obstetrics/gynecology | Salem Health | Building M 755 Mission St Se, Salem Health Rehabiliation, Salem, OR 97301 |
| Steven E Besing | Psychologist, Clinical | Salem Health | Building M 755 Mission St Se, Salem Health Rehabiliation, Salem, OR 97301 |
| Jaya N. Martin | Certified Nurse Midwife | Salem Health | Building M 755 Mission St Se, Salem Health Rehabiliation, Salem, OR 97301 |
| Avelino O Leal | Preventative Medicine | Salem Health | Building M 755 Mission St Se, Salem Health Rehabiliation, Salem, OR 97301 |
| Ashit G Patel | Cardiac Electrophysiology | Cascade Cardiology LLC | 777 Commercial St Se, Suite 130, Salem, OR 97301-0060 |
| Arjun K Chagarlamudi | Cardiovascular Disease (cardiology) | Cascade Cardiology LLC | 777 Commercial St Se, Suite 130, Salem, OR 97301-0060 |
| Sarah Frances Robbins | Nurse Practitioner | Precision Mental Performance LLC | 189 Liberty St Ne, Suite 204, Salem, OR 97301-0205 |
| Ryan William Huffman | Nurse Practitioner | Precision Mental Performance LLC | 189 Liberty St Ne, Suite 204, Salem, OR 97301-0205 |
| Sabine G Hyatt | Psychologist, Clinical | Precision Mental Performance LLC | 189 Liberty St Ne, Suite 204, Salem, OR 97301-0205 |
| Find all physicians in zip 97301 | |||
| City | SALEM |
| Zip Code | 97301 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SALEM + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Jacob Adrian Vanderstarre.
| 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.