Shane M Gjesdal (NPI# 1164424586, PAC ID# 6103970132) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1164424586 |
| PAC ID by PECOS | 6103970132 |
| Professional Enrollment ID | I20090811000042 |
| Full Name | Shane M Gjesdal |
| Organization Legal Name | ALBANY GENERAL HOSPITAL |
| Address |
705 Elm St Sw Suite 200 Albany OR 97321-1957 |
| Phone Number | 5418124850 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9931097987 |
| Number of Group Practice Members | 153 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380022 | SAMARITAN ALBANY GENERAL HOSPITAL |
| 380014 | GOOD SAMARITAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 705 Elm St Sw, Suite 200, Albany, OR 97321-1957 | 5418124850 | ALBANY GENERAL HOSPITAL |
| Organization Legal Name | ALBANY GENERAL HOSPITAL |
| Physicians | 88 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Marie Jackson | Psychologist, Clinical | Albany General Hospital | 534 Pleasant View Way Nw, Suite 200, Albany, OR 97321-1700 |
| Beth Anne Rathbun | Physician Assistant | Albany General Hospital | 400 Hickory St Nw, Albany, OR 97321-1700 |
| Kelsey Pearl Williams | Physician Assistant | Albany General Hospital | 1046 6th Ave Sw, Albany, OR 97321-1916 |
| Lauren E Hansen | Orthopedic Surgery | Albany General Hospital | 832 Elm St Sw, Suite 101, Albany, OR 97321-2062 |
| Heather May Krimsly | Clinical Social Worker | Albany General Hospital | 734 Elm St Sw, Albany, OR 97321-1934 |
| Michele Genevive Keffeler | Internal Medicine | Albany General Hospital | 1086 7th Ave Sw, Suite 200, Albany, OR 97321-1997 |
| Marty D Surface | Nurse Practitioner | Albany General Hospital | 4600 Evergreen Pl Se, Suite 200, Albany, OR 97322 |
| Jennifer M Wilson | Nurse Practitioner | Albany General Hospital | 1700 Geary St Se, Albany, OR 97322-6842 |
| William J Lear | Internal Medicine | Albany General Hospital | 1100 7th Ave Sw, Albany, OR 97321-1925 |
| Jayson Bradley Hieter | Physician Assistant | Albany General Hospital | 400 Hickory St Nw, Albany, OR 97321-1700 |
| Street Address |
705 ELM ST SW SUITE 200 |
| City | ALBANY |
| State | OR |
| Zip | 97321-1957 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raymond Anthony Simon | Family Medicine | Albany General Hospital | 705 Elm St Sw, Suite 200, Albany, OR 97321-1957 |
| Petra Zdenkova | Psychologist, Clinical | Albany General Hospital | 705 Elm St Sw, Suite 200, Albany, OR 97321-1957 |
| Louis W Weinstein | Internal Medicine | Albany General Hospital | 705 Elm St Sw, Suite 200, Albany, OR 97321-1957 |
| Margaret A Hovey | Obstetrics/gynecology | Albany General Hospital | 705 Elm St Sw, Suite 200, Albany, OR 97321-1957 |
| Scott A Schindell | Family Medicine | Albany General Hospital | 705 Elm St Sw, Suite 200, Albany, OR 97321-1957 |
| Lynn A Bentson | Internal Medicine | Albany General Hospital | 705 Elm St Sw, Suite 200, Albany, OR 97321-1957 |
| Rick D Stanley | Orthopedic Surgery | Albany General Hospital | 705 Elm St Sw, Suite 200, Albany, OR 97321-1957 |
| Daniel James Dowswell | Obstetrics/gynecology | Albany General Hospital | 705 Elm St Sw, Suite 200, Albany, OR 97321-1957 |
| Irina L Kiseleva | Nurse Practitioner | Albany General Hospital | 705 Elm St Sw, Suite 200, Albany, OR 97321-1957 |
| Marie A Ray | General Surgery | Albany General Hospital | 705 Elm St Sw, Suite 300, Albany, OR 97321-1958 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gale A Smolen | Psychiatry | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Ronald Richard Ryden | Clinical Social Worker | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Jon D Sobotka | Psychiatry | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| James B Newman | Nurse Practitioner | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Robert F Vandiver | Psychiatry | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Sean Phillip Becker | Clinical Social Worker | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Leonard K Jones | Clinical Social Worker | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Jay L Wung | Psychiatry | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Michelle L Hastings | Psychiatry | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| James E Clay | Clinical Psychologist | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Find all physicians in zip 97321 | |||
| City | ALBANY |
| Zip Code | 97321 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | ALBANY + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Shane M Gjesdal.
| 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.