Elizabeth Banowetz (NPI# 1639406333, PAC ID# 6406097898) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1639406333 |
| PAC ID by PECOS | 6406097898 |
| Professional Enrollment ID | I20140613001856 |
| Full Name | Elizabeth Banowetz |
| Organization Legal Name | LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC |
| Address |
4940 Hamrick Rd Central Point OR 97502-3072 |
| Phone Number | 5416903600 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0244143089 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380018 | ASANTE ROGUE REGIONAL MEDICAL CENTER |
| 380075 | PROVIDENCE MEDFORD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4940 Hamrick Rd, Central Point, OR 97502-3072 | 5416903600 | LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC |
| Organization Legal Name | LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith Lee Mackey | Nurse Practitioner | La Clinica Del Valle Family Health Care Center Inc | 910 S Central Ave, Medford, OR 97501-7822 |
| Heather Marie Friend | Nurse Practitioner | La Clinica Del Valle Family Health Care Center Inc | 730 Biddle Rd, Medford, OR 97504-6116 |
| Erin M Schorran | Nurse Practitioner | La Clinica Del Valle Family Health Care Center Inc | 4940 Hamrick Rd, Central Point, OR 97502-3072 |
| Laurel M Brown | Physician Assistant | La Clinica Del Valle Family Health Care Center Inc | 1307 W Main St, Medford, OR 97501-2936 |
| Steven Leonard Wells | Family Medicine | La Clinica Del Valle Family Health Care Center Inc | 221 W Stewart Ave, Suite 101, Medford, OR 97501-3609 |
| Lauralyn B Carter-meletich | Family Medicine | La Clinica Del Valle Family Health Care Center Inc | 3617 S Pacific Hwy, Medford, OR 97501-8957 |
| Hillary L Handelsman | Certified Nurse Midwife | La Clinica Del Valle Family Health Care Center Inc | 3617s Pacific Hwy, Medford, OR 97501-8957 |
| Rebecca Rose | Certified Nurse Midwife (cnm) | La Clinica Del Valle Family Health Care Center Inc | 221 W Stewart Ave, Suite 101, Medford, OR 97501-3609 |
| Carolina Mona-keene | Nurse Practitioner | La Clinica Del Valle Family Health Care Center Inc | 910 S Central Ave, Medford, OR 97501-7822 |
| Daniel James Sengenberger | Family Medicine | La Clinica Del Valle Family Health Care Center Inc | 1307 W Main St, Medford, OR 97501-2936 |
| Street Address |
4940 HAMRICK RD |
| City | CENTRAL POINT |
| State | OR |
| Zip | 97502-3072 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin M Schorran | Nurse Practitioner | La Clinica Del Valle Family Health Care Center Inc | 4940 Hamrick Rd, Central Point, OR 97502-3072 |
| Kelli Ann Lafleur | Nurse Practitioner | La Clinica Del Valle Family Health Care Center Inc | 4940 Hamrick Rd, Central Point, OR 97502-3072 |
| Kristopher Azevedo | Family Medicine | La Clinica Del Valle Family Health Care Center Inc | 4940 Hamrick Rd, Central Point, OR 97502-3072 |
| Melissa Dever-mount | Nurse Practitioner | La Clinica Del Valle Family Health Care Center Inc | 4940 Hamrick Rd, Central Point, OR 97502-3072 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chloe Griffith | Nurse Practitioner | Columbiacare Services, Inc. | 524 Manzanita St, Central Point, OR 97502-2352 |
| Ernest W Eberling | Physical Therapy | 512 Manzanita St, Central Point, OR 97502-2352 | |
| Deane William Apperson | Clinical Nurse Specialist | Columbiacare Services, Inc. | 524 Manzanita St, Central Point, OR 97502-2352 |
| Jared L Dance | Chiropractic | Southern Oregon Chiropractic-central Point, LLC | 650 E Pine St, Suite 101, Central Point, OR 97502-2482 |
| Dean R Brown | Optometry | 650 E Pine St, Suite 105, Central Point, OR 97502-2482 | |
| James Arcand | Chiropractic | Southern Oregon Chiropractic-central Point, LLC | 650 E Pine St, Suite 101, Central Point, OR 97502-2482 |
| Jennifer J Marks | Nurse Practitioner | 312 Oak St, Suite 205, Central Point, OR 97502-2542 | |
| Chad Dybdahl | Physical Therapy | Therapeutic Associates Inc | 1217 Plaza Blvd, Suite E, Central Point, OR 97502-2682 |
| Kristin K Peterson | Physical Therapy | Therapeutic Associates Inc | 1217 Plaza Blvd, Suite E, Central Point, OR 97502-2682 |
| Brooke E Moore | Physical Therapy | Therapeutic Associates Inc | 1217 Plaza Blvd, Suite E, Central Point, OR 97502-2682 |
| Find all physicians in zip 97502 | |||
| City | CENTRAL POINT |
| Zip Code | 97502 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CENTRAL POINT + FAMILY MEDICINE |
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| 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.