Jennifer W Childers (NPI# 1265515563, PAC ID# 7416001367) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1265515563 |
| PAC ID by PECOS | 7416001367 |
| Professional Enrollment ID | I20090812000463 |
| Full Name | Jennifer W Childers |
| Organization Legal Name | SILVER FALLS DERMATOLOGY PC |
| Address |
1910 E Barnett Rd Suite 101 Medford OR 97504-8672 |
| Phone Number | 8866599337 |
| Gender | F |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 5890863492 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380018 | ASANTE ROGUE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1910 E Barnett Rd, Suite 101, Medford, OR 97504-8672 | 8866599337 | SILVER FALLS DERMATOLOGY PC |
| 1910 E Barnett Rd, Medford, OR 97504-8672 | 8866599337 | SILVER FALLS DERMATOLOGY PC |
| Organization Legal Name | SILVER FALLS DERMATOLOGY PC |
| Physicians | 46 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Elizabeth Smith | Physician Assistant | Silver Falls Dermatology PC | 375 Park Ave, Suite 5, Coos Bay, OR 97420-2242 |
| Lauren E Boudreaux | Dermatology | Silver Falls Dermatology PC | 831 Nw Council Dr, Suite 301, Gresham, OR 97030-3725 |
| Patricia Ann Stewart | Dermatology | Silver Falls Dermatology PC | 700 S 320 St A, Federal Way, WA 98003-5254 |
| Elizabeth Schmidt | Physician Assistant | Silver Falls Dermatology PC | 375 Se Norton Ln C, Mcminnville, OR 97128-8484 |
| Ladessa Christensen | Nurse Practitioner | Silver Falls Dermatology PC | 685 Evergreen Rd Ne, Woodburn, OR 97071-2910 |
| Rick D Pittman | Vascular Surgery | Silver Falls Dermatology PC | 1793 13th St Se, Salem, OR 97302-2541 |
| Sandra Hadenfeld | Nurse Practitioner | Silver Falls Dermatology PC | 1006 N H St 3rd Floor, Aberdeen, WA 98520-2599 |
| Mark D Williams | Physician Assistant | Silver Falls Dermatology PC | 1390 Waverly Dr Se, Albany, OR 97322-6945 |
| Anna Delaine Dodd | Nurse Practitioner | Silver Falls Dermatology PC | 831 Nw Council Dr, Suite 301, Gresham, OR 97030-3725 |
| Whitney Fancher | Dermatology | Silver Falls Dermatology PC | 831 Nw Council Dr, Suite 301, Gresham, OR 97030-3725 |
| Street Address |
1910 E BARNETT RD SUITE 101 |
| City | MEDFORD |
| State | OR |
| Zip | 97504-8672 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul W Schroeder | Obstetrics/gynecology | 1910 E Barnett Rd, Suite 102, Medford, OR 97504-8672 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Anne Zaslow | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Benjamin Robert Oldson | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Shirley A Malcolm | Osteopathic Manipulative Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Denise M Viss | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Carissa D Scalf | Psychologist, Clinical | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Wesley T Ramoso | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Uzomechine Thabiso Chiedozi | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Grant A Jolliffe | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Travis Adam Day | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Jasmin Williams | Clinical Social Worker | Options for Southern Oregon | 1700 E Barnett Rd, Medford, OR 97504-0052 |
| Find all physicians in zip 97504 | |||
| City | MEDFORD |
| Zip Code | 97504 |
| Specialty | DERMATOLOGY |
| City + Specialty | MEDFORD + DERMATOLOGY |
Please comment or provide details below to improve the information on Jennifer W Childers.
| 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.