Steven C Vander Waal (NPI# 1023190220, PAC ID# 7810030541) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1023190220 |
PAC ID by PECOS | 7810030541 |
Professional Enrollment ID | I20100203000744 |
Full Name | Steven C Vander Waal |
Address |
3619 Hwy 101 N Pacific Medical and Surgical Group Gearhart OR 97138-4321 |
Phone Number | 5037383832 |
Gender | M |
Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
Graduation Year | 1976 |
Primary Specialty | INTERNAL MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
381303 | PROVIDENCE SEASIDE HOSPITAL |
380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
381320 | COLUMBIA MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
3619 Hwy 101 N, Pacific Medical and Surgical Group, Gearhart, OR 97138-4321 | 5037383832 |
Street Address |
3619 HWY 101 N PACIFIC MEDICAL AND SURGICAL GROUP |
City | GEARHART |
State | OR |
Zip | 97138-4321 |
Name | Specialty | Organization | Address |
---|---|---|---|
Theodosia A Woods | Chiropractic | 1289 Pacific Way, Gearhart, OR 97138-4360 | |
Arne D Otness | Chiropractic | 1500 S Roosevelt Dr, Seaside, OR 97138-6512 | |
Edwin C Gibbs | Chiropractic | 45 N Holladay Dr, Seaside, OR 97138-6839 | |
Mary A Gibbs | Chiropractic | Gibbs Natural Healing Centre PC | 45 N Holladay Dr, Seaside, OR 97138-6839 |
James M Martinson Jr. | Internal Medicine | Providence Health and Services Oregon | 727 S Wahanna Rd, 101 Prov St Vn Hr Cl Car, Seaside, OR 97138-7735 |
Dale J Veith | Psychologist, Clinical | Providence Health and Services Oregon | 725 S Wahanna Rd, Seaside, OR 97138-7735 |
Kyle D Rodgers | Certified Registered Nurse Anesthetist (crna) | Providence Health and Services Oregon | 725 S Wahanna Rd, Seaside, OR 97138-7735 |
Michael P Adler | Obstetrics/gynecology | Providence Health and Services Oregon | 725 S Wahanna Rd, Seaside, OR 97138-7735 |
Mathew S Greenberg | Pathology | Providence Health and Services Oregon | 725 S Wahanna Rd, Seaside, OR 97138-7735 |
Amanda L Washington | Physician Assistant | Providence Health and Services Oregon | 725 S Wahanna Rd, Seaside, OR 97138-7735 |
Find all physicians in zip 97138 |
City | GEARHART |
Zip Code | 97138 |
Specialty | INTERNAL MEDICINE |
City + Specialty | GEARHART + INTERNAL 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.