Thomas Giles (NPI# 1114436672, PAC ID# 9638435936) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1114436672 |
| PAC ID by PECOS | 9638435936 |
| Professional Enrollment ID | I20171101002950 |
| Full Name | Thomas Giles |
| Organization Legal Name | LA PINE COMMUNITY HEALTH CENTER |
| Address |
350 Mississippi Dr Gilchrist OR 97737-3243 |
| Phone Number | 54153634351841 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8224187018 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 350 Mississippi Dr, Gilchrist, OR 97737-3243 | 54153634351841 | LA PINE COMMUNITY HEALTH CENTER |
| 51600 S Huntington Dr, Suite C, Lapine, OR 97739-9626 | 5415363435 | LA PINE COMMUNITY HEALTH CENTER |
| Organization Legal Name | LA PINE COMMUNITY HEALTH CENTER |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianne J Kanehl | Nurse Practitioner | La Pine Community Health Center | 51600 S Huntington Dr, Suite C, Lapine, OR 97739-9626 |
| Kristina K Timmons | Nurse Practitioner | La Pine Community Health Center | 51605 Coach Rd, La Pine, OR 97739-7556 |
| Denise Lee Griffiths | Nurse Practitioner | La Pine Community Health Center | 87520 Bay Rd, Christmas Valley, OR 97641-2233 |
| Divya Sharma | Internal Medicine | La Pine Community Health Center | 51600 S Huntington Dr, Suite C, Lapine, OR 97739-9626 |
| Janice Cody | Nurse Practitioner | La Pine Community Health Center | 51600 S Huntington Dr, Suite C, Lapine, OR 97739-9626 |
| Michael Rosenfield | Family Medicine | La Pine Community Health Center | 51605 Coach Rd, La Pine, OR 97739-7556 |
| Beth E Blumenstein | Family Medicine | La Pine Community Health Center | 51600 S Huntington Dr, Suite C, Lapine, OR 97739-9626 |
| Christina Farleigh | Nurse Practitioner | La Pine Community Health Center | 51605 Coach Rd, La Pine, OR 97739-7556 |
| Michael J Allen | Family Medicine | La Pine Community Health Center | 51600 S Huntington Dr, Suite C, Lapine, OR 97739-9626 |
| Tyson L Langeliers | Physician Assistant | La Pine Community Health Center | 350 Mississippi Dr, Gilchrist, OR 97737-3243 |
| Street Address |
350 MISSISSIPPI DR |
| City | GILCHRIST |
| State | OR |
| Zip | 97737-3243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyson L Langeliers | Physician Assistant | La Pine Community Health Center | 350 Mississippi Dr, Gilchrist, OR 97737-3243 |
| City | GILCHRIST |
| Zip Code | 97737 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GILCHRIST + PHYSICIAN ASSISTANT |
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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.