MR. PATRICK ERIN DAVOL (NPI# 1003025875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003025875 |
Entity Type | Individual |
Full Name | MR. PATRICK ERIN DAVOL |
Credential | M.D. |
Practice Address |
2510 Nw Edenbower Blvd Suite 146 Roseburg OR 97471-8899 |
Practice Telephone | 5414644565 |
Practice Fax Number | 5412290101 |
Mailing Telephone | 5414644565 |
Mailing Fax Number | 5412290101 |
Enumeration Date | 2007-05-21 |
Last Update Date | 2017-02-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 01063380A | IN | Allopathic & Osteopathic Physicians |
Street Address |
2510 NW EDENBOWER BLVD SUITE 146 |
City | ROSEBURG |
State | OR |
Zip Code | 97471-8899 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003813015 | Neil Kumar | Specialist | 2510 Nw Edenbower Blvd, Suite # 176, Roseburg, OR 97471-8899 | 2005-07-05 |
1952674210 | Vickie Laverne Smith | Occupational Therapist | 2510 Nw Edenbower Blvd, Roseburg, OR 97471-8899 | 2012-02-17 |
1285930545 | Medford Radiological Group PC | Radiology | 2510 Nw Edenbower Blvd, Suite #176, Roseburg, OR 97471-8899 | 2011-02-03 |
1053576868 | Umpqua Internal Medicine,p.c. | Clinic/Center | 2510 Nw Edenbower Blvd, Suite 176, Roseburg, OR 97471-8899 | 2008-07-21 |
1144420910 | Northwest Physical Therapy, Inc | Physical Therapist | 2510 Nw Edenbower Blvd, #124, Roseburg, OR 97471-8899 | 2007-07-20 |
1881899847 | Chiropractic Spine Associates, PC | Chiropractor | 2510 Nw Edenbower Blvd, Suite 188, Roseburg, OR 97470-8899 | 2007-06-19 |
1760504757 | Steven C Finlayson | Chiropractor | 2510 Nw Edenbower Blvd, Suite 188, Roseburg, OR 97470-8899 | 2007-04-03 |
1457444119 | Doru A Totoian | Internal Medicine | 2510 Nw Edenbower Blvd, Suite 176, Roseburg, OR 97471-8899 | 2006-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
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Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225207152 | Centennial Medical Group, Inc | Urology | 2460 Nw Stewart Parkway, Suite 100, Roseburg, OR 97471 | 2008-02-25 |
1891885539 | Joseph Allen Kovarik | Urology | 350 Se Terrace Dr, Roseburg, OR 97470-4323 | 2006-10-13 |
1548374978 | Rei-kwen K. Chiou | Urology | 2460 Stewart Parkway, Suite 100, Roseburg, OR 97471 | 2006-08-19 |
1417971961 | Roy William Skoglund | Urology | 1087 Tanglewood Ln, Roseburg, OR 97470-9274 | 2006-07-27 |
1245342690 | Joseph Anthony Spinella | Urology | 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 | 2006-08-31 |
1629088471 | John Victor Wrigley | Urology | 1813 W Harvard Ave, Suite 214, Roseburg, OR 97470-2752 | 2006-08-08 |
1154331924 | John Wrigley, M.d.,p.c. | Urology | 1813 W Harvard Ave, Suite 214, Roseburg, OR 97470-2752 | 2006-08-08 |
1245287747 | Hernan C Alvarado | Urology | 272 Medical Loop, Suite E, Roseburg, OR 97470 | 2006-05-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609233824 | Jeremiah C. Murphy, M.d., PC | Urology | 19260 Sw 65th Ave Ste 400, Tualatin, OR 97062-5712 | 2016-01-19 |
1609200427 | Erika Lynn Mccarthy | Urology | 2973 12th St Se, Salem, OR 97302-3162 | 2013-08-28 |
1770826372 | Brian Matthew Blair | Urology | 24900 Se Stark St Ste 103, Gresham, OR 97030 | 2013-04-02 |
1376885418 | Sasha Courand Druskin | Urology | 2226 Nw Pettygrove St, Portland, OR 97210-2608 | 2013-03-26 |
1871837468 | Kirit S Shah M.d., P.C. | Urology | 171 Ne 102nd Ave, Portland, OR 97220-4169 | 2012-11-20 |
1235409236 | Good Samaritan Hospital Corvallis | Urology | 990 Nw Circle Blvd Suite 102, Corvallis, OR 97330-1967 | 2012-01-06 |
1679856439 | Thomas William Konowalchuk | Urology | 1070 Ne 7th Dr, Newport, OR 97365-2518 | 2011-09-27 |
1730484544 | James Bresee | Urology | 9135 Sw Barnes Rd Ste 663, Portland, OR 97225 | 2011-01-26 |
1063734556 | Gene Thomas Baumgarner | Urology | 3986 Mirror Pond Way, Eugene, OR 97408-5954 | 2010-02-24 |
1144470568 | Daniel R Khalil | Urology | 700 Sw Ramsey Suite 101, Grants Pass, OR 97527-5535 | 2008-09-22 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.