PETER SHELBY BOGARD DO (NPI# 1003085630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003085630 |
| Entity Type | Organization |
| Organization Name | PETER SHELBY BOGARD DO |
| Other Organization Name | BOGARD FAMILY AND SPORTS MEDICINE |
| Practice Address |
700 Sw Ramsey Suite 104 Grants Pass OR 97527-5788 |
| Practice Telephone | 5414714930 |
| Practice Fax Number | 5414711331 |
| Mailing Telephone | 5414714930 |
| Mailing Fax Number | 5414711331 |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-03-17 |
| Authorized Official Name | DR. PETER SHELBY BOGARD (DOCTOR) |
| Authorized Official Telephone | 5414714930 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
DO18557 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 058748 | 05 |
| Other Name | Type Code |
|---|---|
| Bogard Family and Sports Medicine | Doing Business As Name - Organization |
| Street Address |
700 SW RAMSEY SUITE 104 |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97527-5788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
| 1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| 1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
| 1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
| 1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| Find all providers in zip 97527 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659374528 | Peter Bogard | Family Medicine | 700 Ramsey Ave, Ste 104, Grants Pass, OR 97527-5788 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801079074 | Jennifer Dawn Kleinman | Family Medicine | 5704 N Montana Ave, Portland, OR 97217-4643 | 2007-12-11 |
| 1477667053 | M Joshua Haber | Family Medicine | 2401 River Rd Ste 101, Eugene, OR 97404-5412 | 2006-08-19 |
| 1760431175 | Karl Nicholas Kaluza | Family Medicine | 4811 Meadows Rd Ste 101, Lake Oswego, OR 97035-2542 | 2006-05-10 |
| 1871558353 | Douglas Bruce Mckeag | Family Medicine | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2006-04-19 |
| 1356305023 | David N Westerdahl | Family Medicine | 12672 Nw Barnes Rd Ste 100, Portland, OR 97229-6191 | 2006-04-12 |
| 1538138276 | Sekou Carlos Ford | Family Medicine | 18610 Nw Cornell Rd Ste 101, Hillsboro, OR 97124-9206 | 2006-03-15 |
| 1962470948 | Gregory C Skaggs | Family Medicine | 2727 Leo Harris Pkwy, Eugene, OR 97401-8835 | 2006-03-08 |
| 1831165232 | Linda Craska Selby | Family Medicine | 384 Se Combs Flat Rd, Prineville, OR 97754-2562 | 2006-02-24 |
| 1811967235 | Charles W Webb | Family Medicine | 1960 Nw 167th Pl Ste 200, Beaverton, OR 97006-4804 | 2006-01-26 |
| 1063418838 | Craig J Davidson | Family Medicine | 1232 University of Oregon, Eugene, OR 97403-1232 | 2005-06-24 |
| Find all providers with the same taxonomy | ||||
| City | GRANTS PASS |
| Zip Code | 97527 |
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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.