CG GROUP ASTORIA MEDICAL CLINIC (NPI# 1013098094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013098094 |
| Entity Type | Organization |
| Organization Name | CG GROUP ASTORIA MEDICAL CLINIC |
| Practice Address |
2185 Se 12th Pl Warrenton OR 97146-9311 |
| Practice Telephone | 5038616240 |
| Practice Fax Number | 5038616358 |
| Mailing Telephone | 5038616240 |
| Mailing Fax Number | 5038616358 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL W LARY (ADMINISTRATOR) |
| Authorized Official Telephone | 5038616244 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| X | 124Q00000X | Dental Hygienist | Dental Providers | ||
| X | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2185 SE 12TH PL |
| City | WARRENTON |
| State | OR |
| Zip Code | 97146-9311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881670644 | Jeffrey Warren Hook | Spec/Tech, Pathology | 2185 Se 12th Pl, Warrenton, OR 97146-9311 | 2005-12-22 |
| 1336577519 | Brandi Dawn Mayhugh | Dental Hygienist | 2185 Se 12th Pl, Warrenton, OR 97146-9311 | 2013-10-24 |
| 1497992499 | Claire Margaret Reilly | Physician Assistant | 2185 Se 12th Pl, Warrenton, OR 97146-9311 | 2009-01-13 |
| 1356587471 | Tammy Christine Hayes | Dental Hygienist | 2185 Se 12th Pl, Warrenton, OR 97146-9311 | 2008-12-18 |
| 1720295587 | Cynthia Louise Anderson | Dental Hygienist | 2185 Se 12th Pl, Warrenton, OR 97146-9311 | 2007-05-17 |
| 1578778239 | Nicholas Parker | Pharmacy Technician | 2185 Se 12th Pl, Warrenton, OR 97146-9311 | 2007-05-14 |
| 1154428902 | Warrenton Uscg Phcy | Military/U.S. Coast Guard Pharmacy | 2185 Se 12th Pl, Warrenton, OR 97146-9311 | 2006-09-20 |
| 1952389918 | United States Coast Guard | Technician, Other | 2185 Se 12th Pl, Warrenton, OR 97146-9311 | 2006-01-09 |
| 1093792749 | Scott Thomas Sammler | Technician, Other | 2185 Se 12th Pl, Warrenton, OR 97146-9311 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629685920 | Alexandroff Dmd PC | Dentist | 1085 E Harbor Drive, Warrenton, OR 97146 | 2020-09-30 |
| 1265080758 | Emily Ann Brennan | Pharmacist | 145 South, Us-101, Warrenton, OR 97146 | 2019-08-28 |
| 1932643475 | Janice Coughlin | Dental Hygienist | 1630 Se Ensign Lane, Warrenton, OR 97146 | 2016-12-16 |
| 1568906477 | Radiant Care Afh 'llc' | Custodial Care Facility | 52 Nw Birch Ct, Warrenton, OR 97146 | 2016-12-12 |
| 1740634468 | Ron Arleigh Tamayo | Pharmacist | 145 Us-101, Attn: Rite Aid, Warrenton, OR 97146 | 2016-04-19 |
| 1053781864 | Kristopher Smith | Counselor | 65 North Highway 101, Suite 204, Warrenton, OR 97146 | 2015-10-06 |
| 1831577196 | Elizabeth Dietrich Erikson | Family Medicine | 1639 Se Ensign Ln Ste B103, Warrenton, OR 97146 | 2015-05-07 |
| 1164774592 | Tuan Anh Trinh | Pharmacist | 1625 E. Harbor Dr., Warrenton, OR 97146 | 2012-10-09 |
| 1366715054 | Suzanne Marie Jagger | Dental Hygienist | 181 Sw Kalmia Ave, Warrenton, OR 97146 | 2012-02-11 |
| 1669705992 | Costco Wholesale Corporation | Pharmacy | 1804 Se Ensign Ln, Warrenton, OR 97146 | 2009-09-18 |
| Find all providers in zip 97146 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629685920 | Alexandroff Dmd PC | Dentist | 1085 E Harbor Drive, Warrenton, OR 97146 | 2020-09-30 |
| 1487027355 | Warrenton Dental Care | Dentist | 381 Stuyvesant St Ste 3, Warrenton, VA 20186-2400 | 2015-11-02 |
| 1619216959 | Lowe Dental Group and Associates Pllc | Dentist | 338 Hidden Creek Ln, Warrenton, VA 20186-4330 | 2013-02-06 |
| 1215204839 | Neibauer Dental Care, PC | Dentist | 251 West Lee Hwy., Suite 197, Warrenton, VA 20186-2047 | 2011-11-28 |
| 1518111632 | Jon Daniel Bletscher | Dentist | 1085 E. Harbor Dr., Warrenton, OR 97146-0357 | 2008-11-17 |
| 1992952600 | Jason S Woodside Dds & Thomas C Sentz Dds, P.C. | Dentist | 361 Walker Dr., #204, Warrenton, VA 20186 | 2008-08-25 |
| 1679784706 | Michael G. Koerner | Dentist | 121 Winchester St, Warrenton, VA 20186-2816 | 2007-05-24 |
| 1316163041 | Vincent John Murray IIi | Dentist | 5 Rock Pointe Ln, Suite 100, Warrenton, VA 20186-2632 | 2007-04-18 |
| 1033236187 | James Charles Cartwright Sr. | Dentist | 65 Hwy 101 N, Suite C, Warrenton, OR 97146 | 2007-03-23 |
| 1629194832 | Rodney Sadayoshi Katayama | Dentist | 65 N Highway 101, Suite 212, Warrenton, OR 97146-9371 | 2007-03-21 |
| Find all providers in WARRENTON | ||||
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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.