JAECELLE GUADIZ GALENIECE (NPI# 1013321389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013321389 |
| Entity Type | Individual |
| Full Name | JAECELLE GUADIZ GALENIECE |
| Other Name | JACELLE GUADIZ |
| Credential | MD |
| Practice Address |
1003 Providence Dr Ste 110 Newberg OR 97132 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5035375900 |
| Practice Fax Number | 5035375959 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD188938 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 133 Benmore Dr, Suite 200, Winter Park, FL 327924111 | 4076467070 | 4076467747 |
| Street Address |
1003 PROVIDENCE DR STE 110 |
| City | NEWBERG |
| State | OR |
| Zip Code | 97132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962902130 | Tyler Weiss | Physical Medicine & Rehabilitation | 1003 Providence Dr Ste 110, Newberg, OR 97132-7521 | 2018-02-14 |
| 1073027009 | Ashley Azadeh | Physician Assistant | 1003 Providence Dr Ste 110, Newberg, OR 97132 | 2017-11-29 |
| 1346799632 | Tyrell Jagelski | Physician Assistant | 1003 Providence Dr Ste 110, Newberg, OR 97132-7521 | 2016-09-27 |
| 1467900423 | Makkedah-satori Marielove Emanuel | Physician Assistant | 1003 Providence Dr Ste 110, Newberg, OR 97132-7521 | 2016-09-19 |
| 1124418561 | Brent D Fisk | Counselor | 1003 Providence Dr Ste 110, Newberg, OR 97132-7521 | 2015-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692007 | Gabrielle Anastasia Humlie | Dietitian, Registered | 109 W 8th St, Newberg, OR 97132 | 2020-09-03 |
| 1093278111 | Viva Wheaton Psyd LLC | Clinical Neuropsychologist | 603 E. Hancock St, Newberg, OR 97132 | 2019-04-08 |
| 1255847554 | John Nguyen | Physical Therapy Assistant | 1900 E. Fulton St., Newberg, OR 97132 | 2017-12-21 |
| 1154835338 | Breanne Embrey | Pharmacist | 1001 Providence Dr., Newberg, OR 97132 | 2017-11-26 |
| 1174063473 | Patricia Roberts | Hearing Instrument Specialist | 1014 B N Springbrook Rd, Newberg, OR 97132 | 2017-03-06 |
| 1477906048 | Dr. Marsha A. Green, L.L.C. | Community/Behavioral Health | 710c Foothills Dr, Ste 104, Newberg, OR 97132 | 2016-07-19 |
| 1760841308 | George Fox University Physical Therapy Community Clinic | Physical Therapist | 501 Villa Road, Newberg, OR 97132 | 2016-02-10 |
| 1790116978 | Nancy Stiehler Thurston | Psychologist | 501 N. Villa Rd., Newberg, OR 97132 | 2013-12-12 |
| 1700138856 | Kristen Z. Grbavac O'halloran | Physical Therapist | 1515 Portland Road, Suite 102, Newberg, OR 97132 | 2012-10-12 |
| 1487931523 | Intercultural Center for Psychology LLC | Psychologist | 710c Foothills Dr, Suite 104, Newberg, OR 97132 | 2011-11-03 |
| Find all providers in zip 97132 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780818278 | Robert Leroy Acker | Family Medicine | 18475 Ne Smith Rd, Newberg, OR 97132-9300 | 2009-05-12 |
| 1700033677 | Annmarie Cc Overholser | Family Medicine | 2251 E Hancock St, Newberg, OR 97132-2145 | 2008-08-22 |
| 1295919512 | William Merrill Bailey | Family Medicine | 308 Villa Road Ste 114, Newberg, OR 97132-1881 | 2007-12-21 |
| 1205026556 | Spencer James Chun | Family Medicine | 2880 Hayes St., Newberg Urgent Care, Newberg, OR 97132 | 2007-08-01 |
| 1861429235 | An Cong Vu | Family Medicine | 450 Villa Rd, Newberg, OR 97132-1857 | 2006-06-28 |
| 1053395392 | William M Bailey Md | Family Medicine | 308 Villa Rd Ste 114, Newberg, OR 97132-1881 | 2005-11-30 |
| 1487647954 | Michael P. Jaczko | Family Medicine | 1000 N Providence Dr Ste 210, Newberg, OR 97132-7582 | 2005-08-30 |
| 1003811795 | John L Cummings | Family Medicine | 506 Villa Rd, Newberg, OR 97132-1833 | 2005-06-17 |
| 1528546256 | Kaiser Foundation Health Plan of The Northwest | Family Medicine | 2880 Hayes St, Newberg, OR 97132-1310 | 2018-08-03 |
| 1982042578 | Martin Peters | Family Medicine | 2251 E Hancock St, Suite 103, Newberg, OR 97132-2145 | 2013-06-05 |
| Find all providers in NEWBERG | ||||
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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.