PAVAN KUMAR K GONA (NPI# 1033319199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033319199 |
| Entity Type | Individual |
| Full Name | PAVAN KUMAR K GONA |
| Credential | MD |
| Practice Address |
3615 Nw Samaritan Drive Suite 201 Corvallis OR 97333 |
| Practice Telephone | 5417686930 |
| Practice Fax Number | 5417686931 |
| Mailing Telephone | 5417686930 |
| Mailing Fax Number | 5417686931 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2015-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD172330 | OR | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | A100550 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD172330 | OR | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | MD172330 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 0A1005500 | 05 | |
| CA | CA MEDICAL LICENSE | A100550 | 01 |
| Street Address |
3615 NW SAMARITAN DRIVE SUITE 201 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952529620 | Corvallis Mri A Joint Venture | Radiologic Technologist | 3615 Nw Samaritan Drive, Suite 101, Corvallis, OR 97330-3737 | 2007-04-20 |
| 1538435466 | Good Samaritan Hospital Corvallis | Internal Medicine | 3615 Nw Samaritan Drive, Suite 203, Corvallis, OR 97330-3771 | 2012-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
| 1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
| 1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
| 1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
| 1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
| 1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
| 1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
| Find all providers in zip 97333 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316944572 | Anthony Charlies De Mory | Internal Medicine | 3615 Nw Samaritan Dr, Suite 203, Corvallis, OR 97330-3783 | 2005-07-02 |
| 1497757769 | Steven Richard Bialkin | Internal Medicine | 3615 Nw Samaritan Dr Ste 203, Corvallis, OR 97330-3771 | 2005-06-01 |
| 1982942496 | Deanne Leonard | Internal Medicine | 3615 Nw Samaritan Dr Ste 203, Corvallis, OR 97330 | 2013-01-18 |
| 1538435466 | Good Samaritan Hospital Corvallis | Internal Medicine | 3615 Nw Samaritan Drive, Suite 203, Corvallis, OR 97330-3771 | 2012-03-26 |
| 1356669766 | Ridhmi Pemila Rajapakse | Internal Medicine | 3615 Nw Samaritan Dr Ste 203, Corvallis, OR 97330 | 2010-05-10 |
| 1073749396 | Poojitha Reddy Beravol | Internal Medicine | 3615 Nw Samaritan Dr, Suite 203, Corvallis, OR 97330-3783 | 2009-06-01 |
| 1780832998 | Vyacheslav Yuryevic Melnikov | Internal Medicine | 3615 Nw Samaritan Dr Ste 203, Corvallis, OR 97330-3771 | 2008-08-29 |
| 1598862229 | Margaret Webb King | Internal Medicine | 3615 Nw Samaritan Dr Ste 203, Corvallis, OR 97330-3771 | 2006-09-17 |
| 1578544177 | Mohammed S Mohammed | Internal Medicine | 3640 Nw Samaritan Dr, Suite 250, Corvallis, OR 97330-3784 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396378717 | Northwest Renal Clinic, Inc. | Internal Medicine | 925 Commercial St Se Ste 110, Salem, OR 97302-4172 | 2020-02-13 |
| 1477962694 | Centennial Medical Group Inc. | Internal Medicine | 2460 Nw Stewart Pkwy Ste 102, Roseburg, OR 97471-1516 | 2014-08-13 |
| 1528487527 | Janie Luong | Internal Medicine | 10201 Se Main St Ste 27, Portland, OR 97216-2937 | 2014-04-08 |
| 1386074953 | David Alan Mccarron | Internal Medicine | 120 Nw 9th Ave, Suite 206, Portland, OR 97209-3324 | 2013-11-19 |
| 1578859849 | Thuy Xuan Le | Internal Medicine | 1040 Nw 22nd Ave Ste 480, Portland, OR 97210-3062 | 2011-06-24 |
| 1427348150 | Mark Nguyen | Internal Medicine | 1130 Nw 22nd Ave Ste 640, Portland, OR 97210-2993 | 2011-04-14 |
| 1720377039 | Robert Whitney Rope | Internal Medicine | 3181 Sw Sam Jackson Park Rd Mc Sjh6, Portland, OR 97239-3011 | 2011-04-07 |
| 1578707451 | Kate Schoolwerth Gustafson | Internal Medicine | 3710 Sw Us Veterans Hospital Rd # P3neph, Portland, OR 97239-2964 | 2009-04-23 |
| 1174777973 | Tricia Noelle Jesperson | Internal Medicine | 5050 Ne Hoyt St Ste B54, Portland, OR 97213 | 2008-11-06 |
| 1861677825 | Apolonia G. Silva | Internal Medicine | 6736 Ne Killingsworth Street La Clinica De Buena Salud, Portland, OR 97218-3338 | 2008-01-08 |
| Find all providers with the same taxonomy | ||||
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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.