ROGUE ANESTHESIA LLC (NPI# 1043248917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043248917 |
| Entity Type | Organization |
| Organization Name | ROGUE ANESTHESIA LLC |
| Practice Address |
1601 Nw Hawthorne Ave Grants Pass OR 97526 |
| Mailing Address |
5319 Sw Westgate Dr 241 Portland OR 97221-2432 |
| Practice Telephone | 5414724884 |
| Mailing Telephone | 5032977223 |
| Mailing Fax Number | 5032977603 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2010-11-01 |
| Authorized Official Name | MR. ROBERT A MONTGOMERY III (MANAGER) |
| Authorized Official Telephone | 5414724884 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | MD18872 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 130351 | 05 | |
| OR | REGENCE BCBSO | 023807000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396040598 | Rogue Anesthesia LLC | Clinic/Center | 1601 Nw Hawthorne Ave, Grants Pass, OR 97526-1041 | 2011-01-19 |
| Street Address |
1601 NW HAWTHORNE AVE |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861492530 | Grants Pass Surgery Center, LLC | Clinic/Center | 1601 Nw Hawthorne Ave, Grants Pass, OR 97526-1041 | 2005-07-26 |
| 1396040598 | Rogue Anesthesia LLC | Clinic/Center | 1601 Nw Hawthorne Ave, Grants Pass, OR 97526-1041 | 2011-01-19 |
| 1437187226 | Ronald Shenker | Nurse Anesthetist, Certified Registered | 1601 Nw Hawthorne Ave, Grants Pass, OR 97526-1041 | 2006-06-29 |
| 1528008562 | Robert A Montgomery IIi | Anesthesiology | 1601 Nw Hawthorne Ave, Grants Pass, OR 97526 | 2006-06-07 |
| 1811936321 | Edward R Cook | Nurse Anesthetist, Certified Registered | 1601 Nw Hawthorne Ave, Grants Pass, OR 97526-1041 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528008562 | Robert A Montgomery IIi | Anesthesiology | 1601 Nw Hawthorne Ave, Grants Pass, OR 97526 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871003558 | Lane Anesthesia Associates | Anesthesiology | 920 Country Club Rd Ste 200b, Eugene, OR 97401-6024 | 2017-10-06 |
| 1821451493 | Curtis Bradford | Anesthesiology | 3181 Sw Sam Jackson Park Rd # Sjh-2, Portland, OR 97239-3098 | 2016-03-31 |
| 1174920722 | Susan C Noble, Md, LLC | Anesthesiology | 437 Wa Na Pa St., Cascade Locks, OR 97014 | 2014-11-25 |
| 1457766040 | Edward Kent IIi | Anesthesiology | 3303 Sw Bond Ave Fl 15, Portland, OR 97239-4501 | 2014-06-23 |
| 1003245143 | Jerry Bass | Anesthesiology | 5745 Nw Homestead Way, Redmond, OR 97756-7929 | 2013-11-08 |
| 1033551189 | Betty Blomquist Thompson | Anesthesiology | 18490 Ray Ridge Dr, Lake Oswego, OR 97034-7527 | 2013-07-17 |
| 1588009492 | Donald Walter Claeys | Anesthesiology | 34454 Mckenzie View Dr, Springfield, OR 97478-9738 | 2013-05-06 |
| 1952653149 | David Leroy Wilson | Anesthesiology | 2890 Ne Jackson School Rd, Hillsboro, OR 97124-1615 | 2012-10-11 |
| 1235486572 | Dolores Anne Leon | Anesthesiology | 2221 S.w. First Avenue, #2322, Portland, OR 97201-5023 | 2012-08-06 |
| 1659639920 | Sedation Services Inc. | Anesthesiology | 1508 Division St Ste 15, Oregon City, OR 97045-1583 | 2012-04-24 |
| Find all providers with the same taxonomy | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
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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.