TIMOTHY CARLTON ATHA (NPI# 1053332742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053332742 |
| Entity Type | Individual |
| Full Name | TIMOTHY CARLTON ATHA |
| Credential | M.D. |
| Practice Address |
3640 Nw Samaritan Dr Ste 100a Corvallis OR 97330-3784 |
| Mailing Address |
Po Box 1189 Corvallis OR 97339-1189 |
| Practice Telephone | 5417685205 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD27273 | OR | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
F1350 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
3640 NW SAMARITAN DR STE 100A |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-3784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558343574 | Matthew L Lindberg | Internal Medicine | 3640 Nw Samaritan Dr Ste 100a, Corvallis, OR 97330-3784 | 2005-11-16 |
| 1194234435 | Monica Kumari Thukral | Registered Nurse | 3640 Nw Samaritan Dr Ste 100a, Corvallis, OR 97330-3784 | 2017-09-28 |
| 1841554151 | Good Samaritan Hospital Corvallis | Internal Medicine | 3640 Nw Samaritan Dr Ste 100a, Corvallis, OR 97330 | 2012-07-02 |
| 1326314121 | Abinet Ashine | Internal Medicine | 3640 Nw Samaritan Dr Ste 100a, Corvallis, OR 97330-3784 | 2012-03-26 |
| 1326358110 | Paula Fay Dalesky | Nurse Practitioner | 3640 Nw Samaritan Dr Ste 100a, Corvallis, OR 97330-3784 | 2010-10-14 |
| 1790091403 | Heather Anne Haugan | Nurse Practitioner | 3640 Nw Samaritan Dr Ste 100a, Corvallis, OR 97330-3784 | 2010-08-19 |
| 1497088728 | Maggie Eileen Ebert | Physician Assistant | 3640 Nw Samaritan Dr Ste 100a, Corvallis, OR 97330-3784 | 2009-09-18 |
| 1992935787 | Benjamin Francis Hudson | Internal Medicine | 3640 Nw Samaritan Dr Ste 100a, Corvallis, OR 97330-3784 | 2009-07-15 |
| 1831365048 | Dimitri Greschner | Internal Medicine | 3640 Nw Samaritan Dr Ste 100a, Corvallis, OR 97330-3784 | 2008-05-07 |
| 1427128644 | Jeff M Hsing | Internal Medicine | 3640 Nw Samaritan Dr Ste 100a, Corvallis, OR 97330-3784 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1841367810 | Janice L Frost | Internal Medicine | 410 Nw Walnut Blvd, Ste A, Corvallis, OR 97330-3890 | 2006-11-28 |
| 1558343574 | Matthew L Lindberg | Internal Medicine | 3640 Nw Samaritan Dr Ste 100a, Corvallis, OR 97330-3784 | 2005-11-16 |
| 1750777397 | William Stoutt | Internal Medicine | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2015-04-10 |
| 1801148861 | Good Samaritan Hospital Corvallis | Internal Medicine | 3640 Nw Samaritan Dr Ste 100b, Corvallis, OR 97330 | 2012-10-15 |
| 1841554151 | Good Samaritan Hospital Corvallis | Internal Medicine | 3640 Nw Samaritan Dr Ste 100a, Corvallis, OR 97330 | 2012-07-02 |
| 1831365048 | Dimitri Greschner | Internal Medicine | 3640 Nw Samaritan Dr Ste 100a, Corvallis, OR 97330-3784 | 2008-05-07 |
| 1427128644 | Jeff M Hsing | Internal Medicine | 3640 Nw Samaritan Dr Ste 100a, Corvallis, OR 97330-3784 | 2006-11-08 |
| 1356382881 | Edward J Toggart | Internal Medicine | 3640 Nw Samaritan Dr Ste 100a, Corvallis, OR 97330-3784 | 2006-06-08 |
| 1093762247 | Sridhar Vijayasekaran | Internal Medicine | 3640 Nw Samaritan Dr Ste 100a, Corvallis, OR 97330-3784 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982969820 | Samaritan Pacific Health Services, Inc. | Internal Medicine | 1010 Sw Coast Hwy Ste 101, Newport, OR 97365-5239 | 2012-07-06 |
| 1922362243 | Albany General Hospital | Internal Medicine | 631 Elm St Sw Ste 201, Albany, OR 97321-1952 | 2012-07-02 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1225309685 | Patrick Bergin | Internal Medicine | 1794 Sweetbriar Ln, Eugene, OR 97405-4457 | 2012-01-17 |
| 1154646610 | Theodore Allen Foster IIi | Internal Medicine | 1003 Providence Dr Ste 325, Newberg, OR 97132-7521 | 2010-03-28 |
| 1164755534 | Richard E. Romm M.d., LLC | Internal Medicine | 2082 Dogwood Dr, Eugene, OR 97405-7007 | 2009-09-16 |
| 1568699932 | Arjun K. Chagarlamudi | Internal Medicine | 777 Commercial St. Se, Suite 130, Salem, OR 97301 | 2009-06-12 |
| 1518103274 | Centennial Medical Group Inc. | Internal Medicine | 201 Nw Medical Loop Ste 190, Roseburg, OR 97471-8835 | 2008-12-31 |
| 1124281423 | Jane Tuyet Luu | Internal Medicine | 2222 Nw Lovejoy St Ste 606, Portland, OR 97210-5104 | 2008-07-07 |
| 1811192792 | Med Info Services, LLC | Internal Medicine | 348 S Pine St, Carlton, OR 97111-1228 | 2007-06-19 |
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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.