JENNIFER M. SOYKE, M.D., P.C. (NPI# 1053583377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053583377 |
| Entity Type | Organization |
| Organization Name | JENNIFER M. SOYKE, M.D., P.C. |
| Other Organization Name | PREVIOUSLY D/B/A PALLIATIVE CARE ASSOCIATES -- THIS NAME NO LONGER USE |
| Practice Address |
2700 Stewart Parkway Mercy Medical Center Emergency Department Roseburg OR 94740 |
| Mailing Address |
2035 Law Lane Eugene OR 97401-5425 |
| Practice Telephone | 5416730611 |
| Mailing Telephone | 5419124258 |
| Mailing Fax Number | 5413459374 |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2009-03-09 |
| Authorized Official Name | DR. JENNIFER MAE SOYKE (PRESIDENT) |
| Authorized Official Telephone | 5419124258 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
MD 19236 | OR | Hospitals |
| N | 207PH0002X |
Emergency Medicine Specialization: Hospice and Palliative Medicine |
MD19236 | OR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD19236 | OR | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | MD19236 | OR | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| previously D/B/A Palliative Care Associates -- this name no longer use | Doing Business As Name - Organization |
| Street Address |
2700 STEWART PARKWAY MERCY MEDICAL CENTER EMERGENCY DEPARTMENT |
| City | ROSEBURG |
| State | OR |
| Zip Code | 94740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235174004 | Jerry Robert Smead | Pharmacist | 2700 Stewart Parkway, Roseburg, OR 97471 | 2006-06-17 |
| 1568980407 | Rachel Sutton | Dental Hygienist | 2700 Stewart Parkway, Roseburg, OR 97471 | 2017-08-30 |
| 1467987388 | Toryn Clark | Community Health Worker | 2700 Stewart Parkway, Roseburg, OREGON 97470 | 2017-04-28 |
| 1376905273 | Lisa Dawn Disante | Community Health Worker | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2016-03-22 |
| 1598125346 | Mary Anne Worthington | Counselor | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2016-03-07 |
| 1598130858 | Michael Dale Shipley | Case Manager/Care Coordinator | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2015-12-11 |
| 1023480548 | Angela Marie Gross | Case Manager/Care Coordinator | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2015-10-23 |
| 1578945804 | Rebecca Potuzak | Case Manager/Care Coordinator | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2015-06-23 |
| 1396126942 | Staci Bryan | Case Manager/Care Coordinator | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1245610435 | Loriann Barber | Case Manager/Care Coordinator | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2015-06-03 |
| Find all providers in the same location | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780616243 | R Michael Harding | Emergency Medicine | 209 Cedar Tree Dr, Roseburg, OR 97471-9370 | 2006-07-07 |
| 1417929050 | Evergreen Family Medicine, PC | Emergency Medicine | 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 | 2006-02-07 |
| 1760473060 | Kerry Lyn Harrington | Emergency Medicine | 1740 Nw Goetz St, Roseburg, OR 97471-1613 | 2005-11-04 |
| 1881985802 | Charles Elliott Lange | Emergency Medicine | 2700 Nw Stewart Pkwy, Dept of Emergency Medicine, Mercy Medical Center, Roseburg, OR 97471 | 2011-04-25 |
| 1164730719 | Centennial Medical Group East, LLC | Emergency Medicine | 2570 Nw Edenbower Blvd, Roseburg, OR 97471-6214 | 2010-09-16 |
| 1134436637 | Centennial Medical Group East, LLC | Emergency Medicine | 2570 Nw Edenbower Blvd, Roseburg, OR 97471-6214 | 2010-09-03 |
| 1295810539 | Daniel Joseph Hull | Emergency Medicine | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2006-10-26 |
| 1568551521 | Ryan Jon Petersen | Emergency Medicine | 2700 Nw Stewart Pkwy, Roseburg Or 97471, Roseburg, OR 97471-1281 | 2006-10-11 |
| 1134182843 | Tami Sue Marriott | Emergency Medicine | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2006-04-11 |
| 1780647719 | Cep America LLC | Emergency Medicine | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2006-04-10 |
| Find all providers in ROSEBURG | ||||
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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.