DR. CARRIE ATWELL GANONG (NPI# 1073710778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073710778 |
| Entity Type | Individual |
| Full Name | DR. CARRIE ATWELL GANONG |
| Credential | M.D. |
| Practice Address |
3001 Daggett Ave Klamath Falls OR 97601-1114 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 5418514800 |
| Practice Fax Number | 5418514801 |
| Mailing Telephone | 6053286585 |
| Mailing Fax Number | 6053286512 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2013-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 44131 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64958960 | 05 | |
| CO | 01325653 | 05 |
| Street Address |
3001 DAGGETT AVE |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97601-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538192950 | Frederick L Zwartverwer | Pediatrics | 3001 Daggett Ave, Klamath Falls, OR 97601-1114 | 2006-07-09 |
| 1720337504 | Sanford World Clinics | Pediatrics | 3001 Daggett Ave, Klamath Falls, OR 97601-1114 | 2012-09-07 |
| 1518259464 | Tasia Nicole Hulst | Pediatrics | 3001 Daggett Ave, Klamath Falls, OR 97601-1118 | 2011-05-11 |
| 1750420196 | Jennifer Gayle Lovell | Nurse Practitioner | 3001 Daggett Ave, Klamath Falls, OR 97601-1114 | 2007-02-05 |
| 1124192927 | Robin Rand Hale | Family Medicine | 3001 Daggett Ave, Klamath Falls, OR 97601-1114 | 2006-11-20 |
| 1831278589 | Tracy Warwick Graham | Pediatrics | 3001 Daggett Ave, Klamath Falls, OR 97601-1114 | 2006-11-03 |
| 1619067196 | John Aaron Wilson | Pediatrics | 3001 Daggett Ave, Klamath Falls, OR 97601-1114 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487311 | Socorro Guadalupe Alcala- Peres | Case Manager/Care Coordinator | 2210 N El Dorado Ave, Klamath Falls, OR 97601 | 2019-09-20 |
| 1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
| 1134699721 | Kristin Asta Ragnarsson | Speech-Language Pathologist | Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 | 2018-11-27 |
| 1730667445 | Nancy Leota Baley | Pharmacist | Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 | 2018-08-03 |
| 1336511260 | Patricia Blauvelt | Occupational Therapy Assistant | 1401 Bryant Williams Dr, Klamath Falls, OR 97601 | 2015-10-30 |
| 1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
| 1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
| 1255692687 | Billy Dean Vermaas | Physical Medicine & Rehabilitation | 204 N. 10th Street, Klamath Falls, OR 97601 | 2012-06-01 |
| 1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
| 1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
| Find all providers in zip 97601 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538192950 | Frederick L Zwartverwer | Pediatrics | 3001 Daggett Ave, Klamath Falls, OR 97601-1114 | 2006-07-09 |
| 1508812207 | Nicola J Cherry | Pediatrics | 2580 Daggett Ave, Klamath Falls, OR 97601-1127 | 2006-05-25 |
| 1720337504 | Sanford World Clinics | Pediatrics | 3001 Daggett Ave, Klamath Falls, OR 97601-1114 | 2012-09-07 |
| 1518259464 | Tasia Nicole Hulst | Pediatrics | 3001 Daggett Ave, Klamath Falls, OR 97601-1118 | 2011-05-11 |
| 1831278589 | Tracy Warwick Graham | Pediatrics | 3001 Daggett Ave, Klamath Falls, OR 97601-1114 | 2006-11-03 |
| 1669553988 | Klamath Pediatric Clinic, PC | Pediatrics | 2310 Mountain View Blvd, Klamath Falls, OR 97601-1134 | 2006-10-17 |
| 1619067196 | John Aaron Wilson | Pediatrics | 3001 Daggett Ave, Klamath Falls, OR 97601-1114 | 2006-10-13 |
| 1215022934 | Charles Michael Labuwi | Pediatrics | 2310 Mountain View Blvd, Klamath Falls, OR 97601-1134 | 2006-10-04 |
| 1760415525 | Nicola J Cherry Md LLC | Pediatrics | 2580 Daggett Ave, Klamath Falls, OR 97601-1127 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114558368 | Oregon Pediatrics-oregon City, PC | Pediatrics | 1510 Division St Ste 80, Oregon City, OR 97045-1572 | 2020-01-27 |
| 1962911347 | Bend Kids Pediatrics, LLC | Pediatrics | 2748 Nw Crossing Dr Ste 140, Bend, OR 97703-7179 | 2017-09-28 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1235660176 | Erik Grimm | Pediatrics | 16463 Boones Ferry Rd Ste 400, Lake Oswego, OR 97035-4377 | 2017-03-22 |
| 1891178885 | Snake River Pediatrics | Pediatrics | 1050 Sw 3rd Ave Ste 3200, Ontario, OR 97914-4560 | 2015-07-08 |
| 1447663810 | Anh Linh Hoang | Pediatrics | 9243 Ne Glisan St, Portland, OR 97220-4533 | 2014-06-03 |
| 1891126538 | Sydmarie Bisenius | Pediatrics | 24850 Se Stark St Ste 150, Gresham, OR 97030-8318 | 2013-12-05 |
| 1427499367 | Elizabeth Bish Young | Pediatrics | 901 Bellwood Ln, Roseburg, OR 97471-9299 | 2013-07-08 |
| 1255771671 | Steven Donald Mcgaughey | Pediatrics | Ohsu Doernbecher, 3181 Sw Sam Jackson Park Road, Portland, OR 97239-1002 | 2013-06-29 |
| 1508109539 | Ramya Mishra Jariwala | Pediatrics | 9155 Sw Barnes Rd Ste 840, Portland, OR 97225 | 2013-03-28 |
| Find all providers with the same taxonomy | ||||
| City | KLAMATH FALLS |
| Zip Code | 97601 |
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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.