ANJALI GUPTA (NPI# 1104074715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104074715 |
| Entity Type | Individual |
| Full Name | ANJALI GUPTA |
| Credential | MD |
| Practice Address |
2460 Nw Stewart Pkwy Suite 102 Roseburg OR 97471-1516 |
| Practice Telephone | 5416772494 |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2014-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD167029 | OR | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 61-003355 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03126478 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284390 | Anjali Gupta | Physical Therapist | 6621 Fannin St # Mcb21329, Houston, TX 77030-2358 | 2018-11-15 |
| 1982145074 | Anjali Gupta | Obstetrics & Gynecology | 351 Hospital Rd Ste 316, Newport Beach, CA 92663-3505 | 2017-03-09 |
| 1760414122 | Anjali Gupta | Psychiatry & Neurology | 1320 S Bay St, Eustis, FL 32726-5551 | 2006-07-07 |
| 1578959482 | Anjali Gupta | Hospitalist | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2015-04-08 |
| 1386038826 | Anjali Gupta | Student in an Organized Health Care Education/Training Program | 282 Washington St, Hartford, CT 06106-3322 | 2015-03-23 |
| 1720301427 | Anjali Gupta | Optometrist | 35 South St, New Providence, NJ 07974-1940 | 2010-03-09 |
| 1881852853 | Anjali Gupta | Family Medicine | 937 N Spring Garden Ave, Deland, FL 32720-2560 | 2008-05-27 |
| 1922265123 | Anjali Gupta | Internal Medicine | 712 S Cascade St, Fergus Falls, MN 56537-2913 | 2008-05-16 |
| 1063695971 | Anjali Gupta | Internal Medicine | 17 E 102nd St, New York, NY 10029-5204 | 2007-12-13 |
| 1699966556 | Anjali L Gupta | Internal Medicine | 1309 N Elm St, Greensboro, NC 27401-1005 | 2007-08-06 |
| Street Address |
2460 NW STEWART PKWY SUITE 102 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407832868 | Razvan I Gosman | Internal Medicine | 2460 Nw Stewart Pkwy, Suite 103, Roseburg, OR 97471-1516 | 2005-12-19 |
| 1417252990 | Benjamin James Baird | Physician Assistant | 2460 Nw Stewart Pkwy, Ste 100, Roseburg, OR 97471-1516 | 2011-01-14 |
| 1427283464 | Brandon Wallace Bishop | Podiatrist | 2460 Nw Stewart Pkwy, Ste. 100, Roseburg, OR 97471-1516 | 2009-05-20 |
| 1306010186 | Sharon A Thrall, Md PC | Family Medicine | 2460 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97470-1516 | 2008-04-14 |
| 1538357587 | Wen S. Chen | Nurse Practitioner | 2460 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1516 | 2007-10-03 |
| 1952424541 | Donald E. Wonderly Md PC | Obstetrics & Gynecology | 2460 Nw Stewart Pkwy, Suite 240, Roseburg, OR 97471-1516 | 2007-04-09 |
| 1780782367 | Cary Todd Sanders | Orthopaedic Surgery | 2460 Nw Stewart Pkwy, Ste. 100, Roseburg, OR 97471-1516 | 2006-09-20 |
| 1356447924 | Jennifer Bzowy | Nurse Practitioner | 2460 Nw Stewart Pkwy, Suite 240, Roseburg, OR 97471-1516 | 2006-09-15 |
| 1871601542 | Samuel J Russo Do PC | Family Medicine | 2460 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1516 | 2006-08-25 |
| 1417990003 | Donald E Wonderly | Obstetrics & Gynecology | 2460 Nw Stewart Pkwy, Suite 240, Roseburg, OR 97471-1516 | 2006-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| 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 |
|---|---|---|---|---|
| 1477962694 | Centennial Medical Group Inc. | Internal Medicine | 2460 Nw Stewart Pkwy Ste 102, Roseburg, OR 97471-1516 | 2014-08-13 |
| 1346394855 | Kidney and Hypertension Center PC | Internal Medicine | 2510 Nw Edenbower Blvd Ste 176, Roseburg, OR 97470-8899 | 2007-01-22 |
| 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 |
| 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 |
| 1396924999 | Northwest Renal Clinic, Inc. | Internal Medicine | 9701 Sw Barnes Road, Suite 110, Portland, OR 97225 | 2007-10-31 |
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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.