CANCER CARE OF SOUTHERN OREGON (NPI# 1104082577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104082577 |
| Entity Type | Organization |
| Organization Name | CANCER CARE OF SOUTHERN OREGON |
| Practice Address |
2900 Doctors Park Dr Medford OR 97504-8198 |
| Mailing Address |
748 State St Medford OR 97504-8473 |
| Practice Telephone | 5412822208 |
| Practice Fax Number | 5412822237 |
| Mailing Telephone | 5417725282 |
| Mailing Fax Number | 5412822237 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2008-08-05 |
| Authorized Official Name | CAROL A FLINN (CEO) |
| Authorized Official Telephone | 5412822208 |
| Is Organization Subpart | Y |
| Parent Organization Name | ROGUE VALLEY PHYSICIANS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
2900 DOCTORS PARK DR |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699761932 | Rogue Valley Physicians | Nurse Practitioner | 2900 Doctors Park Dr, Medford, OR 97504-8127 | 2005-09-22 |
| 1275767055 | Eric Martin, Md P.c | Clinic/Center | 2900 Doctors Park Dr, Suite 100, Medford, OR 97504-8198 | 2009-05-08 |
| 1164656948 | Timothy R. Driver, Md P.C. | Clinic/Center | 2900 Doctors Park Dr, Suite 100, Medford, OR 97504-8198 | 2009-05-08 |
| 1952535734 | James Loos, Md P.C. | Clinic/Center | 2900 Doctors Park Dr, Suite 100, Medford, OR 97504-8198 | 2009-05-08 |
| 1710169099 | Patrick Ryan Hungerford | Internal Medicine | 2900 Doctors Park Dr, Suite 200, Medford, OR 97504-8198 | 2007-11-29 |
| 1285851071 | Rogue Valley Physicians | Clinic/Center | 2900 Doctors Park Dr, Medford, OR 97504-8127 | 2007-04-20 |
| 1730202433 | Southern Oregon Internal Medicine | Clinic/Center | 2900 Doctors Park Dr, Medford, OR 97504-8127 | 2007-04-09 |
| 1760587372 | Eric Martin | Urology | 2900 Doctors Park Dr, Suite 100, Medford, OR 97504-8198 | 2006-09-14 |
| 1669577268 | Timothy Robert Driver | Specialist | 2900 Doctors Park Dr, Suite 100, Medford, OR 97504-8198 | 2006-09-14 |
| 1104922749 | Urology Associates of Southern Oregon, LLP | Clinic/Center | 2900 Doctors Park Dr, Suite 100, Medford, OR 97504-8198 | 2006-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972751493 | Todd Christopher Adams | Radiology | 128 Washington St, Medford, MA 02155-4741 | 2008-09-09 |
| 1649239435 | Gordon Metz | Radiology | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2006-03-21 |
| 1942269170 | Craig Haveman | Radiology | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2006-03-17 |
| 1396714515 | Radiation Oncology Group Consultants, PC | Radiology | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2006-03-17 |
| 1164481321 | Eric Mullen | Radiology | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2006-03-17 |
| 1790744928 | Jere Sandefur | Radiology | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2006-03-17 |
| 1710946959 | Kenneth Haugen | Radiology | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417501420 | Oarm Services of Oregon PC | Radiology | 1713 Sw 24th St, Pendleton, OR 97801-4330 | 2019-07-29 |
| 1235549031 | Amar Srivastava | Radiology | 4805 Ne Glisan St, Garden Level, Portland, OR 97213 | 2014-05-01 |
| 1962848655 | Joshua M Walker | Radiology | 3181 Sw Sam Jackson Park Rd # Kpv4, Portland, OR 97239 | 2013-05-21 |
| 1740596105 | Kevin Forsythe | Radiology | 1457 G St, Springfield, OR 97477-4113 | 2010-08-24 |
| 1578610382 | Jerry Jeff Jaboin | Radiology | 3181 Sw Sam Jackson Park Rd # L337, Department of Radiation Medicine, Portland, OR 97239-3011 | 2007-01-04 |
| 1952467607 | Jerald Edward Albrich | Radiology | 2389 N Maple St, Canby, OR 97013-2106 | 2006-12-28 |
| 1427139120 | Radiation Therapy Consultants, PC | Radiology | 875 Oak St Se Ste 1080, Salem, OR 97301-3977 | 2006-10-18 |
| 1982702221 | Margaret J Thompson | Radiology | 12990 W Perrydale Rd, Amity, OR 97101-9519 | 2006-09-20 |
| 1881631745 | Grace E Yuh | Radiology | 2700 Se Stratus Ave Ste A, Mcminnville, OR 97128-6258 | 2006-06-01 |
| 1770520892 | Katie Anne Deming | Radiology | 1400 Nw Irving St, 527, Portland, OR 97209-2210 | 2006-05-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CANCER CARE OF SOUTHERN OREGON.
| 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.