DR. ROBERT JOHN LACIAK (NPI# 1114196169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114196169 |
| Entity Type | Individual |
| Full Name | DR. ROBERT JOHN LACIAK |
| Credential | M.D. |
| Practice Address |
990 Nw Circle Blvd Suite 102 Corvallis OR 97330-1967 |
| Mailing Address |
Po Box 1189 Corvallis OR 97339-1189 |
| Practice Telephone | 5417685486 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD152679 | OR | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 6851346-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
990 NW CIRCLE BLVD SUITE 102 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-1967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649382417 | Layron O Long | Urology | 990 Nw Circle Blvd, Suite 102, Corvallis, OR 97330-1967 | 2006-08-31 |
| 1154697001 | Albany General Hospital | Dietitian, Registered | 990 Nw Circle Blvd, Suite 201, Corvallis, OR 97330-1967 | 2012-03-26 |
| 1144388570 | Kathryn A Brown | Social Worker | 990 Nw Circle Blvd, Corvallis, OR 97330-1410 | 2006-12-05 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235409236 | Good Samaritan Hospital Corvallis | Urology | 990 Nw Circle Blvd Suite 102, Corvallis, OR 97330-1967 | 2012-01-06 |
| 1649382417 | Layron O Long | Urology | 990 Nw Circle Blvd, Suite 102, Corvallis, OR 97330-1967 | 2006-08-31 |
| 1891717153 | James Jason Crane | Urology | 990 Nw Circle Blvd Ste 102, Corvallis, OR 97330-1967 | 2006-07-24 |
| 1396087110 | Bryce Andrew Allio | Urology | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2013-03-19 |
| 1396768495 | Mary Ochadlik | Urology | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2006-07-26 |
| 1932159324 | Michael D Brant | Urology | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609233824 | Jeremiah C. Murphy, M.d., PC | Urology | 19260 Sw 65th Ave Ste 400, Tualatin, OR 97062-5712 | 2016-01-19 |
| 1609200427 | Erika Lynn Mccarthy | Urology | 2973 12th St Se, Salem, OR 97302-3162 | 2013-08-28 |
| 1770826372 | Brian Matthew Blair | Urology | 24900 Se Stark St Ste 103, Gresham, OR 97030 | 2013-04-02 |
| 1376885418 | Sasha Courand Druskin | Urology | 2226 Nw Pettygrove St, Portland, OR 97210-2608 | 2013-03-26 |
| 1871837468 | Kirit S Shah M.d., P.C. | Urology | 171 Ne 102nd Ave, Portland, OR 97220-4169 | 2012-11-20 |
| 1679856439 | Thomas William Konowalchuk | Urology | 1070 Ne 7th Dr, Newport, OR 97365-2518 | 2011-09-27 |
| 1730484544 | James Bresee | Urology | 9135 Sw Barnes Rd Ste 663, Portland, OR 97225 | 2011-01-26 |
| 1063734556 | Gene Thomas Baumgarner | Urology | 3986 Mirror Pond Way, Eugene, OR 97408-5954 | 2010-02-24 |
| 1144470568 | Daniel R Khalil | Urology | 700 Sw Ramsey Suite 101, Grants Pass, OR 97527-5535 | 2008-09-22 |
| 1952567653 | Oregon Urology Clinic, P.C. | Urology | 3100 Ne 28th Street Suite C, Lincoln City, OR 97367-4518 | 2008-08-01 |
| Find all providers with the same taxonomy | ||||
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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.