DR. MORGAN CAMERON WIMMER (NPI# 1114451267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114451267 |
Entity Type | Individual |
Full Name | DR. MORGAN CAMERON WIMMER |
Other Name | MORGAN CAMERON FLOREK |
Practice Address |
200 Mullins Dr Lebanon OR 97355-3983 |
Mailing Address |
3600 Nw Samaritan Dr Corvallis OR 97330-3737 |
Practice Telephone | 5412590200 |
Mailing Telephone | 5417685111 |
Enumeration Date | 2017-04-16 |
Last Update Date | 2019-09-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | PG194097 | OR | Allopathic & Osteopathic Physicians |
Street Address |
200 MULLINS DR |
City | LEBANON |
State | OR |
Zip Code | 97355-3983 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497721625 | Derrick John Sorweide | Family Medicine | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2006-02-27 |
1245847060 | Arkady Hovssepian | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-09-25 |
1447872536 | Nathan Thomas Milojevic | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-05-11 |
1659991529 | Bridget Walsh Dahlberg | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-04-21 |
1750901641 | Lisa Huynh | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-04-20 |
1639799760 | Chatrathip Nasongkla | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-04-18 |
1376163675 | Alexandra Dalton | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-04-16 |
1902425713 | Daniel Carter | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-04-11 |
1316566391 | Nicholas Woo | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-04-10 |
1720607773 | Ashley Mcroberts | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-04-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
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Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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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.