ERICA BOHAN (NPI# 1144647033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144647033 |
Entity Type | Individual |
Full Name | ERICA BOHAN |
Credential | MD |
Practice Address |
825 Bennett Ave Medford OR 97504-6715 |
Practice Telephone | 5417795228 |
Mailing Telephone | 5417795228 |
Enumeration Date | 2014-03-28 |
Last Update Date | 2019-08-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD194451 | OR | Allopathic & Osteopathic Physicians |
Street Address |
825 BENNETT AVE |
City | MEDFORD |
State | OR |
Zip Code | 97504-6715 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376535302 | Joseph Mark Savino | Anesthesiology | 825 Bennett Ave, Medford, OR 97504-6715 | 2005-08-16 |
1962989913 | Denise Lee Partin | Nurse Practitioner | 825 Bennett Ave, Medford, OR 97504-6715 | 2018-07-23 |
1669981148 | Autumn Dawn Mercer | Nurse Practitioner | 825 Bennett Ave, Medford, OR 97504-6715 | 2017-09-27 |
1861926586 | Dashia Hewitt | Nurse Practitioner | 825 Bennett Ave, Medford, OR 97504-6715 | 2017-04-19 |
1992248769 | Rochelle Anik Manwaring | Social Worker | 825 Bennett Ave, Medford, OR 97504-6715 | 2016-11-29 |
1659770576 | Susan Michelle Rugh | Pain Medicine | 825 Bennett Ave, Medford, OR 97504-6715 | 2014-08-15 |
1114217544 | Pain Specialists, PC | Pain Medicine | 825 Bennett Ave, Medford, OR 97504-6715 | 2011-04-19 |
1811027055 | Jeffrey Paul Leppert | Registered Nurse | 825 Bennett Ave, Medford, OR 97504-6715 | 2007-03-06 |
1881772416 | Caroline Capitano | Pain Medicine | 825 Bennett Ave, Medford, OR 97504-6715 | 2006-11-01 |
1205945995 | Amy Louise Maher | Anesthesiology | 825 Bennett Ave, Medford, OR 97504-6715 | 2006-08-29 |
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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 |
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Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013911361 | Brett T Quave | Anesthesiology | 701 Golf View Dr, Medford, OR 97504-9643 | 2005-06-01 |
1487023388 | Comprehensive Pain Care, LLC | Anesthesiology | 842 E Main St, Medford, OR 97504-7134 | 2015-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912346461 | Vishal Khemlani | Anesthesiology | 6464 Sw Borland Rd Ste A2, Tualatin, OR 97062-8854 | 2013-06-18 |
1316140965 | Russell Robert Kinder | Anesthesiology | 10000 Se Main St Ste 128, Portland, OR 97216-2462 | 2007-06-08 |
1124075791 | Gregory Gullo | Anesthesiology | 2020 8th Ave, Suite 200, West Linn, OR 97068-4657 | 2006-05-28 |
1851353502 | Ahmed Ebeid | Anesthesiology | 851 Ne Baker St Ste 1, Mcminnville, OR 97128-4991 | 2006-04-06 |
1992798169 | Timothy L Kelly | Anesthesiology | 831 Nw Council Dr, Suite 300, Gresham, OR 97030-3721 | 2005-08-23 |
1568083517 | Deschutes Pain Specialists LLC | Anesthesiology | 2235 Nw Shevlin Park Rd Ste 100, Bend, OR 97703-7111 | 2020-04-30 |
1942675467 | Pain Care Specialists of Oregon, LLC | Anesthesiology | 2480 Liberty St Ne Ste 180, Salem, OR 97301-8388 | 2015-12-09 |
1235520503 | Andrew Oh Md PC | Anesthesiology | 140 Nw 14th Ave, Portland, OR 97209-2601 | 2015-02-09 |
1558751958 | Washington Center for Pain Management LLC | Anesthesiology | 11786 Sw Barnes Rd, Suite 270, Portland, OR 97225-5929 | 2015-01-23 |
1699102426 | Comprehensive Pain Consultants, LLC | Anesthesiology | 851 Ne Baker St Ste 1, Mcminnville, OR 97128-4991 | 2013-10-12 |
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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.