NW SURGICAL CENTER (NPI# 1164829412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164829412 |
Entity Type | Organization |
Organization Name | NW SURGICAL CENTER |
Practice Address |
545 Sw 2nd St Corvallis OR 97333-4466 |
Practice Telephone | 5419292070 |
Mailing Telephone | 5419292070 |
Enumeration Date | 2014-12-02 |
Last Update Date | 2014-12-02 |
Authorized Official Name | NICOLAUS GOEBELER (MANAGER) |
Authorized Official Telephone | 7742088587 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Street Address |
545 SW 2ND ST |
City | CORVALLIS |
State | OR |
Zip Code | 97333-4466 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053652594 | Willamette Valley Toxicology | Clinical Medical Laboratory | 545 Sw 2nd St, Suite 201, Corvallis, OR 97333-4466 | 2013-03-07 |
1740668649 | Corvallis Medical Group, LLC | Pain Medicine | 545 Sw 2nd St, Suite 200, Corvallis, OR 97333-4466 | 2015-05-11 |
1891191672 | Jarod Smith | Nurse Practitioner | 545 Sw 2nd St, Suite 200, Corvallis, OR 97333-4466 | 2014-11-06 |
1801210802 | Nw Surgical Center LLC | Clinic/Center | 545 Sw 2nd St, Corvallis, OR 97333-4466 | 2014-02-11 |
1053744524 | Christopher Jason Smith | Pain Medicine | 545 Sw 2nd St, Ste 200, Corvallis, OR 97333-4466 | 2013-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
Find all providers in zip 97333 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689800666 | Bsm Surgery Center LLC | Clinic/Center | 1128 Ne Second Street, Suite 104, Corvallis, OR 97330-6293 | 2009-06-04 |
1881850386 | Corvallis Clinic PC | Clinic/Center | 601 Nw Elks Drive, Corvallis, OR 97330-3781 | 2008-08-04 |
1649327008 | Samaritan Endoscopy LLC | Clinic/Center | 3509 Nw Samaritan Drive, Suite 201, Corvallis, OR 97330-3766 | 2007-01-05 |
1457735615 | Coastline Corvallis Clinic LLC | Clinic/Center | 1829 Nw Kings Blvd, Corvallis, OR 97330-1907 | 2015-07-16 |
1801210802 | Nw Surgical Center LLC | Clinic/Center | 545 Sw 2nd St, Corvallis, OR 97333-4466 | 2014-02-11 |
1730345596 | Corvallis Clinic PC | Clinic/Center | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2008-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457826125 | Central Oregon Surgical Institute, LLC | Clinic/Center | 1550 Ne 27th St Ste 110, Bend, OR 97701-7728 | 2018-10-09 |
1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
1962920751 | West End Surgical, LLC | Clinic/Center | 9405 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-09-01 |
1588181275 | Chase Gardens Surgery Center LLC | Clinic/Center | 360 S Garden Way Ste 100, Eugene, OR 97401-8173 | 2017-08-24 |
1164946984 | Northwest Renal Clinic, Inc. | Clinic/Center | 9701 Sw Barnes Rd Ste 110, Portland, OR 97225-6774 | 2017-08-02 |
1679939318 | Crater Lake Surgery Center LLC | Clinic/Center | 833 Bennett Ave, Medford, OR 97504-6715 | 2016-01-11 |
1902287469 | Gateway Dental Surgery Center | Clinic/Center | 10535 Ne Glisan St Ste 101, Portland, OR 97220-4095 | 2015-06-10 |
1760861835 | Central Oregon Surgery Center LLC | Clinic/Center | 1835 Nw Pence Ln Ste 100, Bend, OR 97703-1551 | 2015-05-22 |
1972902286 | Oregon Specialists Surgery Center LLC | Clinic/Center | 2785 River Rd S, Salem, OR 97302-5883 | 2014-08-22 |
1649612698 | Willamette Procedure Center PC | Clinic/Center | 2020 8th Ave Ste 212, West Linn, OR 97068-4657 | 2013-07-18 |
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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.