SOUTHERN OREGON PEDIATRICS, LLP (NPI# 1194932814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194932814 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OREGON PEDIATRICS, LLP |
| Practice Address |
750 Murphy Rd Medford OR 97504-8426 |
| Practice Telephone | 5417894096 |
| Practice Fax Number | 5417894073 |
| Mailing Telephone | 5417894096 |
| Mailing Fax Number | 5417894073 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2019-03-05 |
| Authorized Official Name | BRENDA L SANKEY (OFFICE MANAGER) |
| Authorized Official Telephone | 5417895879 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080H0002X |
Pediatrics Specialization: Hospice and Palliative Medicine |
07-00020431 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
750 MURPHY RD |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477533263 | Diana Scholtz | Nurse Practitioner | 750 Murphy Rd, Medford, OR 97504-8426 | 2006-01-18 |
| 1548744246 | Casey C Sims | Social Worker | 750 Murphy Rd, Medford, OR 97504-8426 | 2018-09-18 |
| 1730597584 | Nancy Baker | Lactation Consultant, Non-RN | 750 Murphy Rd, Medford, OR 97504-8426 | 2014-07-24 |
| 1568801728 | Katherine Ann Clarke | Pediatrics | 750 Murphy Rd, Medford, OR 97504-8426 | 2013-06-20 |
| 1962781336 | Jared Cox | Psychologist | 750 Murphy Rd, Medford, OR 97504-8426 | 2011-08-16 |
| 1770792442 | Rodney A Hinds | Physician Assistant | 750 Murphy Rd, Medford, OR 97504-8426 | 2007-05-21 |
| 1144243650 | Heather J Young | Pediatrics | 750 Murphy Rd, Medford, OR 97504-8426 | 2006-07-25 |
| 1215955109 | Ahan Newman | Pediatrics | 750 Murphy Rd, Medford, OR 97504-8426 | 2006-07-18 |
| 1306803432 | Gregory E Conway | Pediatrics | 750 Murphy Rd, Medford, OR 97504-8426 | 2006-05-01 |
| 1982668901 | Michael E Mills | Pediatrics | 750 Murphy Rd, Medford, OR 97504 | 2006-04-14 |
| 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 | 2080H0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Hospice and Palliative Medicine |
| A pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124244041 | Larry George Fickenscher | Pediatrics | University of Oregon Student Health Center, 1590 East 13th Avenue, Eugene, OR 97403-1232 | 2007-04-18 |
| 1164841219 | Mark Bollman | Pediatrics | 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 2014-04-15 |
| 1235405150 | Tyler Tate | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 | 2012-03-25 |
| 1083815922 | Gina Marie Carter-beard | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2007-05-29 |
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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.