DR. RITCHIE B GOOCH (NPI# 1215099627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215099627 |
| Entity Type | Individual |
| Full Name | DR. RITCHIE B GOOCH |
| Credential | MD |
| Practice Address |
1377 N 10th Avenue Stayton OR 97383 |
| Practice Telephone | 5037697771 |
| Practice Fax Number | 5037694630 |
| Mailing Telephone | 5037697771 |
| Mailing Fax Number | 5037694630 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD11706 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 075119 | 05 |
| Street Address |
1377 N 10TH AVENUE |
| City | STAYTON |
| State | OR |
| Zip Code | 97383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487204228 | Bishop Stayton Lessee LLC | Assisted Living Facility | Elmcroft of Stayton, 2201 3rd Ave., Stayton, OR 97383 | 2019-09-13 |
| 1972097699 | Nathan Daniel Hoover | Pharmacist | 1401 North 10th Ave, Stayton, OR 97383 | 2018-06-16 |
| 1801211560 | Maria A Fife | Nurse Practitioner | 1095 N 1st Ave, Stayton, OR 97383 | 2014-03-04 |
| 1467771295 | Jennifer Clorinda Brewer | Obstetrics & Gynecology | 1373 N. 10th Ave, Stayton, OR 97383 | 2010-05-18 |
| 1578785622 | Lakeside Cottages | Assisted Living Facility | #310-369 Wildflower Drive, Stayton, OR 97383 | 2007-05-02 |
| 1710932710 | Promotion Advanced Functional Rehab LLC | Physical Therapy Assistant | 601 N 1st Ave, Stayton, OR 97383 | 2006-05-24 |
| 1508352279 | Madison Taylor Eymann | Physical Therapist | 1750 Wilco Rd, Stayton, OR 97383 | 2018-07-06 |
| 1154814390 | Santiam Memorial Hospital | Clinic/Center | 1371 N 10th Ave, Stayton, OR 97383 | 2018-06-12 |
| 1912413147 | Santiam Memorial Hospital | Clinic/Center | 1369 N 10th Ave, Stayton, OR 97383 | 2017-12-26 |
| 1275049850 | Santiam Memorial Hospital | Clinic/Center | 1401 N 10th Ave Ste 200, Stayton, OR 97383 | 2017-12-19 |
| Find all providers in zip 97383 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114088101 | Richard C Boughn | Family Medicine | 613 N 1st Ave, Stayton, OR 97383-1704 | 2006-12-13 |
| 1730195702 | David Foster | Family Medicine | 1401 N 10th Ave #200, Stayton, OR 97383-1311 | 2006-07-31 |
| 1568478535 | Jeanne L. Fitzpatrick | Family Medicine | 1401 N 10th Ave Ste 200, Stayton, OR 97383-1487 | 2006-07-31 |
| 1427086339 | Paul J. Neumann | Family Medicine | 1401 N 10th Ave Ste 100, Stayton, OR 97383-1486 | 2006-06-29 |
| 1316940919 | Claire E King | Family Medicine | 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 | 2005-05-27 |
| 1235587668 | Jamie Elizabeth Robinson | Family Medicine | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2016-05-26 |
| 1326301680 | Chrystal Dawn Schwartz | Family Medicine | 1401 N 10th Ave, Stayton, OR 97383 | 2012-06-21 |
| 1699086074 | Richard C. Boughn, Md PC | Family Medicine | 613 N 1st Ave, Stayton, OR 97383-1704 | 2010-06-30 |
| 1912130915 | Stayton Family Practice Inc | Family Medicine | 1375 N 10th Ave, Stayton, OR 97383-2037 | 2009-08-25 |
| 1659524494 | Stayton Family Practice LLC | Family Medicine | 1375 N 10th Ave, Stayton, OR 97383-2037 | 2008-10-24 |
| Find all providers in STAYTON | ||||
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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.