KLAMATH FA MILY PRACTICE CENTER PC (NPI# 1245228980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245228980 |
| Entity Type | Organization |
| Organization Name | KLAMATH FA MILY PRACTICE CENTER PC |
| Practice Address |
2310 Mountain View Blvd Klamath Falls OR 97601-1134 |
| Mailing Address |
Po Box 5234 Klamath Falls OR 97601-0203 |
| Practice Telephone | 5412386432 |
| Practice Fax Number | 5415396439 |
| Mailing Telephone | (541) 238-6462 |
| Mailing Fax Number | 5415396439 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2017-08-14 |
| Authorized Official Name | JON G MCKELLAR (PRESIDENT) |
| Authorized Official Telephone | 5412386462 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
2310 MOUNTAIN VIEW BLVD |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97601-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669553988 | Klamath Pediatric Clinic, PC | Pediatrics | 2310 Mountain View Blvd, Klamath Falls, OR 97601-1134 | 2006-10-17 |
| 1902992795 | Eleanor Frances Lustig-butts | Nurse Practitioner | 2310 Mountain View Blvd, Klamath Falls, OR 97601-1134 | 2006-10-05 |
| 1215022934 | Charles Michael Labuwi | Pediatrics | 2310 Mountain View Blvd, Klamath Falls, OR 97601-1134 | 2006-10-04 |
| 1871581520 | Roger R Cummins | Physician Assistant | 2310 Mountain View Blvd, Klamath Falls, OR 97601-1134 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487311 | Socorro Guadalupe Alcala- Peres | Case Manager/Care Coordinator | 2210 N El Dorado Ave, Klamath Falls, OR 97601 | 2019-09-20 |
| 1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
| 1134699721 | Kristin Asta Ragnarsson | Speech-Language Pathologist | Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 | 2018-11-27 |
| 1730667445 | Nancy Leota Baley | Pharmacist | Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 | 2018-08-03 |
| 1336511260 | Patricia Blauvelt | Occupational Therapy Assistant | 1401 Bryant Williams Dr, Klamath Falls, OR 97601 | 2015-10-30 |
| 1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
| 1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
| 1255692687 | Billy Dean Vermaas | Physical Medicine & Rehabilitation | 204 N. 10th Street, Klamath Falls, OR 97601 | 2012-06-01 |
| 1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
| 1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
| Find all providers in zip 97601 | ||||
| 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 |
|---|---|---|---|---|
| 1912322330 | David Reeder | Family Medicine | 1105 Pacific Ter, Klamath Falls, OR 97601-1875 | 2014-02-21 |
| 1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
| 1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
| 1477578961 | James F Calvert Jr. | Family Medicine | 2801 Daggett Ave, Klamath Falls, OR 97601-1106 | 2006-07-13 |
| 1790723658 | Carl A Barbee | Family Medicine | 2821 Daggett Ave Ste 100, Klamath Falls, OR 97601-1106 | 2006-06-03 |
| 1306891189 | Kathleen Bakke | Family Medicine | 1905 Main St, Klamath Falls, OR 97601-2638 | 2006-05-23 |
| 1275521916 | Jon Gregory Mckellar | Family Medicine | 2218 Shallock Ave, Klamath Falls, OR 97601-4290 | 2005-10-06 |
| 1174511810 | Charles Daniel Bury | Family Medicine | 2300 Clairmont Dr, Klamath Falls, OR 97601-1136 | 2005-10-06 |
| 1801898358 | Grant Niskanen | Family Medicine | 2865 Daggett Ave., Klamath Falls, OR 97601 | 2005-08-15 |
| 1174043517 | Maria Johnson | Family Medicine | 2821 Daggett Ave Ste 200, Klamath Falls, OR 97601-1130 | 2017-06-27 |
| Find all providers in KLAMATH FALLS | ||||
| City | KLAMATH FALLS |
| Zip Code | 97601 |
Please comment or provide details below to improve the information on KLAMATH FA MILY PRACTICE CENTER PC.
| 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.