BRETT A POISSON (NPI# 1255383337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255383337 |
| Entity Type | Individual |
| Full Name | BRETT A POISSON |
| Credential | MD |
| Practice Address |
2828 E Barnett Rd Medford OR 97504-8342 |
| Practice Telephone | 5417745853 |
| Practice Fax Number | 5416086632 |
| Mailing Telephone | 5417745853 |
| Mailing Fax Number | 5416086632 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2013-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD23704 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 286924 | 05 |
| Street Address |
2828 E BARNETT RD |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962469585 | Alison Diana Savage | Internal Medicine | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2006-04-27 |
| 1508421751 | Ethan Pace | Internal Medicine | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2019-05-02 |
| 1134784580 | Amanda Nicole Taylor | Physician Assistant | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2019-05-01 |
| 1518496090 | Hematology Oncology Pharmacy | Pharmacy | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2017-06-08 |
| 1124578802 | Mariah Mcgaffey | Physician Assistant | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2016-10-06 |
| 1689124547 | Esther Hehn | Nurse Practitioner | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2016-10-04 |
| 1679944870 | Dawn Sipes | Nurse Practitioner | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2015-10-13 |
| 1043691728 | Matthew Filoon | Nurse Practitioner | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2015-06-17 |
| 1548651029 | Aimee Marie Goseland | Registered Nurse | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2015-02-05 |
| 1376959494 | Sara Matar | Internal Medicine | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2014-07-09 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962469585 | Alison Diana Savage | Internal Medicine | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2006-04-27 |
| 1487618328 | Aleksandra Simic Sander | Internal Medicine | 2828 E Barnett Road, Medford, OR 97504 | 2006-04-17 |
| 1508421751 | Ethan Pace | Internal Medicine | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2019-05-02 |
| 1104866193 | Susan E Kohler | Internal Medicine | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2006-06-07 |
| 1245286301 | Charles R Dibb | Internal Medicine | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2006-05-26 |
| 1124073671 | Gerald B Ahmann | Internal Medicine | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2006-05-23 |
| 1952355000 | Richard K Karchmer | Internal Medicine | 19 Myrtle St, Medford, OR 97504-7337 | 2006-05-22 |
| 1528011350 | Sandra J Taylor | Internal Medicine | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2006-05-19 |
| 1043263619 | Hematology Oncology Associates, P.C. | Internal Medicine | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2006-05-18 |
| 1386696490 | Sean T Hehn | Internal Medicine | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2006-05-17 |
| Find all providers in MEDFORD | ||||
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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.