FALK FAMILY MEDICINE, LLC (NPI# 1255521225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255521225 |
| Entity Type | Organization |
| Organization Name | FALK FAMILY MEDICINE, LLC |
| Practice Address |
115 Sw Pine Street Canyonville OR 97417 |
| Mailing Address |
115 Sw Pine Street Canyonville OR 97417-0198 |
| Practice Telephone | 5418394211 |
| Practice Fax Number | 5418394983 |
| Mailing Telephone | 5418394211 |
| Mailing Fax Number | 5418394983 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2008-05-16 |
| Authorized Official Name | KRISTIE KAYE DEBACA (OFFICE MANAGER) |
| Authorized Official Telephone | 5418394211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 13695 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 284208 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | FALK FAMILY MEDICINE, LLC | 115 Sw Pine St, Canyonville, OR 97417 |
| Street Address |
115 SW PINE STREET |
| City | CANYONVILLE |
| State | OR |
| Zip Code | 97417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295882512 | Bonita Acosta | Nurse Practitioner | 115 Sw Pine Street, Canyonville, OR 97417-0198 | 2007-01-05 |
| 1750514535 | Shannon Briana Suhr | Nurse Practitioner | 115 Sw Pine Street, Canyonville, OR 97417-0198 | 2009-08-27 |
| 1134394638 | Mitchell A Moos | Urology | 115 Sw Pine Street, Canyonville, OR 97417-0198 | 2008-04-25 |
| 1679620967 | Shari Lavida Allen | Nurse Practitioner | 115 Sw Pine Street, Canyonville, OR 97417-0198 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871611350 | Forest Glen | Assisted Living Facility | 200 Sw Frontage, Canyonville, OR 97417 | 2007-03-26 |
| 1205971439 | Ronald E Wilmot | Counselor | 152 Bettys Way St, 481, Canyonville, OR 97417 | 2007-02-21 |
| 1841333135 | Canyonville Chiropractic Inc | Chiropractor | 134 Se 3rd Street, Canyonville, OR 97417 | 2007-02-15 |
| 1407475577 | Robert Bakkegard | Pharmacist | 314 S Main Street, Canyonville, OR 97417 | 2020-04-09 |
| 1316322597 | Carrie Lovemark | Acupuncturist | 214 S Main St, Canyonville, OR 97417 | 2015-07-29 |
| 1689891269 | David Allen Stevens | Pharmacist | 314 S Main St, Canyonville, OR 97417 | 2007-04-18 |
| 1508987645 | James Brian Siegel | Chiropractor | 134 Se 3rd Street, Canyonville, OR 97417 | 2007-04-03 |
| 1144377433 | Gregory Alan Falk | Family Medicine | 115 Sw Pine, Canyonville, OR 97417-0198 | 2007-01-05 |
| 1831236991 | Gordon's Pharmacy and Gifts LLC | Durable Medical Equipment & Medical Supplies | 314 South Main Street, Canyonville, OR 97417-0746 | 2007-01-30 |
| 1154765907 | Harlan Lee White | Dentist | 115 Phillips St, Po Bx 732, Canyonville, OR 97417-8703 | 2013-04-23 |
| Find all providers in zip 97417 | ||||
| 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 |
|---|---|---|---|---|
| 1144377433 | Gregory Alan Falk | Family Medicine | 115 Sw Pine, Canyonville, OR 97417-0198 | 2007-01-05 |
| 1417937673 | Carolyn Elizabeth Simmons | Family Medicine | 480 Wartahoo Ln, Canyonville, OR 97417-9683 | 2006-01-21 |
| 1679948806 | Dr. Anna, LLC | Family Medicine | 115 S Pine St, Canyonville, OR 97417-9648 | 2015-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306344 | Emily Herrmann | Family Medicine | 1965 Alder St, Eugene, OR 97405-2937 | 2020-11-03 |
| 1366041071 | Christina Cabelly | Family Medicine | 16305 Sw Loon Dr, Beaverton, OR 97007-8989 | 2020-10-23 |
| 1386242790 | Rose City Medical Clinic LLC | Family Medicine | 11397 Se Cascade View Ct, Clackamas, OR 97086-9753 | 2020-10-16 |
| 1346847332 | Jasmine Barnhart | Family Medicine | 1935 Canyon Ave, Medford, OR 97504-2128 | 2020-10-03 |
| 1255949434 | Deep Creek Family Medicine | Family Medicine | 39084 Proctor Blvd Ste A, Sandy, OR 97055-8064 | 2020-07-14 |
| 1316569635 | Doctors On Video | Family Medicine | 13215 Sw Hawks Beard St Apt 726, Tigard, OR 97223-2125 | 2020-05-08 |
| 1710510094 | Gresham Family Care Inc | Family Medicine | 1800 Blankenship Rd Ste 350, West Linn, OR 97068-4182 | 2020-02-14 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1083252472 | Driven Enterprises PC | Family Medicine | 20700 Wandalea Dr, Bend, OR 97701-1594 | 2019-12-16 |
| 1891331195 | Praxis Medical Group Inc | Family Medicine | 1426 Oak Street, Eugene, OR 97401-4043 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
| City | CANYONVILLE |
| Zip Code | 97417 |
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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.