DR. MARY SUSANNE PLACEK (NPI# 1265727515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265727515 |
| Entity Type | Individual |
| Full Name | DR. MARY SUSANNE PLACEK |
| Credential | M.D. |
| Practice Address |
1430 Monmouth St Independence OR 97351-1127 |
| Mailing Address |
Po Box 309 Independence OR 97351-0309 |
| Practice Telephone | 5038381133 |
| Practice Fax Number | 5038385138 |
| Mailing Telephone | 5038381133 |
| Mailing Fax Number | 5038385138 |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2014-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD167924 | OR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MR-1208 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
1430 MONMOUTH ST |
| City | INDEPENDENCE |
| State | OR |
| Zip Code | 97351-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598868515 | Independence-monmouth Family Medicine PC | Family Medicine | 1430 Monmouth St, Independence, OR 97351 | 2006-09-06 |
| 1538535059 | Wvp Medical Group, LLC | Clinic/Center | 1430 Monmouth St, Independence, OR 97351-1127 | 2015-08-19 |
| 1083092514 | Shelly Wimmer | Physician Assistant | 1430 Monmouth St, Independence, OR 97351-1127 | 2015-05-17 |
| 1972990174 | Terrell Glenn | Family Medicine | 1430 Monmouth St, Independence, OR 97351-1127 | 2015-04-25 |
| 1659490092 | Janice Hoida | Physician Assistant | 1430 Monmouth St, Independence, OR 97351-1127 | 2007-03-28 |
| 1407959422 | Keith Allen White | Family Medicine | 1430 Monmouth St, Independence, OR 97351 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821070111 | Kenneth R Winokur | Dentist | 329 South Main St, Independence, OR 97351 | 2005-11-14 |
| 1710044144 | Kenneth R Winokur Dmd PC | Dentist | 329 S Main St, Independence, OR 97351 | 2007-01-03 |
| 1609901024 | Evan L Evans | Audiologist | 1343 A Monmouth St, Independence, OR 97351-0248 | 2007-02-23 |
| 1497703201 | Evergreen Oregon Healthcare Independence, L.L.C. | Skilled Nursing Facility | 1525 Monmouth St, Independence, OR 97351-1007 | 2006-05-04 |
| 1518127844 | David Patrick Mcdarby | Physical Therapist | 1525 Monmouth St, Independence, OR 97351-1007 | 2008-06-10 |
| 1881854115 | Bobbi Jo Shrum | Physical Therapy Assistant | 1525 Monmouth St, Independence, OR 97351-1007 | 2008-06-10 |
| 1639426208 | Central School District 13j | Local Education Agency (LEA) | 1610 Monmouth St, Independence, OR 97351-1008 | 2012-08-13 |
| 1851645931 | Holli Watkin | Nurse Practitioner | 1601 Monmouth St Ste 100, Independence, OR 97351-1019 | 2012-10-29 |
| 1699394585 | Jennifer Elizabeth O'sullivan | Specialist/Technologist | 1369 Monmouth St, Independence, OR 97351-1126 | 2020-04-10 |
| 1336108711 | Independence Pharmacy, Inc | Pharmacy | 1357 Monmouth St, Independence, OR 97351-1126 | 2006-03-22 |
| Find all providers in zip 97351 | ||||
| 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 |
|---|---|---|---|---|
| 1184269532 | Simon Kinuthia | Family Medicine | 4911 S Arrowhead Dr Ste 200, Independence, MO 64055-7008 | 2019-11-08 |
| 1427526458 | Physicians Wellness Group LLC | Family Medicine | 19045 E Valley View Parkway, Suite G, Independence, MO 64055 | 2018-11-07 |
| 1831447317 | Ann Finkenbinder Goerz | Family Medicine | 4336 S Dover Ave, Independence, MO 64055-4834 | 2012-08-15 |
| 1871896035 | Donald A. Potts | Family Medicine | 17611 E Us Highway 24, Suite 103, Independence, MO 64056-1853 | 2010-12-09 |
| 1508018128 | Allison Louise Medlin | Family Medicine | 300 N Osage St, Suite 200, Independence, MO 64050-2705 | 2008-10-14 |
| 1184898439 | Colleen Elizabeth Clayton | Family Medicine | 6701 Rockside Rd Ste 260, Independence, OH 44131-2351 | 2008-04-17 |
| 1467624403 | Premier Health Clinic | Family Medicine | 6900 Granger Rd, #203, Independence, OH 44131-1414 | 2008-03-31 |
| 1760650352 | Independence Family Practice Clinic, LLC | Family Medicine | 6571 Brecksville Road, Suite #1, Independence, OH 44131 | 2008-02-15 |
| 1164639779 | Robert M Osborn Do Pa | Family Medicine | 400 N. 14th St., Independence, KS 67301 | 2007-05-16 |
| 1992871883 | Stephen Ervin Dorsch | Family Medicine | 1638 W 24 Hwy, Independence, MO 64050 | 2006-11-24 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 97351 |
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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.