MS. CAROLYN LITAK (NPI# 1275525719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275525719 |
| Entity Type | Individual |
| Full Name | MS. CAROLYN LITAK |
| Credential | PA-C |
| Practice Address |
25647 Redwood Hwy Cave Junction OR 97531-9724 |
| Mailing Address |
1701 Nw Hawthorne Ave Grants Pass OR 97526-1051 |
| Practice Telephone | 5415924111 |
| Practice Fax Number | 5415923916 |
| Mailing Telephone | 5415934111 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00614 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 237479 | 05 |
| Street Address |
25647 REDWOOD HWY |
| City | CAVE JUNCTION |
| State | OR |
| Zip Code | 97531-9724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506202 | Susan E. Berg | Clinical Nurse Specialist | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2005-05-31 |
| 1427404094 | Siskiyou Community Health Center Pharmacy | Pharmacy | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2016-05-12 |
| 1316304652 | Kristi Ibarra | Registered Nurse | 25647 Redwood Hwy, Cave Junction, OR 97523 | 2016-01-18 |
| 1396141255 | Siskiyou Community Health Center Pharmacy | Pharmacy | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2014-11-05 |
| 1023362894 | Barbara Jo Franklin | Nurse Practitioner | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2012-11-01 |
| 1972896389 | Natalie Laubscher | Pharmacist | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2011-05-18 |
| 1992098362 | Brian Sydney Laubscher | Pharmacist | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2011-05-18 |
| 1275852212 | Larry Bates | Counselor | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2010-05-28 |
| 1669638417 | Siskiyou Community Health Center, Inc. | Clinic/Center | 25647 Redwood Hwy, Cave Junction, OR 97531-9724 | 2008-07-31 |
| 1700062510 | Siskiyou Community Health Center, Inc. | Clinic/Center | 25647 Redwood Hwy, Cave Junction, OR 97531-9724 | 2008-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720287733 | Sharon Lee Silva | Registered Nurse | 101 Josephine Street, Kerby, OR 97531 | 2007-07-11 |
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808605 | Pilar Lorena Lopez | Physician Assistant | 7675 Sw Spruce St, Tigard, OR 97223-8723 | 2020-10-15 |
| 1730787615 | Michael Hisao Mun Ho Pang | Physician Assistant | 1245 Sw 160th Ave, Beaverton, OR 97006-5052 | 2020-10-13 |
| 1144834805 | Logan Michael Johnston | Physician Assistant | 3319 Edgeview Ln, Forest Grove, OR 97116-1094 | 2020-09-01 |
| 1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
| 1033751433 | Trisha K Loch | Physician Assistant | 781 W Central, Sutherlin, OR 97479 | 2019-10-17 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
| 1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1659828044 | Ryan Jones | Physician Assistant | 1775 Thompson Rd Bay Or97420, Coos Bay, OR 97420-2125 | 2016-09-02 |
| Find all providers with the same taxonomy | ||||
| City | CAVE JUNCTION |
| Zip Code | 97531 |
Please comment or provide details below to improve the information on MS. CAROLYN LITAK.
| 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.