UMPQUA MEDICAL GROUP, LLC (NPI# 1316273923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316273923 |
| Entity Type | Organization |
| Organization Name | UMPQUA MEDICAL GROUP, LLC |
| Practice Address |
1813 W Harvard Ave Suite 206 Roseburg OR 97471-2752 |
| Mailing Address |
Po Box 1700 Roseburg OR 97470-0414 |
| Practice Telephone | 5416721685 |
| Practice Fax Number | 5414406304 |
| Mailing Telephone | 5416776111 |
| Mailing Fax Number | 5414406304 |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2010-12-22 |
| Authorized Official Name | MR. BRENT EICHMAN (CFO) |
| Authorized Official Telephone | 5416776177 |
| Authorized Official Credential | MBA, HCA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | UMPQUA MEDICAL GROUP, LLC | 1813 W Harvard Ave Suite 448, Roseburg, OR 97471 |
| Street Address |
1813 W HARVARD AVE SUITE 206 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-2752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780677146 | Laurence M. Sharp | Family Medicine | 1813 W Harvard Ave, Suite 426, Roseburg, OR 97471-2752 | 2005-08-31 |
| 1851954853 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 1813 W Harvard Ave, Suite 241, Roseburg, OR 97471 | 2019-04-16 |
| 1801314372 | Jacob Dean Thompson | Physician Assistant | 1813 W Harvard Ave, #310, Roseburg, OR 97471 | 2017-09-06 |
| 1851828511 | Kimberlly Joy Stevens | Nurse Practitioner | 1813 W Harvard Ave, Suite 241, Roseburg, OR 97471-8708 | 2017-05-12 |
| 1871030338 | Ashley D Heuer | Physician Assistant | 1813 W Harvard Ave, Suite 310, Roseburg, OR 97471-2752 | 2017-01-23 |
| 1619410982 | Tabitha Waller | Nurse Practitioner | 1813 W Harvard Ave, Suite 241, Roseburg, OR 97471-2752 | 2016-11-18 |
| 1780065870 | Umpqua Valley Internists PC | Internal Medicine | 1813 W Harvard Ave, Ste 423, Roseburg, OR 97471-2752 | 2015-06-15 |
| 1679965149 | Joshua J Middlekauff | Nurse Practitioner | 1813 W Harvard Ave, Suite 201, Roseburg, OR 97471-2752 | 2015-02-20 |
| 1144631326 | Community Health Alliance | Community/Behavioral Health | 1813 W Harvard Ave, Ste 448, Roseburg, OR 97471-2752 | 2014-05-09 |
| 1669742870 | Kirstin Allene Carhart | Registered Nurse | 1813 W Harvard Ave, Suite 436, Roseburg, OR 97471-2752 | 2012-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265884902 | Park Medical Group, LLC | Internal Medicine | 1813 W Harvard Ave Ste 241, Roseburg, OR 97471-8708 | 2016-07-06 |
| 1518283605 | Janus Medical Group Inc | Internal Medicine | 1224 Ne Walnut St, Roseburg, OR 97470-2026 | 2010-04-14 |
| 1891925129 | Hennie Tambot Abrio | Internal Medicine | 3369 Ne Stephens St, Ste 100, Roseburg, OR 97470-1200 | 2009-07-21 |
| 1174759997 | Angela L. Jones | Internal Medicine | 1813 W Harvard Ave Ste 423, Roseburg, OR 97471-8712 | 2009-06-08 |
| 1417986670 | David S. Weingarten, M.d., PC | Internal Medicine | 1813 W Harvard Ave Ste 422, Roseburg, OR 97470-8705 | 2006-07-01 |
| 1114995735 | Shelley G Brittain | Internal Medicine | 1937 W. Harvard Ave., Roseburg, OR 97471-2720 | 2006-03-09 |
| 1740266816 | Connie L Grady | Internal Medicine | 2371 Ne Stephens St, Suite 200, Roseburg, OR 97470-1372 | 2005-12-20 |
| 1851377931 | Corina Gabriela Rachita | Internal Medicine | 2395 Nw Stewart Pkwy, Roseburg, OR 97470-5653 | 2005-12-20 |
| 1053395160 | Siobhan A Oreilly | Internal Medicine | 272 Medical Loop, Suite B, Roseburg, OR 97471-5597 | 2005-12-01 |
| 1790768877 | Joel H Lee | Internal Medicine | 1813 W Harvard Avenue #423, Roseburg, OR 97471 | 2005-11-22 |
| Find all providers in ROSEBURG | ||||
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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.