DR. ROBERT PAULSEN MICHAEL (NPI# 1346653722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346653722 |
Entity Type | Individual |
Full Name | DR. ROBERT PAULSEN MICHAEL |
Credential | M.D. |
Practice Address |
675 N 5th St Lebanon OR 97355-2875 |
Mailing Address |
Po Box 1193 Corvallis OR 97339-1193 |
Practice Telephone | (541) 451-6282 |
Practice Fax Number | 5418122038 |
Enumeration Date | 2014-06-03 |
Last Update Date | 2020-11-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 184207 | OR | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 0116026909 | VA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
3300 Gallows Rd, Falls Church, VA 220423307 | 7037767834 | 7037764323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053523753 | Robert Todd Michael | Family Medicine | 1211 Luther Street, Eads, CO 80136 | 2007-05-04 |
1356759906 | Robert Michael | Counselor | 200 Route 108, Somersworth, NH 03878-1119 | 2014-07-28 |
1629224183 | Robert V Michael | Family Medicine | 32214 Ellingwood Trl, Suite 210, Evergreen, CO 80439-9719 | 2008-08-14 |
1275652927 | Robert D Michael | Counselor | 9808 W Cedar Ave, Lakewood, CO 80226-1023 | 2007-03-27 |
Street Address |
675 N 5TH ST |
City | LEBANON |
State | OR |
Zip Code | 97355-2875 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902865124 | Karen Elise Gaspardi | Obstetrics & Gynecology | 675 N 5th St, Lebanon, OR 97355-2875 | 2006-03-17 |
1174186068 | Lan Starkweather | Pharmacist | 675 N 5th St, Lebanon, OR 97355-2875 | 2019-04-17 |
1811550866 | Elisa Denise Garrett | Nurse Practitioner | 675 N 5th St, Lebanon, OR 97355-2875 | 2019-04-16 |
1174041396 | Elena Noemi Noonan | Physician Assistant | 675 N 5th St, Lebanon, OR 97355-2875 | 2017-09-07 |
1972047488 | Devin Elizabeth Petschl | Nurse Practitioner | 675 N 5th St, Lebanon, OR 97355-2875 | 2016-12-19 |
1598217408 | Heather Diane Balzomo | Social Worker | 675 N 5th St, Lebanon, OR 97355-2875 | 2016-10-26 |
1689026759 | Hannah Mary Mcmahon Kadooka | Physician Assistant | 675 N 5th St, Lebanon, OR 97355-2875 | 2016-07-12 |
1245586767 | Kara Christine Mintier | Neuromusculoskeletal Medicine & OMM | 675 N 5th St, Lebanon, OR 97355-2875 | 2012-08-02 |
1902183619 | Jessica Barton | Lactation Consultant, Non-RN | 675 N 5th St, Lebanon, OR 97355-2875 | 2011-11-09 |
1699063784 | Mid-valley Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 675 N 5th St, Lebanon, OR 97355-2875 | 2011-07-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
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Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336671064 | Mahoussi Nicole Aholoukpe | Pediatrics | 618 Cornwall Rd Ste 2, Lebanon, PA 17042-7089 | 2017-03-31 |
1124318563 | Vernon David Savell Jr. | Pediatrics | 832 Pebble Cove Rd, Lebanon, TN 37087-1004 | 2011-04-19 |
1952504250 | Otto Pediatrics | Pediatrics | 1570 Cornwall Road, Lebanon, PA 17042 | 2007-06-06 |
1669523684 | The Childrens Clinic, Pllc. | Pediatrics | 420 Loretta Road, Lebanon, KY 40033 | 2007-01-16 |
1972687309 | Deborah Wen-yee Mark | Pediatrics | 115 Winwood Drive, Centennial Pediatrics Ste 105, Lebanon, TN 37087 | 2006-10-24 |
1578586939 | Gene P Otto IIi | Pediatrics | 1570 Cornwall Rd, Lebanon, PA 17042-7403 | 2006-07-26 |
1003834441 | Russell County Clinic Corp | Pediatrics | 640 Overlook Drive, Lebanon, VA 24266 | 2006-07-17 |
1245276310 | John Fischer | Pediatrics | 1390 Route 22 W, Lebanon, NJ 08833 | 2006-06-20 |
1841234168 | Harinder Singh Grewal | Pediatrics | 330 Loretto Rd, Ste 700, Lebanon, KY 40033-1308 | 2006-06-16 |
1437105079 | Eric Yorke | Pediatrics | 1390 Us Highway 22, Lebanon, NJ 08833-2217 | 2006-05-25 |
Find all providers in LEBANON |
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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.