MR. MICHAEL GEORGE PRUNER (NPI# 1356472161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356472161 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL GEORGE PRUNER |
| Credential | ARNP |
| Practice Address |
25647 Redwood Hwy Cave Junction OR 97523-9332 |
| Mailing Address |
1701 Nw Hawthorne Ave Grants Pass OR 97526-1257 |
| Practice Telephone | 5415924111 |
| Practice Fax Number | 5415923916 |
| Mailing Telephone | 5415924111 |
| Mailing Fax Number | 5415923916 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2015-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
201394159NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP 3366972 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | ARNP | ARNP 3366972 | 01 |
| OR | 500676542 | 05 |
| Street Address |
25647 REDWOOD HWY |
| City | CAVE JUNCTION |
| State | OR |
| Zip Code | 97523-9332 |
| 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 |
|---|---|---|---|---|
| 1083161608 | Donato and Wood Consulting | Physical Therapist | 218 Redwood Hwy, Cave Junction, OR 97523 | 2016-09-01 |
| 1366871519 | Coastal Pharmacies, LLC | Pharmacy | 308b S Redwood Hwy, Cave Junction, OR 97523 | 2013-11-08 |
| 1548497688 | Patricia Lynn Jenkins | Registered Nurse | 28186 Redwood Highway, Cave Junction, OR 97523 | 2009-06-16 |
| 1386786309 | Eye Care Group of Southern Oregon, P.C. | Optometrist | 335 Caves Highway, Cave Junction, OR 97523 | 2007-02-13 |
| 1578631461 | Steve Mock | Dentist | 315 - B Caves Highway, Cave Junction, OR 97523 | 2006-12-01 |
| 1114092079 | Joya H Feltzin | Nurse Practitioner | 625 E River Street, Illinois Valley High School Student Health Center, Cave Junction, OR 97523 | 2006-11-22 |
| 1316039787 | Elements of Health & Wellness, Inc. | Chiropractor | 202 W. Lister St, Cave Junction, OR 97523 | 2006-09-29 |
| 1861628281 | Chiropractic Wellness Center LLC | Chiropractor | 202 W. Lister St, Cave Junction, OR 97523 | 2009-06-01 |
| 1033344494 | James A Minervini | Chiropractor | 202 W. Lister St, Cave Junction, OR 97523 | 2009-05-28 |
| 1881775989 | John Larry Patton | Dentist | 315 Caves Hwy, Cave Junction, OR 97523-0610 | 2006-10-17 |
| Find all providers in zip 97523 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315972 | Deborah Marie Jones | Nurse Practitioner | 15800 Boones Ferry Rd Ste A6, Lake Oswego, OR 97035-3426 | 2020-08-05 |
| 1184257115 | Joanna Rae Farrell | Nurse Practitioner | 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 | 2020-02-18 |
| 1790241065 | Autumn D Mercer Agnp-c LLC | Nurse Practitioner | 1075 Shayla Ln, Central Point, OR 97502-2995 | 2019-02-12 |
| 1023590841 | Healthy At Home LLC | Nurse Practitioner | 3910 Ne 99th Ave, Portland, OR 97220-3620 | 2018-08-29 |
| 1437648946 | Stephanie Michele Johnson | Nurse Practitioner | 3560 Se 79th Ave, Portland, OR 97206-2372 | 2018-05-09 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| 1003275843 | Catherine Chiaradonna | Nurse Practitioner | 1867 Williams Hwy Ste 226, Grants Pass, OR 97527-5856 | 2016-02-22 |
| 1801266119 | Daniel Dominic Eric Roa | Nurse Practitioner | 5316 N Greeley Ave, Portland, OR 97217-4113 | 2015-09-29 |
| 1538578067 | Karen Lee Warren | Nurse Practitioner | 727 S Wahanna Rd Ste 100, Seaside, OR 97138-7735 | 2014-08-08 |
| 1245579408 | Derek Brent Kordenbrock | Nurse Practitioner | 625 Sw Ramsey Ave Ste A, Grants Pass, OR 97527-5808 | 2013-02-07 |
| Find all providers with the same taxonomy | ||||
| City | CAVE JUNCTION |
| Zip Code | 97523 |
Please comment or provide details below to improve the information on MR. MICHAEL GEORGE PRUNER.
| 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.