OREGON ENDOSCOPY CENTER, LLC (NPI# 1366449910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366449910 |
| Entity Type | Organization |
| Organization Name | OREGON ENDOSCOPY CENTER, LLC |
| Practice Address |
3355 Riverbend Dr Suite 510 Springfield OR 97477-8800 |
| Practice Telephone | 5418689555 |
| Practice Fax Number | 5418689556 |
| Mailing Telephone | 5418689555 |
| Mailing Fax Number | 5418689556 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2015-07-06 |
| Authorized Official Name | DR. JONATHAN GONENNE (MEDICAL DIRECTOR/PHYSICIAN PARTNER) |
| Authorized Official Telephone | 5418689555 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
071536 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 000186 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OREGON ENDOSCOPY CENTER, LLC | 3355 Riverbend Dr Ste 510, Springfield, OR 97477 |
| Street Address |
3355 RIVERBEND DR SUITE 510 |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-8800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518418912 | Northwest Surgical Specialists, LLP | Physician Assistant | 3355 Riverbend Dr, Suite 300, Springfield, OR 97477 | 2016-10-20 |
| 1730593542 | Lucy Anne Barton | Physician Assistant | 3355 Riverbend Dr, Springfield, OR 97477-8800 | 2014-06-19 |
| 1346652310 | Sarah Elizabeth Kuzma | Physician Assistant | 3355 Riverbend Dr, Suite 240, Springfield, OR 97477-8800 | 2014-05-27 |
| 1649695917 | Stephanie Harris | Neuromusculoskeletal Medicine & OMM | 3355 Riverbend Dr, Springfield, OR 97477-8800 | 2014-02-24 |
| 1386087401 | Page M Crenshaw | Nurse Practitioner | 3355 Riverbend Dr, Suite 500, Springfield, OR 97477-8800 | 2013-04-08 |
| 1376886143 | Janet Sigi Adee | Dietitian, Registered | 3355 Riverbend Dr, 200, Springfield, OR 97477-8800 | 2013-03-31 |
| 1942545561 | Northwest Intensivists, LLC | Internal Medicine | 3355 Riverbend Dr, Suite 240, Springfield, OR 97477-8800 | 2012-12-07 |
| 1679700280 | Ramesh Marahatta | Internal Medicine | 3355 Riverbend Dr, Ste 200, Springfield, OR 97477-8800 | 2009-06-22 |
| 1770735292 | Lenea Ola Headley | Physician Assistant | 3355 Riverbend Dr, Ste 240, Springfield, OR 97477-8800 | 2008-10-15 |
| 1023271459 | Riverbend Ambulatory Surgery Center LLC | Clinic/Center | 3355 Riverbend Dr, Suite 110, Springfield, OR 97477-8800 | 2008-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225174089 | Arnold Surgery Center | Clinic/Center | 1011 E Montclair St, Springfield, MO 65807-5075 | 2007-01-29 |
| 1912963810 | Springfield Surgery Center Lp | Clinic/Center | 2685 E High St, Springfield, OH 45505-1412 | 2006-04-21 |
| 1073588448 | Surgery Center of Springfield | Clinic/Center | 1350 E Woodhurst Dr, Springfield, MO 65804-4281 | 2006-02-21 |
| 1760457204 | Orthopaedic Surgery Center of Illinois, LLC | Clinic/Center | 3136 Old Jacksonville Rd, Suite 250, Springfield, IL 62704-6487 | 2006-02-20 |
| 1427028919 | Cascade Endoscopy Center, LLC | Clinic/Center | 1007 Harlow Road, Suite 110, Springfield, OR 97477 | 2006-01-25 |
| 1205810553 | Orthopaedic Asc of Springfield LLC | Clinic/Center | 3045 S National Ave, Suite 101, Springfield, MO 65804-4247 | 2005-11-30 |
| 1578551594 | Mercy Surgery Center, Ltd | Clinic/Center | 2610 N Limestone St, Springfield, OH 45503-1114 | 2005-10-13 |
| 1588667208 | Bradford Place Surgery and Laser Center LLC | Clinic/Center | 1531 E Bradford Pkwy, Ste 120, Springfield, MO 65804-6539 | 2005-05-27 |
| 1295738375 | Oregon Surgicenter LLC | Clinic/Center | 2400 Hartman Ln, Ste 300, Springfield, OR 97477-1198 | 2005-05-23 |
| 1518300102 | Springfield Surgery Center, LLC | Clinic/Center | 105 Morris Ave, 1st Floor, Springfield, NJ 07081-1395 | 2013-04-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
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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.