MR. MICHAEL C MCNAMARA (NPI# 1366477176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366477176 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL C MCNAMARA |
| Credential | PMHNP |
| Practice Address |
1813 W Harvard Ave Roseburg OR 97471-2754 |
| Mailing Address |
Po Box 1023 Roseburg OR 97470-0232 |
| Practice Telephone | 5414406390 |
| Practice Fax Number | 5414406392 |
| Mailing Telephone | 5414406390 |
| Mailing Fax Number | 5414406392 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2016-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
096006652N6 | OR | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 150349 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659420479 | Michael Mcnamara | Optometrist | 4600 Baldwin Rd, Great Lakes Crossing Oakland Pointe Sp 333, Auburn Hills, MI 48326-1281 | 2007-01-10 |
| 1922192533 | Michael Peter Mcnamara | Pediatrics | 500 Ne Multomah St, Suite 100, Portland, OR 97232-2099 | 2006-10-03 |
| 1861477259 | Michael D Mcnamara | Psychiatry & Neurology | 2 Wall St, Suite 300, Manchester, NH 03101-1518 | 2005-12-08 |
| 1760482145 | Michael Thomas Mcnamara | Obstetrics & Gynecology | 645 N Main St, High Point, NC 27260-5017 | 2005-07-28 |
| 1376840165 | Michael John Mcnamara | Pharmacist | 1151 S Otsego Ave, Gaylord, MI 49735-1789 | 2011-02-15 |
| 1306017835 | Michael James Mcnamara | Internal Medicine | 9500 Euclid Ave, Bd10, Cleveland, OH 44195-0001 | 2008-03-12 |
| 1336268747 | Michael W Mcnamara | Internal Medicine | 6105 Wilson Ave Sw, Wyoming, MI 49418-9714 | 2007-03-28 |
| 1235220658 | Michael Mcnamara | Internal Medicine | 901 Campus Dr, Ste 111, Daly City, CA 94015-4900 | 2006-09-28 |
| 1588675060 | Michael P Mcnamara | Radiology | 2500 Metrohealth Dr, Mhmc-radiology, Cleveland, OH 44109-1900 | 2006-08-10 |
| 1326097742 | Michael J Mcnamara | Surgery | 7710 Mercy Road, Suite 305, Omaha, NE 68124 | 2006-05-10 |
| Street Address |
1813 W HARVARD AVE |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-2754 |
| 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 | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831342039 | Mary Margaret Berch | Registered Nurse | 2700 Nw Stewart Pkwy, Annex A, Roseburg, OR 97471-1281 | 2008-10-31 |
| 1649422072 | Susan Hoerner | Registered Nurse | 2700 Nw Stewart Pkwy, Annex A, Roseburg, OR 97471-1281 | 2008-10-16 |
| 1922250794 | Marijean Bernardo | Registered Nurse | 2700 Nw Stewart Pkwy, Annex A, Roseburg, OR 97471-1281 | 2008-10-10 |
| 1417109257 | David Snawder | Registered Nurse | 2700 Nw Stewart Pkwy, Annex A, Roseburg, OR 97471-1281 | 2008-10-10 |
| 1487806253 | Debra Hash | Registered Nurse | 2700 Nw Stewart Pkwy, Annex A, Roseburg, OR 97471-1281 | 2008-10-10 |
| 1194977967 | Bruce Neal | Registered Nurse | 2700 Nw Stewart Pkwy, Annex A, Roseburg, OR 97471-1281 | 2008-10-10 |
| 1659523421 | Roberta Silva | Registered Nurse | 2700 Nw Stewart Pkwy, Annex A, Roseburg, OR 97471-1281 | 2008-10-10 |
| 1912159781 | Roberta Smith | Registered Nurse | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2008-10-10 |
| 1740408350 | Donna Scott | Registered Nurse | 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 | 2007-04-22 |
| 1780722009 | Margo M Borland | Registered Nurse | 770 Se Kane St, Roseburg, OR 97470-3943 | 2007-02-01 |
| 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.