EAR NOSE AND THROAT ASSOCIATES OF GRANTS PASS PC (NPI# 1366572158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366572158 |
| Entity Type | Organization |
| Organization Name | EAR NOSE AND THROAT ASSOCIATES OF GRANTS PASS PC |
| Practice Address |
1600 Nw 6th St South Suite Grants Pass OR 97526-1094 |
| Practice Telephone | 5414767775 |
| Practice Fax Number | 5414763572 |
| Mailing Telephone | 5414767775 |
| Mailing Fax Number | 5414763572 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2014-04-24 |
| Authorized Official Name | JEANNE REECE (OFFICE MANAGER) |
| Authorized Official Telephone | 5414767775 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
MD19356 | OR | Allopathic & Osteopathic Physicians |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
DO20532 | OR | Allopathic & Osteopathic Physicians |
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
MD10466 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 073655 | 05 | |
| OR | 232900 | 05 | |
| OR | 150358 | 05 |
| Street Address |
1600 NW 6TH ST SOUTH SUITE |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-1094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293156 | Mark F. Deatherage | Surgery | 1600 Nw 6th St, North Suite, Grants Pass, OR 97526-1094 | 2005-05-31 |
| 1134567027 | Melissa M Greive | Surgery | 1600 Nw 6th St, Grants Pass, OR 97526-1094 | 2013-06-12 |
| 1235300062 | Paul Elvin Johnson Jr. | Otolaryngology | 1600 Nw 6th St, Grants Pass, OR 97526-1094 | 2008-03-19 |
| 1326184607 | Wendell Charles Heidinger | Family Medicine | 1600 Nw 6th St, South Suite, Grants Pass, OR 97526-1094 | 2007-01-30 |
| 1235288986 | Linda Kay Schmitke | Speech-Language Pathologist | 1600 Nw 6th St, Grants Pass, OR 97526-1094 | 2007-01-10 |
| 1275533754 | Richard Cohen | Otolaryngology | 1600 Nw 6th St, Grants Pass, OR 97526-1094 | 2005-07-27 |
| 1700883956 | David Oehling | Surgery | 1600 Nw 6th St, Grants Pass, OR 97526-1094 | 2005-07-01 |
| 1467455774 | Cory Fawcett | Surgery | 1600 Nw 6th St, North Suite, Grants Pass, OR 97526-1094 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841498300 | Richard K Huffaker | Otolaryngology | 1600 Nw Sixth Street, Grants Pass, OR 97526-1064 | 2007-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487679700 | Mark Stephen Robertson | Otolaryngology | 950 29th Ave Sw, Albany, OR 97321-3415 | 2006-07-13 |
| 1134461478 | Deniz Gerecci | Otolaryngology | 3181 Sw Sam Jackson Park Rd, Ohsu, Portland, OR 97239-3011 | 2013-03-25 |
| 1205975588 | Mark S. Robertson, P.C. | Otolaryngology | 950 29th Ave Sw, Albany, OR 97321-3415 | 2007-02-05 |
| 1699855437 | Dana Sainsbury Smith | Otolaryngology | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2006-10-16 |
| 1649280371 | Robert Lee Roberts | Otolaryngology | 9280 Se Sunnybrook Blvd, Suite 300, Clackamas, OR 97015-9353 | 2006-08-08 |
| 1972543106 | James Chan | Otolaryngology | 9280 Se Sunnybrook Blvd, Suite 300, Clackamas, OR 97015-9353 | 2006-06-07 |
| City | GRANTS PASS |
| Zip Code | 97526 |
Please comment or provide details below to improve the information on EAR NOSE AND THROAT ASSOCIATES OF GRANTS PASS PC.
| 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.