MR. THOMAS WAYNE STUTZMAN (NPI# 1376188896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376188896 |
Entity Type | Individual |
Full Name | MR. THOMAS WAYNE STUTZMAN |
Practice Address |
168 Ackerman St E Monmouth OR 97361-2214 |
Practice Telephone | 5034095804 |
Mailing Telephone | 5034095804 |
Enumeration Date | 2019-11-07 |
Last Update Date | 2019-11-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 527851 | Residential Treatment Facilities |
Street Address |
168 ACKERMAN ST E |
City | MONMOUTH |
State | OR |
Zip Code | 97361-2214 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811512320 | Wesley Stoecker | Physical Therapist | 512 Main St., Suite 300, Monmouth, OR 97361 | 2020-06-10 |
1699050492 | Joshua Fitzgerald Sandeman | Nurse Practitioner | 180 Atwater St N Ofc, Monmouth, OR 97361 | 2011-10-13 |
1649487927 | Kimberli Ann Wicks Freilinger | Counselor | 1458 Meadowglen Ct., Monmouth, OR 97361 | 2007-05-17 |
1811091044 | Thomas T Mesdag | Podiatrist | 343 E Main St, Monmouth, OR 97361 | 2006-09-08 |
1083718357 | Michelle L Hasbrook | Dentist | 120 N. Atwater St., Monmouth, OR 97361 | 2006-09-08 |
1417239997 | Life Dream Now | Community/Behavioral Health | 235 Gentle Ave E, Monmouth, OR 97361-1108 | 2011-09-12 |
1063805513 | Jordan Ambrose | Chiropractor | 953 Caroline Way E, Monmouth, OR 97361-1202 | 2015-03-09 |
1407027584 | Lisa Rochelle Roe | Massage Therapist | 110 Monmouth Ave N Lowr Level, Monmouth, OR 97361-1327 | 2008-03-18 |
1265458905 | Christopher Mccarthy Silva | Nurse Practitioner | 345 Monmouth Ave N, Monmouth, OR 97361-1329 | 2006-07-14 |
1003440827 | Bo Johnson | Specialist/Technologist | 345 Monmouth Ave N, Monmouth, OR 97361-1329 | 2020-03-02 |
Find all providers in zip 97361 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760518757 | Elizabeth E Rush | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 198 Pine Hill Rd, Monmouth, ME 04259-7517 | 2007-02-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710539119 | Kathy Bailey | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4840 Patricia Ct Ne, Salem, OR 97305-3313 | 2019-07-15 |
1255893988 | Ariel Schmidt | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3658 Wiltsey St Se, Salem, OR 97317-9303 | 2019-04-02 |
1588921845 | Haven House Treatment Center Corp | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13565 Sw Singletree Dr, Beaverton, OR 97008-7517 | 2012-04-11 |
1407121106 | Sean's Place, Incorporated | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 930 Hammer St, Harrisburg, OR 97446-9590 | 2012-03-13 |
1457561524 | Childerns Farm Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2820 Se Glenn St, Corvallis, OR 97333-2121 | 2007-05-23 |
1811064447 | Alternative Services Oreogn, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11830 Kerr Pkwy, Suite 210, Lake Oswego, OR 97035-1249 | 2006-11-29 |
1720023807 | Dept. of Human Srvcs/office of Fin. Srvcs Dba: Irs/eopc/eotc/osh/osh-p | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2525 Westgate, Pendleton, OR 97801-9613 | 2006-06-20 |
1043876865 | Home Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5100 Center St Ne, Salem, OR 97317-3217 | 2019-05-16 |
1164979191 | Stoneybrooke Residential Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 25500 Se Stark St, Suite 101, Gresham, OR 97030-3331 | 2016-09-07 |
1780043802 | Stults House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 805 Se 151st Ave, Portland, OR 97233-2916 | 2016-02-17 |
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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.