MR. JASON KENT WINEBARGER (NPI# 1376660597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376660597 |
| Entity Type | Individual |
| Full Name | MR. JASON KENT WINEBARGER |
| Credential | PA-C |
| Practice Address |
4636 Sjodin Ln Klamath Falls OR 97603-6899 |
| Practice Telephone | 5418855546 |
| Practice Fax Number | 5418855546 |
| Mailing Telephone | 5418855546 |
| Mailing Fax Number | 5418855546 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2010-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA00709 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA00709 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 261198 | 05 | |
| RAILROAD MEDICARE | 003645 | 01 | |
| US DEPT OF LABOR | 610098800 | 01 |
| Street Address |
4636 SJODIN LN |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97603-6899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376707539 | Klamath Physician Assistants LLC | Physician Assistant | 4636 Sjodin Ln, Klamath Falls, OR 97603-6899 | 2008-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790323699 | Mike Hampson | Counselor | 3203 Vandenberg Road, Klamath Falls, OR 97603 | 2019-12-11 |
| 1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
| 1720518392 | Maile Kalus | Counselor | 3647 Or-39, Klamath Falls, OR 97603 | 2017-06-15 |
| 1174067201 | Amber Wu | Audiologist | 4036 S 6th St Ste 3, Klamath Falls, OR 97603 | 2016-12-08 |
| 1568870681 | Nathan William Bailey | Dentist | 2301 Mountain View Blvd, Suite D, Klamath Falls, OR 97603 | 2014-08-01 |
| 1376987784 | Janice Marie Heiney | Denturist | 2607 Crosby Ave, Klamath Falls, OR 97603 | 2013-04-29 |
| 1083958011 | John W Cooper | Denturist | 3949 Shasta Way, Klamath Falls, OR 97603 | 2012-11-15 |
| 1205137742 | Robert Knight | Community Health Worker | 3314 Vandenburg Rd., Klamath Falls, OR 97603 | 2010-11-16 |
| 1841526431 | Tim R Jones | Counselor | 3949 South 6th St, Klamath Falls, OR 97603 | 2009-11-02 |
| 1316135833 | Ernest Thompson O'neal | Emergency Medicine | 211 Arnold Ave. Ste 15, Klamath Falls, OR 97603 | 2007-10-10 |
| Find all providers in zip 97603 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487137956 | Jocelyn Faith Mcdaniel | Physician Assistant | 2200 Bryant Williams Dr Ste 5, Klamath Falls, OR 97601-1121 | 2018-09-11 |
| 1659898633 | Joshua Aaron Martin | Physician Assistant | 2200 Bryant Williams Dr Ste 1, Klamath Falls, OR 97601-1121 | 2017-08-29 |
| 1982000436 | Jared R Frost | Physician Assistant | 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1120 | 2014-11-11 |
| 1255354817 | Paul A Winkler II | Physician Assistant | 2200 Bryant Williams Drive, Suite 1, Klamath Falls, OR 97601-1120 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575008 | Janna Marie Check | Physician Assistant | 3555 Chad Drive, Eugene, OR 97408 | 2020-10-16 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1396250122 | Saron Theresa Sufuentes | Physician Assistant | 578 Nw Marlborough Ave, Portland, OR 97210-3104 | 2017-12-01 |
| 1801321039 | Devin Fleming | Physician Assistant | 22936 Ne Pike St, Troutdale, OR 97060-2615 | 2017-04-25 |
| 1710435011 | Alexander Andersen | Physician Assistant | 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 | 2016-09-14 |
| 1952775520 | Lauren Govier | Physician Assistant | 501 N Graham St Ste 415, Portland, OR 97227-2006 | 2015-11-19 |
| 1619346368 | Ryan Mcmahon | Physician Assistant | 3415 Ne 20th Ave, Portland, OR 97212-2416 | 2015-09-23 |
| 1518366863 | Latoya Allen | Physician Assistant | 2450 Highgate St, Unit 12, Medford, OR 97501-7955 | 2014-08-21 |
| 1528499910 | Elan Kennedy | Physician Assistant | 3181 Sw Sam Jackson Park Rd., Mail Code L353, Ohsu, Division of Cardiothoracic Surgery, Portland, OR 97239 | 2013-12-10 |
| 1699114421 | Lauren M Kendall | Physician Assistant | 960 N 16th St Ste 108, Springfield, OR 97477-4175 | 2013-06-14 |
| Find all providers with the same taxonomy | ||||
| City | KLAMATH FALLS |
| Zip Code | 97603 |
Please comment or provide details below to improve the information on MR. JASON KENT WINEBARGER.
| 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.