DR. JOHN WILLIAM ROLLINGS (NPI# 1376673467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376673467 |
| Entity Type | Individual |
| Full Name | DR. JOHN WILLIAM ROLLINGS |
| Credential | M.D. |
| Practice Address |
435 Lancaster Dr Ne Salem OR 97301-4729 |
| Mailing Address |
236 Rees Hill Rd Se Salem OR 97306-9111 |
| Practice Telephone | 5035856388 |
| Practice Fax Number | 5035850669 |
| Mailing Telephone | 5035852303 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2014-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 12174 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | REGENCE BCBS OF OREGON | 0057325873360 | 01 |
| OR | PROVIDENCE HEALTH PLANS | 0169990022 | 01 |
| OR | 066498 | 05 | |
| OR | PACIFIC SOURCE | M4003 01 | 01 |
| Street Address |
435 LANCASTER DR NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-4729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902884448 | Sheryl E Combs | Nurse Practitioner | 435 Lancaster Dr Ne, Salem, OR 97301-4729 | 2006-01-05 |
| 1942866470 | Stephen Hans Stoltzfus | Counselor | 435 Lancaster Dr Ne, Salem, OR 97301-4729 | 2019-05-09 |
| 1073178323 | Anna Beatrice Forcelle | Student in an Organized Health Care Education/Training Program | 435 Lancaster Dr Ne, Salem, OR 97301-4729 | 2019-05-02 |
| 1245724228 | Laura Michelle Hoffman | Student in an Organized Health Care Education/Training Program | 435 Lancaster Dr Ne, Salem, OR 97301-4729 | 2018-06-21 |
| 1013436567 | Marcel Flores | Psychologist | 435 Lancaster Dr Ne, Salem, OR 97301-4729 | 2017-09-15 |
| 1396261574 | Barbara Pociurko | Internal Medicine | 435 Lancaster Dr Ne, Salem, OR 97301-4729 | 2017-08-18 |
| 1053833244 | Nicole Amalie Ford | Counselor | 435 Lancaster Dr Ne, Salem, OR 97301-4729 | 2017-07-10 |
| 1467972273 | Benedicta Nneoma Nnodum | Internal Medicine | 435 Lancaster Dr Ne, Salem, OR 97301-4729 | 2017-06-22 |
| 1457881914 | Richard Nalbandian | Counselor | 435 Lancaster Dr Ne, Salem, OR 97301-4729 | 2017-06-18 |
| 1396279717 | Edwin Noel Centerwall | Pediatrics | 435 Lancaster Dr Ne, Salem, OR 97301-4729 | 2017-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710373444 | Larry Bassinger | Family Medicine | 1300 Broadway St Ne Ste 104, Salem, OR 97301-1420 | 2015-04-09 |
| 1396144507 | Constance Johanson | Family Medicine | 3959 Croisan Creek Rd S, Salem, OR 97302-9474 | 2014-08-14 |
| 1457792699 | Sultan Seretis Bussey Hospitalist LLC | Family Medicine | 310 Route 45, Salem, NJ 08079-2064 | 2013-07-16 |
| 1629338470 | Derek Koller | Family Medicine | 6861 Lemongrass Loop Se, Salem, OR 97306-1474 | 2012-05-25 |
| 1962712927 | Paul Julian Perrin | Family Medicine | 525 Ferry St Se, Suite 203, Salem, OR 97301 | 2010-10-08 |
| 1326372558 | Robert Verne Bain | Family Medicine | 2280 Kuebler Road, South, Salem, OR 97302 | 2009-09-21 |
| 1902036320 | James A. Auerbach, M.d., P.C. | Family Medicine | 4747 Skyline Rd S, Suite 190, Salem, OR 97306-4200 | 2009-07-20 |
| 1033347430 | Jeanette Walker | Family Medicine | 5560 Witzel Rd Se, Salem, OR 97317-9142 | 2009-06-24 |
| 1871747188 | Carmelle Marie Andrine Constant | Family Medicine | 84 Highland Ave Ste 309, Salem, MA 01970-2733 | 2008-11-13 |
| 1518127927 | Mazen I Madhoun | Family Medicine | 3737 W Main St Ste 101, Salem, VA 24153-2073 | 2008-06-10 |
| Find all providers in SALEM | ||||
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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.