JOSEPH SEDILLO (NPI# 1386022358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386022358 |
| Entity Type | Individual |
| Full Name | JOSEPH SEDILLO |
| Practice Address |
1879 Williams Hwy Grants Pass OR 97527-5864 |
| Mailing Address |
3181 Sw Sam Jackson Park Rd Gh219 Portland OR 97239-3011 |
| Practice Telephone | 5417745853 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2018-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
PA179893 | OR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2828 E Barnett Rd, Medford, OR 975048342 | 5417745853 | |
| 940 Royal Ave Unit 100, Medford, OR 975046194 | 5417745853 |
| Street Address |
1879 WILLIAMS HWY |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97527-5864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952874448 | Heidi Ogletree | Internal Medicine | 1879 Williams Hwy, Grants Pass, OR 97527-5864 | 2019-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
| 1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| 1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
| 1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
| 1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| Find all providers in zip 97527 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952874448 | Heidi Ogletree | Internal Medicine | 1879 Williams Hwy, Grants Pass, OR 97527-5864 | 2019-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013326362 | Steelhead Specialty Group, PC | Internal Medicine | 2880 Nw Stewart Pkwy Ste 300, Roseburg, OR 97471-1205 | 2014-08-11 |
| 1366860553 | Daniel Guy | Internal Medicine | 4805 Ne Glisan St Ste 11n-1, Portland, OR 97213-2933 | 2014-04-03 |
| 1730422015 | Annie Kwok Hung | Internal Medicine | 24988 Se Stark St Ste 140, Gresham, OR 97030-8326 | 2013-04-04 |
| 1033464318 | William Galen | Internal Medicine | 1221 Sw 10th Ave, 1804, Portland, OR 97205-2426 | 2012-07-23 |
| 1164711305 | Robert Francis Granatir | Internal Medicine | 3863 Saint Andrews Loop S, Salem, OR 97302-9498 | 2011-03-28 |
| 1730348632 | Sasha Elizabeth Stanton | Internal Medicine | 4805 Ne Glisan St # 2n103, Portland, OR 97213-2933 | 2008-06-05 |
| 1952578742 | Yale Sacks | Internal Medicine | 2200 Old Military Rd, Central Point, OR 97502-1022 | 2008-05-12 |
| 1114123601 | Joshua Michael Weese | Internal Medicine | 2880 Nw Stewart Parkway, Suite 300, Roseburg, OR 97471 | 2007-06-22 |
| 1437370947 | Stephen A Williams | Internal Medicine | 2880 Nw Stewart Parkway, Suite 300, Roseburg, OR 97471-1201 | 2007-05-01 |
| 1801010004 | Providence Health & Services Oregon | Internal Medicine | 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 | 2007-04-12 |
| Find all providers with the same taxonomy | ||||
| City | GRANTS PASS |
| Zip Code | 97527 |
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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.