MARY FOWLER BURCHELL (NPI# 1396763413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396763413 |
| Entity Type | Individual |
| Full Name | MARY FOWLER BURCHELL |
| Credential | MD |
| Practice Address |
3600 Nw Samaritan Dr Corvallis OR 97330-3737 |
| Mailing Address |
Po Box 1189 Corvallis OR 97339-1189 |
| Practice Telephone | 5417685111 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD22494 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 288052 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912071143 | Mary Cecilia Burchell | Surgery | 27 Hagen Oak Court #b, Alamo, CA 94507 | 2006-11-20 |
| Street Address |
3600 NW SAMARITAN DR |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912998451 | Elizabeth A. Monson | Nurse Practitioner | 3600 Nw Samaritan Dr, Suite E350, Corvallis, OR 97330-3737 | 2005-11-03 |
| 1114539616 | Rachel Wortman | Occupational Therapist | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-08-18 |
| 1467063198 | Karleen Hollis | Occupational Therapist | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-08-14 |
| 1265058408 | Lisa M Stein | Dietitian, Registered | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-06-23 |
| 1881219608 | Yesenia Sequera | Doula | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-06-09 |
| 1336761808 | Thomas Crum | Family Medicine | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-05-07 |
| 1447871587 | Daniel Stephen Mortens | Family Medicine | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-04-29 |
| 1275153355 | Patrik Osornio-centerwall | Family Medicine | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-04-20 |
| 1932729951 | Sunny D Patel | Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-04-20 |
| 1760002034 | James Reece Harris | Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-04-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629247176 | Good Samaritan Hospital Corvallis | Pediatrics | 1112 Nw Circle Blvd, Corvallis, OR 97330 | 2008-02-28 |
| 1548356256 | Lloyd Schneiderman | Pediatrics | 3615 Nw Jackson Ave, Corvallis, OR 97330-4944 | 2006-10-04 |
| 1871508374 | Lydia Ann Fusetti | Pediatrics | 3600 Nw Samaritan Dr Ste 4s26, Corvallis, OR 97330-3737 | 2006-07-31 |
| 1609818202 | Shawn R. Hathaway | Pediatrics | 777 Nw 9th St, Suite 320, Corvallis, OR 97330-6169 | 2006-06-11 |
| 1447516687 | Good Samaritan Hospital Corvallis | Pediatrics | 777 Nw 9th St, Suite 320, Corvallis, OR 97330-6169 | 2012-04-02 |
| 1821231408 | Susan Stein | Pediatrics | 3600 Nw Samaritan Dr, Suite 4s26, Corvallis, OR 97330-3737 | 2009-04-13 |
| 1013161413 | Destiny Jennifer Gmelch | Pediatrics | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2008-11-11 |
| 1942462429 | Veneta V Vanguelova | Pediatrics | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2008-06-26 |
| 1154547297 | Kathryn I Mcquillan | Pediatrics | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2007-04-17 |
| 1043339120 | Chinh T. Le | Pediatrics | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2007-03-28 |
| Find all providers in CORVALLIS | ||||
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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.