TRACY L HALEY (NPI# 1407943889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407943889 |
| Entity Type | Individual |
| Full Name | TRACY L HALEY |
| Credential | MD |
| Practice Address |
1698 E Mcandrews Rd Suite 160 Medford OR 97504-5589 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5417327874 |
| Practice Fax Number | 5417327875 |
| Mailing Telephone | 5417327874 |
| Mailing Fax Number | 5417327875 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2011-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD24518 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
1698 E MCANDREWS RD SUITE 160 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-5589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407844525 | Deidre Goldberg | Nurse Practitioner | 1698 E Mcandrews Rd, Ste 300, Medford, OR 97504-5589 | 2005-10-12 |
| 1063963106 | Providence Health & Services - Oregon | Clinic/Center | 1698 E Mcandrews Rd, Ste 300, Medford, OR 97504-5589 | 2016-10-24 |
| 1992254080 | Yadira Amaral | Community Health Worker | 1698 E Mcandrews Rd, Ste 170, Medford, OR 97504-5589 | 2016-09-29 |
| 1841674173 | Judy Wong | Pharmacist | 1698 E Mcandrews Rd, Suite 400, Medford, OR 97504-5589 | 2015-07-16 |
| 1669870432 | Ashley Auspelmyer | Physician Assistant | 1698 E Mcandrews Rd, Providence Plaza, Suite 280, Medford, OR 97504-5589 | 2014-12-10 |
| 1801292107 | Sara G Hoppe | Physician Assistant | 1698 E Mcandrews Rd, Ste 160, Medford, OR 97504-5589 | 2014-11-13 |
| 1669609954 | Susan Bernier Martin | Registered Nurse | 1698 E Mcandrews Rd, Suite 170, Medford, OR 97504-5589 | 2009-06-15 |
| 1457517849 | Vivian Nkem Chidi | Internal Medicine | 1698 E Mcandrews Rd, Ste 170, Medford, OR 97504-5589 | 2008-08-05 |
| 1659530442 | Kadi-ann Bryan | Urology | 1698 E Mcandrews Rd, Suite 280, Medford, OR 97504-5589 | 2008-06-05 |
| 1679761944 | Skin Cncr & Ent Center | Specialist | 1698 E Mcandrews Rd, Suite 220, Medford, OR 97504-5589 | 2007-10-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871740787 | Milton W Kim | Surgery | 746 Marshall Ave, Medford, OR 97501-4017 | 2008-08-21 |
| 1811078132 | John Clifton Brawner | Surgery | 1297 Gardner Way, Medford, OR 97504-9300 | 2006-10-17 |
| 1831100262 | Erik T Branstetter | Surgery | 143 S Gibson St, Medford, WI 54451-1622 | 2006-08-10 |
| 1477593713 | Juan C Vasquez | Surgery | 1698 E Mcandrews Rd Ste 160, Medford, OR 97504-5590 | 2006-06-07 |
| 1720063142 | Charles D Allen | Surgery | 49 Governors Ave, Medford, MA 02155-3017 | 2005-12-08 |
| 1568789527 | Hallmark Health Medical Associates Inc | Surgery | 170 Governors Ave, Attn: Provider Enrollment-hhma (3) Contact, Medford, MA 02155-1643 | 2010-04-29 |
| 1861677460 | Ronald G Worland | Surgery | 2959 Siskiyou Blvd, Ste A, Medford, OR 97504-8131 | 2008-01-02 |
| 1316131279 | Wie-peng Kuo | Surgery | 1698 E Mcandrews Rd, Suite 160, Medford, OR 97504-5589 | 2007-09-04 |
| 1144412529 | Patrick Joseph Phelan | Surgery | 520 Medical Center Dr, Ste 300, Medford, OR 97504-4316 | 2007-08-09 |
| 1457555237 | Mitchell Martin Plummer | Surgery | 520 Medical Center Dr, Ste 300, Medford, OR 97504-4316 | 2007-06-13 |
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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.