DR. G. SCOTT MCCREADIE (NPI# 1447314570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447314570 |
| Entity Type | Individual |
| Full Name | DR. G. SCOTT MCCREADIE |
| Other Name | DR. GORDON SCOTT MCCREADIE |
| Credential | M.D. |
| Practice Address |
Sky Lakes Medical Center 2865 Daggett Ave Klamath Falls OR 97601 |
| Mailing Address |
6321 Verda Vista Ct Klamath Falls OR 97603-7794 |
| Practice Telephone | 5418826311 |
| Mailing Telephone | (425) 445-4669 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2017-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 10105571-8905 | UT | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 182254 | OR | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 15043 | NV | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 37052 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8242513 | 05 |
| Street Address |
SKY LAKES MEDICAL CENTER 2865 DAGGETT AVE |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487311 | Socorro Guadalupe Alcala- Peres | Case Manager/Care Coordinator | 2210 N El Dorado Ave, Klamath Falls, OR 97601 | 2019-09-20 |
| 1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
| 1134699721 | Kristin Asta Ragnarsson | Speech-Language Pathologist | Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 | 2018-11-27 |
| 1730667445 | Nancy Leota Baley | Pharmacist | Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 | 2018-08-03 |
| 1336511260 | Patricia Blauvelt | Occupational Therapy Assistant | 1401 Bryant Williams Dr, Klamath Falls, OR 97601 | 2015-10-30 |
| 1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
| 1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
| 1255692687 | Billy Dean Vermaas | Physical Medicine & Rehabilitation | 204 N. 10th Street, Klamath Falls, OR 97601 | 2012-06-01 |
| 1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
| 1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
| Find all providers in zip 97601 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962667634 | William C Fridinger | Emergency Medicine | 1692 Cove Point Rd, Klamath Falls, OR 97601-9300 | 2008-07-22 |
| 1316135833 | Ernest Thompson O'neal | Emergency Medicine | 211 Arnold Ave. Ste 15, Klamath Falls, OR 97603 | 2007-10-10 |
| 1891732277 | Jeffrey Aaron Salisbury | Emergency Medicine | 6803 Shasta Way, Klamath Falls, OR 97603-5275 | 2006-06-02 |
| 1902864275 | J Eric Brunswick | Emergency Medicine | 3737 Shasta Way Ste A, Klamath Falls, OR 97603-4982 | 2006-05-03 |
| 1265845473 | Paul Michael Girardi | Emergency Medicine | 2865 Daggett Ave, Klamath Falls, OR 97601 | 2014-06-05 |
| 1932544632 | Jason Yost | Emergency Medicine | 2801 Daggett Ave, Cascades East Family Medicine, Klamath Falls, OR 97601-1106 | 2013-05-08 |
| 1831532118 | Jay Taylor Williams | Emergency Medicine | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2013-04-17 |
| 1740415579 | Southern Oregon Emergency Care LLC | Emergency Medicine | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2009-05-22 |
| 1073756359 | Ryan Brent Udink | Emergency Medicine | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2009-04-15 |
| 1770741027 | Robert Thomas Melton | Emergency Medicine | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2008-05-22 |
| Find all providers in KLAMATH FALLS | ||||
| City | KLAMATH FALLS |
| Zip Code | 97601 |
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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.