GOOD SAMARITAN HOSPITAL CORVALLIS (NPI# 1447516281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447516281 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN HOSPITAL CORVALLIS |
| Other Organization Name | SAMARITAN SPORTS MEDICINE-G |
| Practice Address |
114 Gill Coliseum Room 62-63 Corvallis OR 97331-8547 |
| Practice Telephone | 5417374527 |
| Mailing Telephone | 5417374527 |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2015-01-30 |
| Authorized Official Name | BECKY PAPE (COO) |
| Authorized Official Telephone | 5417685009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500651537 | 05 |
| Other Name | Type Code |
|---|---|
| Samaritan Sports Medicine-G | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774751 | Good Samaritan Hospital Corvallis | Psychiatric Hospital | 3509 Nw Samaritan Dr Ste 110, Corvallis, OR 97330-3893 | 2020-03-05 |
| 1073073250 | Good Samaritan Hospital Corvallis | Internal Medicine | 3640 Nw Samaritan Dr Ste 100c, Corvallis, OR 97330-3784 | 2019-03-22 |
| 1164887402 | Good Samaritan Hospital Corvallis | Pharmacist | 3517 Nw Samaritan Dr # 202, Corvallis, OR 97330-3767 | 2015-12-30 |
| 1295103448 | Good Samaritan Hospital Corvallis | Internal Medicine | 441 Nw Elks Dr, Corvallis, OR 97330-3744 | 2015-09-04 |
| 1013326537 | Good Samaritan Hospital Corvallis | Physical Therapist | 845 Sw 30th Street, Corvallis, OR 97331-8629 | 2014-08-08 |
| 1801130612 | Good Samaritan Hospital Corvallis | Clinic/Center | 501 Nw Elks Dr Ste 200, Corvallis, OR 97330-3757 | 2012-11-16 |
| 1275882102 | Good Samaritan Hospital Corvallis | Obstetrics & Gynecology | 3517 Nw Samaritan Drive, Suite 202, Corvallis, OR 97330 | 2012-09-06 |
| 1023376654 | Good Samaritan Hospital Corvallis | Psychiatry & Neurology | 1052 29th Avenue Sw, Albany, OR 97321-3416 | 2012-05-02 |
| 1790041549 | Good Samaritan Hospital Corvallis | Internal Medicine | 5234 Philomath Blvd., Suite B, Corvallis, OR 97330-3767 | 2012-04-05 |
| 1770849572 | Good Samaritan Hospital Corvallis | Psychiatry & Neurology | 3517 Nw Samaritan Drive Suite 101, Corvallis, OR 97330-3768 | 2012-04-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GOOD SAMARITAN HOSPITAL CORVALLIS | 3600 Nw Samaritan Dr, Corvallis, OR 97330 |
| Street Address |
114 GILL COLISEUM ROOM 62-63 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97331-8547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699861849 | Thomas G Fregoso | Specialist | 114 Gill Coliseum, Corvallis, OR 97331-8547 | 2006-10-05 |
| 1790280584 | Katie Homan | Specialist/Technologist | 114 Gill Coliseum, Corvallis, OR 97331-8547 | 2018-03-26 |
| 1083099832 | Anne Pollard | Specialist/Technologist | 114 Gill Coliseum, Sports Medicine, Corvallis, OR 97331-8547 | 2015-07-22 |
| 1942427604 | Christopher Jason Lieuw | Specialist/Technologist | 114 Gill Coliseum, Corvallis, OR 97331-8547 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437663929 | Rachel Proteau | Student in an Organized Health Care Education/Training Program | Pharmacy Building, 1601 Sw Jefferson Way, Corvallis, OR 97331 | 2017-11-20 |
| 1194065995 | Candice Bailey | Veterinarian | 300 Magruder Hall, Corvallis, OR 97331 | 2013-02-15 |
| 1902189798 | Nicole Leblanc | Veterinarian | 700 Sw 30th Street, College of Veterinary Medicine Oregon State University, Corvallis, OR 97331 | 2011-09-28 |
| 1467698894 | Gail Carpenter Baggett | Physical Therapist | 425 Sw 26th St, Oregon State University - Dixon Recreation Center, Corvallis, OR 97331 | 2009-01-07 |
| 1306062401 | Barbara Sue Lerwick | Registered Nurse | 108 Sw Memorial Place, Plageman Building, Student Health Services, Corvallis, OR 97331 | 2007-04-17 |
| 1114097649 | Richard Eugene Lague | Physical Therapist | Hfc Dixon Recreation Center, Oregon State University, Corvallis, OR 97331 | 2006-11-09 |
| 1871682997 | Helen Kathleen Tennican | Physician Assistant | Oregon State University, 201 Plageman Building, Corvallis, OR 97331 | 2006-10-12 |
| 1043228570 | Linda M Samuels | Pharmacist | 109 Plageman Bldg, Osu Pharmacy, Corvallis, OR 97331 | 2006-08-03 |
| 1942214747 | Osu Student Health Center Pharmacy | Pharmacy | Plageman Building Room 109, Oregon State University, Corvallis, OR 97331 | 2006-07-28 |
| 1902833767 | Jeffrey C. Mull | Emergency Medicine | Oregon State University Student Health Services, Plageman 201, Corvallis, OR 97331 | 2006-06-27 |
| Find all providers in zip 97331 | ||||
| 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 |
|---|---|---|---|---|
| 1184094849 | Brian Lantos | Family Medicine | 1235 Nw 11th St, Corvallis, OR 97330-4616 | 2015-10-06 |
| 1437586765 | Erandhi Nirasha Hall | Family Medicine | 3620 Nw Samaritan Dr # 203a, Corvallis, OR 97330-4714 | 2013-10-01 |
| 1427323690 | Good Samaritan Hospital Corvallis | Family Medicine | 5234 Philomath Boulevard, Corvallis, OR 97333-1042 | 2012-03-20 |
| 1346514015 | Good Samaritan Hospital Corvallis | Family Medicine | 3517 Nw Samaritan Drive Suite 201, Corvallis, OR 97330-3769 | 2012-02-28 |
| 1932378486 | Good Samaritan Hospital Corvallis | Family Medicine | 990 Nw Circle Blvd Ste 101, Corvallis, OR 97330-1967 | 2008-02-28 |
| 1215117692 | Good Samaritan Hospital Corvallis | Family Medicine | 2555 Ne Belvue St, Corvallis, OR 97330 | 2007-11-14 |
| 1477612687 | Norman W Castillo | Family Medicine | 1763 Nw Kings Blvd, Corvallis, OR 97330-1905 | 2006-12-06 |
| 1124103445 | Ladonna Mae Johnson | Family Medicine | 201 Plageman Bldg, Oregon State University - Student Health, Corvallis, OR 97331-5801 | 2006-10-26 |
| 1396832127 | Marcus Daly Memorial Hospital Corporation | Family Medicine | 1037 Main Street, Corvallis, MT 59828-9374 | 2006-10-05 |
| 1093818684 | Gael Anne Wheeler | Family Medicine | 2743 Nw 9th St, Corvallis, OR 97330-3857 | 2006-09-07 |
| 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.