ROGUE VALLEY UROLOGY, PC (NPI# 1467421404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467421404 |
| Entity Type | Organization |
| Organization Name | ROGUE VALLEY UROLOGY, PC |
| Practice Address |
1698 East Mcandrews Rd Ste 280 Medford OR 97504 |
| Mailing Address |
1698 E Mcandrews Rd Ste 280 Medford OR 97504-5589 |
| Practice Telephone | 5417745808 |
| Practice Fax Number | 5417323910 |
| Mailing Telephone | 5417745808 |
| Mailing Fax Number | 5417323910 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2012-01-26 |
| Authorized Official Name | MS. ALICE M FONTES (OFFICE MANAGER) |
| Authorized Official Telephone | 5417745808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | REGENCE BCBS OF OREGON | 023679000 | 01 |
| Street Address |
1698 EAST MCANDREWS RD STE 280 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504 |
| 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 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922327428 | Saul Rose | Urology | 15 Woodsfield Ct, Medford, NJ 08055-2156 | 2010-05-24 |
| 1043419872 | Nathaniel Kyle Ballek | Urology | 1698 E Mcandrews Rd Ste 280, Medford, OR 97504 | 2007-07-12 |
| 1639514979 | Amy Hyun Jung Lim | Urology | 691 Murphy Rd Ste 107, Medford, OR 97504-4311 | 2013-04-30 |
| 1205179959 | Jordan Thomas Brady | Urology | 691 Murphy Rd Ste 107, Medford, OR 97504-4311 | 2013-04-01 |
| 1306135488 | Liam Connor Macleod | Urology | 691 Murphy Rd Ste 107, Medford, OR 97504-4311 | 2011-03-29 |
| 1659530442 | Kadi-ann Bryan | Urology | 1698 E Mcandrews Rd, Suite 280, Medford, OR 97504-5589 | 2008-06-05 |
| 1760587372 | Eric Martin | Urology | 2900 Doctors Park Dr, Suite 100, Medford, OR 97504-8198 | 2006-09-14 |
| 1396706487 | Jack Byron Lewis | Urology | 1698 E Mcandrews Rd, Ste 280, Medford, OR 97504-5589 | 2006-03-29 |
| 1073589651 | Thong Tien Bui | Urology | 1698 E Mcandrews Rd, Ste 280, Medford, OR 97504 | 2006-02-24 |
| 1578539169 | Edward Bruce Barrows | Urology | 1698 E Mcandrews Rd, Ste 280, Medford, OR 97504 | 2006-02-24 |
| Find all providers in MEDFORD | ||||
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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.