RYAN B ISRAELSEN (NPI# 1487910766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487910766 |
| Entity Type | Individual |
| Full Name | RYAN B ISRAELSEN |
| Credential | M.D. |
| Practice Address |
3860 Crater Lake Ave Medford OR 97504 |
| Mailing Address |
3860 Crater Lake Ave # A Medford OR 97504-9741 |
| Practice Telephone | 5418581003 |
| Mailing Telephone | 5418581003 |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2018-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | MD187596 | OR | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD187596 | OR | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD187596 | OR | Allopathic & Osteopathic Physicians |
| N | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
MD187596 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
3860 CRATER LAKE AVE |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465847 | Edward Kerwin | Allergy & Immunology | 3860 Crater Lake Ave, Medford, OR 97504-9741 | 2005-05-31 |
| 1356795504 | Kary Anne Kelly | Nurse Practitioner | 3860 Crater Lake Ave, Medford, OR 97504-9741 | 2016-04-13 |
| 1962503961 | Jaleh Ostovar | Nurse Practitioner | 3860 Crater Lake Ave, Medford, OR 97504-9741 | 2006-09-25 |
| 1811098825 | Jennifer K Milligan | Allergy & Immunology | 3860 Crater Lake Ave, Medford, OR 97504-9741 | 2006-09-25 |
| 1467499475 | Kevin Wilson Parks | Allergy & Immunology | 3860 Crater Lake Ave, Suite A, Medford, OR 97504-9741 | 2006-05-31 |
| 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 | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467442384 | John Yohan Kim | Allergy & Immunology | 103 Old Marlton Pike, Suite 211, Medford, NJ 08055-8772 | 2005-10-22 |
| 1811098825 | Jennifer K Milligan | Allergy & Immunology | 3860 Crater Lake Ave, Medford, OR 97504-9741 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972075976 | Echo Allergy Care | Allergy & Immunology | 1635 Eastside Rd, Hood River, OR 97031 | 2019-01-02 |
| 1760614283 | Alexander Chan Yu | Allergy & Immunology | 14631 Sw Millikan Way Ste 60, Beaverton, OR 97003-2999 | 2009-08-17 |
| 1275776346 | Ripdeep Mangat Md, P.C. | Allergy & Immunology | 1250 Ne 3rd St Ste B100, Bend, OR 97701-3151 | 2009-04-19 |
| 1316107782 | Stark Medical, PC | Allergy & Immunology | 932 W Idaho Ave Ste 100, Ontario, OR 97914-2155 | 2008-06-10 |
| 1184804064 | Aaim Care LLC | Allergy & Immunology | 8740 Se Sunnybrook Blvd Ste 300, Clackamas, OR 97015-5737 | 2007-11-08 |
| 1487725990 | Barzin Khalili | Allergy & Immunology | 511 Sw 10th Ave Ste 1301, Portland, OR 97205-2714 | 2006-11-13 |
| 1881799963 | Stephen Bernard Fritz | Allergy & Immunology | 9200 Se 91st Ave Ste 220, Happy Valley, OR 97086-3756 | 2006-09-14 |
| 1801826516 | Justin Stephen Treat | Allergy & Immunology | 2233 Willamette St Ste F, Eugene, OR 97405-2890 | 2006-07-05 |
| 1912975574 | Raymond E Brady IIi | Allergy & Immunology | 2055 Exchange St., Suite 150, Astoria, OR 97103 | 2006-03-09 |
| 1730166828 | Richard Otis Buck | Allergy & Immunology | 2201 Willamette St, Suite C, Eugene, OR 97405-3091 | 2005-12-29 |
| Find all providers with the same taxonomy | ||||
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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.