DR. BETH E BLUMENSTEIN (NPI# 1497727150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497727150 |
| Entity Type | Individual |
| Full Name | DR. BETH E BLUMENSTEIN |
| Other Name | BETH E BASLAW |
| Credential | M.D. |
| Practice Address |
51600 Huntington Rd La Pine OR 97739-8887 |
| Mailing Address |
Po Box 3300 La Pine OR 97739-3300 |
| Practice Telephone | 5415363435 |
| Practice Fax Number | 5415368047 |
| Mailing Telephone | 5415363435 |
| Mailing Fax Number | 5415368047 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2018-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD24032 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 286315 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 56881 Enterprise Dr, Sunriver, OR 977072120 | 5415363435 |
| Street Address |
51600 HUNTINGTON RD |
| City | LA PINE |
| State | OR |
| Zip Code | 97739-8887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912904202 | Martin Lindsey Smart | Family Medicine | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2005-07-01 |
| 1285245761 | Deborah Butcher | Licensed Practical Nurse | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2020-08-10 |
| 1538779301 | Marc Grayson Lewis | Registered Nurse | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2020-08-05 |
| 1922644640 | Kevin Christy | Pharmacist | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2019-11-18 |
| 1053973099 | Brianne Kanehl | Nurse Practitioner | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2019-06-30 |
| 1932609369 | Rachel Gonce | Registered Nurse | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2018-02-12 |
| 1265931000 | Hallie Rebecca Whinnery | Registered Nurse | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2018-02-07 |
| 1114436672 | Thomas Ryan Giles | Physician Assistant | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2017-09-27 |
| 1184146417 | Beth Ellen Erickson | Social Worker | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2017-07-07 |
| 1194180562 | Janice Cody | Nurse Practitioner | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2015-12-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174910897 | Hannah Noble | Occupational Therapist | 51340 Highway 97 # Or97739, La Pine, OR 97739 | 2015-04-21 |
| 1093145484 | Holly Lassen | Counselor | 51530 Huntington Rd Ste 5, La Pine, OR 97739 | 2013-11-20 |
| 1487899183 | Jennifer Ann Slater | Specialist | 16639 Box Way, Suite A, La Pine, OR 97739 | 2008-12-09 |
| 1003082652 | Jonathan Yang | Dentist | 16475 Bluewood Pl, Lapine, OR 97739 | 2008-05-05 |
| 1104943521 | Total Vision, Inc. | Technician/Technologist | 16487 Bluewood Place, Suite 2, La Pine, OR 97739 | 2007-03-22 |
| 1831243286 | Ronald Otto Nowack | Chiropractor | 16410 3rd St, Ste A, La Pine, OR 97739 | 2007-01-23 |
| 1477613313 | David Kimlin Dunscombe | Dentist | 16440 3rd Street, La Pine, OR 97739 | 2006-12-11 |
| 1740349430 | Joannie J Miller | Nurse Practitioner | 51375 S Huntington Rd, La Pine, OR 97739 | 2006-12-08 |
| 1285677575 | Brice Tyler Stanley | Physician Assistant | 5600 Huntington Rd, Lapine Community Clinic, Lapine, OR 97739 | 2006-06-14 |
| 1922072909 | High Desert Therapy Associates Inc | Hospice Care, Community Based | 51681 Huntington Road, La Pine, OR 97739 | 2006-02-15 |
| Find all providers in zip 97739 | ||||
| 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 |
|---|---|---|---|---|
| 1073920880 | Alwin Borgmann | Family Medicine | 51781 Huntington Rd, La Pine, OR 97739-1118 | 2014-07-14 |
| 1912904202 | Martin Lindsey Smart | Family Medicine | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2005-07-01 |
| 1639531171 | Kelly Bolling-ringler | Family Medicine | 51781 Huntington Rd, La Pine, OR 97739 | 2016-03-23 |
| 1811257462 | Scott Bayles Black | Family Medicine | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2012-05-16 |
| 1801162656 | Michael Joseph Allen | Family Medicine | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2012-03-27 |
| 1558699512 | Joan Blum Friderici | Family Medicine | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2009-12-01 |
| 1790700714 | Kenneth R Maier | Family Medicine | 51600 Huntington Rd, La Pine, OR 97739-9626 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306344 | Emily Herrmann | Family Medicine | 1965 Alder St, Eugene, OR 97405-2937 | 2020-11-03 |
| 1366041071 | Christina Cabelly | Family Medicine | 16305 Sw Loon Dr, Beaverton, OR 97007-8989 | 2020-10-23 |
| 1386242790 | Rose City Medical Clinic LLC | Family Medicine | 11397 Se Cascade View Ct, Clackamas, OR 97086-9753 | 2020-10-16 |
| 1346847332 | Jasmine Barnhart | Family Medicine | 1935 Canyon Ave, Medford, OR 97504-2128 | 2020-10-03 |
| 1255949434 | Deep Creek Family Medicine | Family Medicine | 39084 Proctor Blvd Ste A, Sandy, OR 97055-8064 | 2020-07-14 |
| 1316569635 | Doctors On Video | Family Medicine | 13215 Sw Hawks Beard St Apt 726, Tigard, OR 97223-2125 | 2020-05-08 |
| 1710510094 | Gresham Family Care Inc | Family Medicine | 1800 Blankenship Rd Ste 350, West Linn, OR 97068-4182 | 2020-02-14 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1083252472 | Driven Enterprises PC | Family Medicine | 20700 Wandalea Dr, Bend, OR 97701-1594 | 2019-12-16 |
| 1891331195 | Praxis Medical Group Inc | Family Medicine | 1426 Oak Street, Eugene, OR 97401-4043 | 2019-11-21 |
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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.