JOEL R DAVEN MD PC (NPI# 1518053305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518053305 |
| Entity Type | Organization |
| Organization Name | JOEL R DAVEN MD PC |
| Practice Address |
544 W Umpqua St Suite 202 Roseburg OR 97470-2966 |
| Practice Telephone | 5416720822 |
| Practice Fax Number | 5416720422 |
| Mailing Telephone | 5416720822 |
| Mailing Fax Number | 5416720422 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOEL DAVEN (PRESIDENT) |
| Authorized Official Telephone | 5416720822 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
MD16514 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | DEPT OF LABOR & INDUSTRY | 30426 | 01 |
| OR | 007216 | 05 |
| Street Address |
544 W UMPQUA ST SUITE 202 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588750228 | Eileen M Tabert | Nurse Practitioner | 544 W Umpqua St, Roseburg, OR 97470 | 2006-10-04 |
| 1184806382 | Loretta J. Amitrano | Nurse Practitioner | 544 W Umpqua St, Suite 101, Roseburg, OR 97471 | 2007-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851436760 | Joel R Daven | Psychiatry & Neurology | 1813 W Harvard Ave, Suite 206, Roseburg, OR 97470-2752 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417041989 | Richard J Konkol | Psychiatry & Neurology | 3550 North Interstate Ave, Medical Office East, Portland, OR 97227-1097 | 2006-10-02 |
| 1114927753 | Michael Steven Narus | Psychiatry & Neurology | 920 Royal Ave, Medford, OR 97504-6169 | 2005-07-26 |
| 1689093817 | Artur Riddle | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3079 | 2014-04-15 |
| 1033535463 | Providence Health & Services - Oregon | Psychiatry & Neurology | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2014-03-10 |
| 1689017048 | Ittai Bushlin | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2013-04-16 |
| 1851633077 | Joshua J Kim | Psychiatry & Neurology | 9427 Sw Barnes Rd Ste 395, Portland, OR 97225-6652 | 2013-03-26 |
| 1639436074 | Alison Christy | Psychiatry & Neurology | 9427 Sw Barnes Rd, Suite 395, Portland, OR 97225-6652 | 2012-04-23 |
| 1023246600 | Jeffrey Russell Frank | Psychiatry & Neurology | 1 Hayden Bridge Way, Springfield, OR 97477-9747 | 2009-06-23 |
| 1205094406 | Jenny Lupovici Wilson | Psychiatry & Neurology | 707 Sw Gaines St, Portland, OR 97239-2901 | 2008-05-26 |
| 1487709259 | Erika Lee Finanger | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd, Cdrc-p, Portland, OR 97239-3011 | 2007-01-24 |
| 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.