INTERNAL MEDICINE & GERIATRICS, P.C. (NPI# 1518171339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518171339 |
| Entity Type | Organization |
| Organization Name | INTERNAL MEDICINE & GERIATRICS, P.C. |
| Practice Address |
3369 Ne Stephens St. Ste. 100 Roseburg OR 97470 |
| Mailing Address |
3369 Ne Stephens St. Ste 100 Roseburg OR 97470 |
| Practice Telephone | 5416778900 |
| Practice Fax Number | 5416778900 |
| Mailing Telephone | 5416778900 |
| Mailing Fax Number | 5416778903 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | RANGANATHAN RAJENDRAN (MD) |
| Authorized Official Telephone | 5416778900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 24877 | OR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 029057 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | INTERNAL MEDICINE & GERIATRICS, P.C. | 3389 Ne Stephens Street Suite 100, Roseburg, OR 97470 |
| Street Address |
3369 NE STEPHENS ST. STE. 100 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922424985 | Isis Karensha Lopez | Specialist | 1223 Ne Baragar Ave, Roseburg, OR 97471-5621 | 2014-03-13 |
| 1609117258 | Richard Fredrick Kronner | Specialist | 1443 Upper Cleveland Rapids Rd, Roseburg, OR 97471-9672 | 2013-03-06 |
| 1841439312 | Jay N. Gade M.d., Phd., PC | Specialist | 2440 Nw Edenbower Blvd., Roseburg, OR 97471-6220 | 2009-02-06 |
| 1073685061 | Heartland Cardiac and Vascular | Specialist | 1051 W Fromdahl Dr, Roseburg, OR 97470-2714 | 2006-11-14 |
| 1841298429 | John D Sproed I | Specialist | 868 Nw Garden Valley Blvd, Roseburg, OR 97470-1959 | 2005-07-08 |
| 1003813015 | Neil Kumar | Specialist | 2510 Nw Edenbower Blvd, Suite # 176, Roseburg, OR 97471-8899 | 2005-07-05 |
| 1790176949 | Weese Dermatology PC | Specialist | 2440 Nw Edenbower Blvd, Roseburg, OR 97471-8847 | 2015-02-10 |
| 1033364211 | Joe Maxey | Specialist | 621 W Madrone St, Roseburg, OR 97470-3090 | 2008-12-01 |
| 1992925507 | Agatha Song | Specialist | 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 | 2007-04-26 |
| 1508987314 | Brian Eugene Hayes | Specialist | 1813 W Harvard Ave, Suite 100, Roseburg, OR 97470-2752 | 2007-04-02 |
| Find all providers in ROSEBURG | ||||
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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.