MR. JEREMY JAMES WEDGE (NPI# 1518341437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518341437 |
| Entity Type | Individual |
| Full Name | MR. JEREMY JAMES WEDGE |
| Credential | RN, CNOR, RNFA |
| Practice Address |
2801 Nw Mercy Dr Suite 200 Roseburg OR 97471-2348 |
| Practice Telephone | 5416772800 |
| Mailing Telephone | 5416772800 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2016-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
096000434RN | OR | Nursing Service Providers |
| Street Address |
2801 NW MERCY DR SUITE 200 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-2348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174528038 | Ambulatory Surgery Center of Roseburg, LLC | Clinic/Center | 2801 Nw Mercy Dr, Ste 200, Roseburg, OR 97470-2348 | 2005-06-16 |
| 1699173161 | Hilary Oakes | Nurse Practitioner | 2801 Nw Mercy Dr, Ste. 300, Roseburg, OR 97471-2348 | 2014-12-15 |
| 1891003497 | Centennial Medical Group West, LLC | Internal Medicine | 2801 Nw Mercy Dr, Suite 345, Roseburg, OR 97471-2348 | 2010-09-16 |
| 1528375532 | Christine Yap Villardo | Hospitalist | 2801 Nw Mercy Dr, Suite 340, Roseburg, OR 97471-2348 | 2010-09-13 |
| 1902132483 | Ent Associates of Roseburg LLC | Otolaryngology | 2801 Nw Mercy Dr, Suite 330, Roseburg, OR 97471-2348 | 2009-10-19 |
| 1356517098 | Bryan Michael Mcvay | Surgery | 2801 Nw Mercy Dr, Suite 330, Roseburg, OR 97471-6214 | 2008-05-02 |
| 1205057908 | Sharyse L Williams | Registered Nurse | 2801 Nw Mercy Dr, Suite 330, Roseburg, OR 97470-2348 | 2007-05-01 |
| 1356425169 | Umpqua Orthopedics | Specialist | 2801 Nw Mercy Dr, Ste 300, Roseburg, OR 97470-2348 | 2006-10-25 |
| 1932284528 | Gary Bronstein | Internal Medicine | 2801 Nw Mercy Dr, Suite 300, Roseburg, OR 97471-2348 | 2006-10-25 |
| 1841396405 | Roseburg Clinic, P.C. | Otolaryngology | 2801 Nw Mercy Dr, Ste 330, Roseburg, OR 97471-2348 | 2006-09-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
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| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548339807 | Carmine Tringolo | Registered Nurse | 858 Cleveland Hill Rd, Roseburg, OR 97470-9614 | 2006-11-08 |
| 1053978403 | Shelli Cross | Registered Nurse | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2019-05-21 |
| 1437645223 | Kimberly Ann Romano | Registered Nurse | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2018-07-05 |
| 1649791682 | Cherise Bowers | Registered Nurse | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2017-06-29 |
| 1902289093 | Lindsee Cox | Registered Nurse | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2015-07-07 |
| 1598026213 | Germaine Ann Van Anrooy | Registered Nurse | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2012-05-30 |
| 1730458019 | Heather Marie Trautz | Registered Nurse | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2011-12-15 |
| 1144599424 | Mark Ernest Stahler | Registered Nurse | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2011-12-15 |
| 1891083580 | Kelly A. Jenkins | Registered Nurse | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2011-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1962066308 | B Christine S Hollingsworth | Registered Nurse | 3200 Hillcrest Park Dr Ste 200, Medford, OR 97504-7686 | 2019-04-30 |
| 1023582293 | Samantha Schmit | Registered Nurse | 2525 12th St Se, Salem, OR 97302-2153 | 2019-01-21 |
| 1134603038 | Melissa Blagden | Registered Nurse | 12180 Sw Merestone Court, Tigard, OR 97223-9722 | 2018-09-18 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1770958076 | David Clemans | Registered Nurse | 215 S Church St #7, Newberg, OR 97132-3211 | 2015-12-11 |
| 1295083962 | Janine Deborah Smith | Registered Nurse | 875 Oak St Se Ste 4060, Salem, OR 97301-3990 | 2012-08-28 |
| 1144580259 | River Road First Assisting | Registered Nurse | 5434 River Rd N, #216, Keizer, OR 97303-4429 | 2012-05-22 |
| 1710264189 | Awh Surgical First Assisting Inc. | Registered Nurse | 1423 84th Pl Se, Salem, OR 97317-9013 | 2011-11-13 |
| 1114208568 | Terry Lynn Nelson | Registered Nurse | 4287 Cloudview Dr S, Salem, OR 97302-2781 | 2011-08-30 |
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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.