WELLNESS RECOVERY CENTER (NPI# 1528346129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528346129 |
Entity Type | Organization |
Organization Name | WELLNESS RECOVERY CENTER |
Practice Address |
2925 Siskiyou Blvd Medford OR 97504-8179 |
Practice Telephone | 5417731435 |
Practice Fax Number | 5418586828 |
Mailing Telephone | 5417731435 |
Mailing Fax Number | 5418586828 |
Enumeration Date | 2011-07-30 |
Last Update Date | 2013-10-25 |
Authorized Official Name | SHAWN M SILLS (MEDICAL DIRECTOR) |
Authorized Official Telephone | 5417791435 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 171100000X | Acupuncturist | Other Service Providers | ||
Y | 174400000X | Specialist | Other Service Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | WELLNESS RECOVERY CENTER, LLC | 2925 Siskiyou Blvd, Medford, OR 97504 |
Street Address |
2925 SISKIYOU BLVD |
City | MEDFORD |
State | OR |
Zip Code | 97504-8179 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245239375 | Shawn Michael Sills | Anesthesiology | 2925 Siskiyou Blvd, Medford, OR 97504 | 2005-07-20 |
1487995528 | Jared Lee Thomas | Nurse Practitioner | 2925 Siskiyou Blvd, Medford, OR 97504-8179 | 2013-03-14 |
1629331293 | Pain Relief Institute, LLC | Pain Medicine | 2925 Siskiyou Blvd, Medford, OR 97504-8179 | 2012-06-19 |
1730440355 | Pain Relief Center,llc | Pain Medicine | 2925 Siskiyou Blvd, Medford, OR 97504-8179 | 2012-05-30 |
1477813582 | Pain Relief Center,llc | Pain Medicine | 2925 Siskiyou Blvd, Medford, OR 97504-8179 | 2012-05-22 |
1336424050 | Siskiyou Anestesia Group,llc | Specialist | 2925 Siskiyou Blvd, Medford, OR 97504-8179 | 2011-10-13 |
1336479021 | Rogue Valley Surgery Center LLC | Clinic/Center | 2925 Siskiyou Blvd, Medford, OR 97504-8179 | 2010-01-03 |
1629209077 | Interventional Pain Consultants, LLC | Pain Medicine | 2925 Siskiyou Blvd, Medford, OR 97504-8179 | 2009-08-03 |
1265440473 | Richard H Foster | Nurse Practitioner | 2925 Siskiyou Blvd, Medford, OR 97504-8179 | 2006-08-03 |
1770545840 | Robert C Sinnott | Radiology | 2925 Siskiyou Blvd, Medford, OR 97504-8179 | 2006-04-04 |
Find all providers in the same location |
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 | 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 |
---|---|---|---|---|
1629687702 | Joy Dunn | Specialist | 1801 Fire Ave, Medford, NY 11763-1783 | 2020-07-24 |
1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
1619450525 | Erica Sanniola | Specialist | 55 Apple Ln, Medford, NY 11763-4044 | 2018-09-07 |
1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
1093267114 | Rhiannon Skye Sgambati | Specialist | 152 Fordham Ave, Medford, NY 11763-3107 | 2016-10-25 |
1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
1932565660 | Vincent Giardina Jr. | Specialist | 1 Elena Ct, Medford, NJ 08055-9175 | 2016-01-11 |
1730551417 | Carson Mckee Case | Specialist | 924 E. Jackson, Medford, OR 97504 | 2015-10-21 |
1841674066 | Zachary Fisher | Specialist | 200 Peekskill Ave, Medford, NY 11763-3123 | 2015-07-17 |
1720472798 | Stephanie Mullen | Specialist | 173 Buffalo Ave, Medford, NY 11763-3714 | 2015-03-26 |
Find all providers in MEDFORD |
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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.