WILLAMETTE SURGERY CENTER LLC (NPI# 1538146931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538146931 |
| Entity Type | Organization |
| Organization Name | WILLAMETTE SURGERY CENTER LLC |
| Practice Address |
1445 State St Salem OR 97301-4248 |
| Practice Telephone | 5035663507 |
| Practice Fax Number | 5035814405 |
| Mailing Telephone | 5033157738 |
| Mailing Fax Number | 5035814405 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2019-02-05 |
| Authorized Official Name | JAMIE BAYLEY (CONTROLLER) |
| Authorized Official Telephone | 5033157338 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
071522 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 268892 | 05 |
| Street Address |
1445 STATE ST |
| City | SALEM |
| State | OR |
| Zip Code | 97301-4248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831512078 | Oren T H Leong, LLC | Anesthesiology | 1445 State St, Salem, OR 97301-4248 | 2014-01-23 |
| 1558591495 | Karl Hyde Md PC | Anesthesiology | 1445 State St, Salem, OR 97301-4248 | 2009-07-24 |
| 1588793558 | Paula Jane Wutte | Anesthesiology | 1445 State St, Salem, OR 97301-4248 | 2007-03-05 |
| 1700987393 | Wutte Md Inc | Anesthesiology | 1445 State St, Salem, OR 97301-4248 | 2006-09-26 |
| 1598700205 | Santiam Anesthesia Group, LLC | Anesthesiology | 1445 State St, Salem, OR 97301-4248 | 2006-06-17 |
| 1407891120 | Reginaldo Romero Molina | Anesthesiology | 1445 State St, Salem, OR 97301-4248 | 2006-06-17 |
| 1366494304 | Karl Grant Hyde | Anesthesiology | 1445 State St, Salem, OR 97301-4248 | 2006-05-17 |
| 1437124138 | Nancy A. Fisher | Anesthesiology | 1445 State St, Salem, OR 97301-4248 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784556 | North Atlantic Surgical Suites, LLC | Clinic/Center | 23 Keewaydin Dr, Salem, NH 03079-2840 | 2017-08-01 |
| 1972902286 | Oregon Specialists Surgery Center LLC | Clinic/Center | 2785 River Rd S, Salem, OR 97302-5883 | 2014-08-22 |
| 1952567257 | Salem Surgical Services | Clinic/Center | 2360 Southeast Blvd, Salem, OH 44460-3418 | 2008-08-06 |
| 1912045154 | Croisan Ridge Surgery Center, LLC | Clinic/Center | 4999 Skyline Rd S # 150, Salem, OR 97306-2009 | 2007-02-01 |
| 1932256278 | The Surgery Center of Salem County LLC | Clinic/Center | 336 Woodstown Rd., Salem, NJ 08079 | 2007-01-05 |
| 1285725713 | The Surgery Center of Salem County LLC | Clinic/Center | 336 Woodstown Rd, Salem, NJ 08079 | 2006-09-28 |
| 1619933264 | Salem Surgery Center, LLC | Clinic/Center | 2525 12st Se, Suite 110, Salem, OR 97302 | 2006-04-23 |
| 1811962103 | Salem Or Ophthalmology Asc LLC | Clinic/Center | 1330 Commercial St Se, Salem, OR 97302-4206 | 2006-02-21 |
| 1023005139 | Roanoke Valley Center for Sight LLC | Clinic/Center | 438 W Main St, Salem, VA 24153-3610 | 2005-10-04 |
| 1881694792 | Willamette Spine Center Ambulatory Surgery LLC | Clinic/Center | 2480 Liberty St Ne, Suite 120, Salem, OR 97303-6780 | 2005-07-21 |
| Find all providers in SALEM | ||||
Please comment or provide details below to improve the information on WILLAMETTE SURGERY CENTER LLC.
| 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.