GOOD SAMARITAN HOSPITAL CORVALLIS (NPI# 1538435466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538435466 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN HOSPITAL CORVALLIS |
| Other Organization Name | SAMARITAN KIDNEY SPECIALISTS - CORVALLIS |
| Practice Address |
3615 Nw Samaritan Drive Suite 203 Corvallis OR 97330-3771 |
| Mailing Address |
Po Box 1189 Corvallis OR 97339-1189 |
| Practice Telephone | 5417686930 |
| Practice Fax Number | 5417686931 |
| Mailing Telephone | 5417686768 |
| Mailing Fax Number | 5417689771 |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2015-03-16 |
| Authorized Official Name | BECKY PAPE (COO) |
| Authorized Official Telephone | 5417685009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
14-1074 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500657712 | 05 |
| Other Name | Type Code |
|---|---|
| Samaritan Kidney Specialists - Corvallis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774751 | Good Samaritan Hospital Corvallis | Psychiatric Hospital | 3509 Nw Samaritan Dr Ste 110, Corvallis, OR 97330-3893 | 2020-03-05 |
| 1073073250 | Good Samaritan Hospital Corvallis | Internal Medicine | 3640 Nw Samaritan Dr Ste 100c, Corvallis, OR 97330-3784 | 2019-03-22 |
| 1164887402 | Good Samaritan Hospital Corvallis | Pharmacist | 3517 Nw Samaritan Dr # 202, Corvallis, OR 97330-3767 | 2015-12-30 |
| 1295103448 | Good Samaritan Hospital Corvallis | Internal Medicine | 441 Nw Elks Dr, Corvallis, OR 97330-3744 | 2015-09-04 |
| 1013326537 | Good Samaritan Hospital Corvallis | Physical Therapist | 845 Sw 30th Street, Corvallis, OR 97331-8629 | 2014-08-08 |
| 1801130612 | Good Samaritan Hospital Corvallis | Clinic/Center | 501 Nw Elks Dr Ste 200, Corvallis, OR 97330-3757 | 2012-11-16 |
| 1275882102 | Good Samaritan Hospital Corvallis | Obstetrics & Gynecology | 3517 Nw Samaritan Drive, Suite 202, Corvallis, OR 97330 | 2012-09-06 |
| 1023376654 | Good Samaritan Hospital Corvallis | Psychiatry & Neurology | 1052 29th Avenue Sw, Albany, OR 97321-3416 | 2012-05-02 |
| 1790041549 | Good Samaritan Hospital Corvallis | Internal Medicine | 5234 Philomath Blvd., Suite B, Corvallis, OR 97330-3767 | 2012-04-05 |
| 1770849572 | Good Samaritan Hospital Corvallis | Psychiatry & Neurology | 3517 Nw Samaritan Drive Suite 101, Corvallis, OR 97330-3768 | 2012-04-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GOOD SAMARITAN HOSPITAL CORVALLIS | 3600 Nw Samaritan Dr, Corvallis, OR 97330 |
| Street Address |
3615 NW SAMARITAN DRIVE SUITE 203 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-3771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952529620 | Corvallis Mri A Joint Venture | Radiologic Technologist | 3615 Nw Samaritan Drive, Suite 101, Corvallis, OR 97330-3737 | 2007-04-20 |
| 1033319199 | Pavan Kumar K Gona | Internal Medicine | 3615 Nw Samaritan Drive, Suite 201, Corvallis, OR 97333 | 2007-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316944572 | Anthony Charlies De Mory | Internal Medicine | 3615 Nw Samaritan Dr, Suite 203, Corvallis, OR 97330-3783 | 2005-07-02 |
| 1497757769 | Steven Richard Bialkin | Internal Medicine | 3615 Nw Samaritan Dr Ste 203, Corvallis, OR 97330-3771 | 2005-06-01 |
| 1982942496 | Deanne Leonard | Internal Medicine | 3615 Nw Samaritan Dr Ste 203, Corvallis, OR 97330 | 2013-01-18 |
| 1356669766 | Ridhmi Pemila Rajapakse | Internal Medicine | 3615 Nw Samaritan Dr Ste 203, Corvallis, OR 97330 | 2010-05-10 |
| 1073749396 | Poojitha Reddy Beravol | Internal Medicine | 3615 Nw Samaritan Dr, Suite 203, Corvallis, OR 97330-3783 | 2009-06-01 |
| 1780832998 | Vyacheslav Yuryevic Melnikov | Internal Medicine | 3615 Nw Samaritan Dr Ste 203, Corvallis, OR 97330-3771 | 2008-08-29 |
| 1598862229 | Margaret Webb King | Internal Medicine | 3615 Nw Samaritan Dr Ste 203, Corvallis, OR 97330-3771 | 2006-09-17 |
| 1578544177 | Mohammed S Mohammed | Internal Medicine | 3640 Nw Samaritan Dr, Suite 250, Corvallis, OR 97330-3784 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396378717 | Northwest Renal Clinic, Inc. | Internal Medicine | 925 Commercial St Se Ste 110, Salem, OR 97302-4172 | 2020-02-13 |
| 1477962694 | Centennial Medical Group Inc. | Internal Medicine | 2460 Nw Stewart Pkwy Ste 102, Roseburg, OR 97471-1516 | 2014-08-13 |
| 1528487527 | Janie Luong | Internal Medicine | 10201 Se Main St Ste 27, Portland, OR 97216-2937 | 2014-04-08 |
| 1386074953 | David Alan Mccarron | Internal Medicine | 120 Nw 9th Ave, Suite 206, Portland, OR 97209-3324 | 2013-11-19 |
| 1578859849 | Thuy Xuan Le | Internal Medicine | 1040 Nw 22nd Ave Ste 480, Portland, OR 97210-3062 | 2011-06-24 |
| 1427348150 | Mark Nguyen | Internal Medicine | 1130 Nw 22nd Ave Ste 640, Portland, OR 97210-2993 | 2011-04-14 |
| 1720377039 | Robert Whitney Rope | Internal Medicine | 3181 Sw Sam Jackson Park Rd Mc Sjh6, Portland, OR 97239-3011 | 2011-04-07 |
| 1578707451 | Kate Schoolwerth Gustafson | Internal Medicine | 3710 Sw Us Veterans Hospital Rd # P3neph, Portland, OR 97239-2964 | 2009-04-23 |
| 1174777973 | Tricia Noelle Jesperson | Internal Medicine | 5050 Ne Hoyt St Ste B54, Portland, OR 97213 | 2008-11-06 |
| 1861677825 | Apolonia G. Silva | Internal Medicine | 6736 Ne Killingsworth Street La Clinica De Buena Salud, Portland, OR 97218-3338 | 2008-01-08 |
| 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.