ALBANY GENERAL HOSPITAL (NPI# 1548649734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548649734 |
| Entity Type | Organization |
| Organization Name | ALBANY GENERAL HOSPITAL |
| Other Organization Name | SAMARITAN CONTINENCE CENTER-ALBANY |
| Practice Address |
400 Hickory St Nw Suite 200 Albany OR 97321-1700 |
| Mailing Address |
Po Box 1188 Corvallis OR 97339-1188 |
| Practice Telephone | 5417686768 |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |
| Authorized Official Name | DAVID G. TRIEBES (CEO) |
| Authorized Official Telephone | 5418124102 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Samaritan Continence Center-Albany | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1346620408 | Albany General Hospital | Internal Medicine | 1086 7th Avenue Sw, Suite 200, Albanyr, OR 97321-1954 | 2015-06-04 |
| 1609265123 | Albany General Hospital | Clinical Neuropsychologist | 534 Pleasant View Way Nw, Suite 200, Albany, OR 97321-1700 | 2015-01-21 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1922362243 | Albany General Hospital | Internal Medicine | 631 Elm St Sw Ste 201, Albany, OR 97321-1952 | 2012-07-02 |
| 1104182369 | Albany General Hospital | Internal Medicine | 620 Elm St Sw, Albany, OR 97321-1986 | 2012-04-02 |
| 1912263179 | Albany General Hospital | Family Medicine | 534 Pleasant View Way Nw, Suite 100, Albany, OR 97321-1700 | 2012-04-02 |
| 1851628648 | Albany General Hospital | Family Medicine | 1970 14th Ave Se Ste 130, Albany, OR 97322-8527 | 2009-11-16 |
| 1548313356 | Albany General Hospital | Durable Medical Equipment & Medical Supplies | 1010 7th Ave Sw, Albany, OR 97321-1922 | 2007-01-18 |
| 1316302672 | Albany General Hospital | Pharmacist | 1700 Geary St Se, Albany, OR 97322-6842 | 2015-12-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ALBANY GENERAL HOSPITAL | 1046 Sixth Ave Sw, Albany, OR 97321 |
| Oregon Corporations, Companies and Business Names | ALBANY GENERAL HOSPITAL FOUNDATION | 1046 Sw 6th Ave, Albany, OR 97321 |
| Street Address |
400 HICKORY ST NW SUITE 200 |
| City | ALBANY |
| State | OR |
| Zip Code | 97321-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932175924 | Sophia Drinis | Urology | 400 Hickory St Nw, Suite 200, Albany, OR 97321-1700 | 2006-02-28 |
| 1154867810 | Chelsea Bond | Pharmacist | 400 Hickory St Nw, Albany, OR 97321-1700 | 2017-01-18 |
| 1871946574 | Tyler Gentry Park | Physical Therapist | 400 Hickory St Nw, Suite 201, Albany, OR 97321-1700 | 2016-07-18 |
| 1770950560 | Derek Lee Ramsey | Physical Therapist | 400 Hickory St Nw, Suite 201, Albany, OR 97321-1700 | 2015-08-27 |
| 1285066712 | Erin Eileen Crotty | Physical Therapist | 400 Hickory St Nw, Suite 201, Albany, OR 97321-1700 | 2013-08-07 |
| 1720342066 | Albany General Hospital | Internal Medicine | 400 Hickory St Nw, Suite 300, Albany, OR 97321-1700 | 2012-07-02 |
| 1336407121 | Albany General Hospital | Obstetrics & Gynecology | 400 Hickory St Nw, Suite 302, Albany, OR 97321-1700 | 2012-04-30 |
| 1699033480 | Albany General Hospital | Family Medicine | 400 Hickory St Nw, Suite 302, Albany, OR 97321-1700 | 2012-04-30 |
| 1740546431 | Albany General Hospital | Obstetrics & Gynecology | 400 Hickory St Nw, Suite 300, Albany, OR 97321-1700 | 2012-04-06 |
| 1841556008 | Albany General Hospital | Physical Medicine & Rehabilitation | 400 Hickory St Nw, Suite 201, Albany, OR 97321-1700 | 2012-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| Find all providers in zip 97321 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235525916 | William Kelvin Lane | Urology | 2009 Palmyra Rd, Albany, GA 31701-1576 | 2015-04-09 |
| 1962586776 | Mark White | Urology | The Urological Institute of Northeastern New York, South Clinical Campus, 23 Hackett Blvd., Albany, NY 12208 | 2006-10-25 |
| 1225118284 | Hugh Fisher | Urology | South Clinical Campus, 23 Hackett Blvd. (mc 208), Albany, NY 12208 | 2006-10-16 |
| 1174625693 | Keith A Schulze | Urology | 400 Hickory St Nw Ste 200, Albany, OR 97321-1700 | 2006-09-04 |
| 1497790430 | Martin S Engelstein | Urology | 4 Executive Park, Albany, NY 12203-3718 | 2006-06-16 |
| 1912967241 | Donald Joseph Rivard | Urology | 25 Hackett Blvd, Division of Urology (mc 208), Albany, NY 12208-3420 | 2006-03-23 |
| 1811964430 | Barry A Shuman | Urology | 63 Shaker Rd Suite 202, Albany Memorial Professional Bldg, Albany, NY 12204-1030 | 2006-03-02 |
| 1932175924 | Sophia Drinis | Urology | 400 Hickory St Nw, Suite 200, Albany, OR 97321-1700 | 2006-02-28 |
| 1811983711 | Carl Robert Hall | Urology | 920 8th Ave Sw, Albany, OR 97321-2407 | 2005-09-26 |
| 1467447938 | Michael D. Daugherty | Urology | 2400 Osler Ct, Albany, GA 31707 | 2005-09-12 |
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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.