ROGUE VALLEY CHILDRENS PHYSICIANS (NPI# 1558863902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558863902 |
| Entity Type | Organization |
| Organization Name | ROGUE VALLEY CHILDRENS PHYSICIANS |
| Other Organization Name | CHILDREN AND ADOLESCENTS CLINIC |
| Practice Address |
2940 Doctors Park Dr Medford OR 97504-8127 |
| Practice Telephone | 5417791300 |
| Practice Fax Number | 5417799171 |
| Mailing Telephone | 5417791300 |
| Mailing Fax Number | 5417799171 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |
| Authorized Official Name | MS. JERI L SULLIVAN (OFFICE MANAGER) |
| Authorized Official Telephone | 5417791300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Children and Adolescents Clinic | Doing Business As Name - Organization |
| Street Address |
2940 DOCTORS PARK DR |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953381 | Martin Kenneth Young | Pediatrics | 2940 Doctors Park Dr, Children and Adolescents Clinic, Medford, OR 97504 | 2005-06-24 |
| 1881811842 | Rogue Valley Physicians | Clinic/Center | 2940 Doctors Park Dr, Medford, OR 97504-8127 | 2007-04-19 |
| 1932123189 | Sarah M Christensen | Pediatrics | 2940 Doctors Park Dr, Medford, OR 97504 | 2006-07-27 |
| 1689688848 | Christina L Martin | Pediatrics | 2940 Doctors Park Dr, Medford, OR 97504 | 2006-07-27 |
| 1457374589 | Lawrence C Stumpff | Pediatrics | 2940 Doctors Park Dr, Medford, OR 97504-8127 | 2006-07-26 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033742051 | Advocare, LLC | Pediatrics | 135 Jackson Rd Ste B, Medford, NJ 08055-9231 | 2020-02-18 |
| 1538435417 | Stefanie T Ogawa | Pediatrics | 840 Royal Ave Ste 110, Medford, OR 97504-6461 | 2012-03-26 |
| 1629150420 | Michael A Davis | Pediatrics | 840 Royal Ave, Suite 110, Medford, OR 97504-6461 | 2006-10-20 |
| 1154424158 | Laura Balestreri | Pediatrics | 1322 E Mcandrews Rd Ste 202, Medford, OR 97504-6177 | 2006-09-06 |
| 1174630263 | Jennifer Ann Nastasi | Pediatrics | 2799 Route 112 Ste 11, Medford, NY 11763-2535 | 2006-08-24 |
| 1225076722 | Jay Iype | Pediatrics | 2799 Route 112, Suite #11, Medford, NY 11763 | 2006-06-04 |
| 1730144221 | James Alan Frierson | Pediatrics | 1322 E Mcandrews Rd, Ste 202, Medford, OR 97504-6177 | 2006-04-19 |
| 1992765804 | Barbara J Sibley | Pediatrics | 750 Murphy Road, Medford, OR 97504 | 2006-03-24 |
| 1760470207 | Laurel Bell | Pediatrics | 2825 E. Barnett Rd, Medford, OR 97504-8179 | 2005-10-10 |
| 1881687804 | David Andrew Bross | Pediatrics | Mystic Valley Pediatrics, 75 Riverside Avenue, Suite 2, Medford, MA 02155 | 2005-08-24 |
| 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.