MR. JOHN IVAN GOTCHALL


Address: 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737
Phone: 5417685111

MR. JOHN IVAN GOTCHALL (NPI# 1568411445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568411445
Entity Type Individual
Full Name MR. JOHN IVAN GOTCHALL
Credential MD
Practice Address 3600 Nw Samaritan Dr
Corvallis
OR 97330-3737
Mailing Address Po Box 1189
Corvallis
OR 97339-1189
Practice Telephone 5417685111
Enumeration Date 2006-05-09
Last Update Date 2020-11-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
MD18172 OR Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
MD18172 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 056601 05

Office Location

Street Address 3600 NW SAMARITAN DR
City CORVALLIS
State OR
Zip Code 97330-3737

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912998451 Elizabeth A. Monson Nurse Practitioner 3600 Nw Samaritan Dr, Suite E350, Corvallis, OR 97330-3737 2005-11-03
1114539616 Rachel Wortman Occupational Therapist 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 2020-08-18
1467063198 Karleen Hollis Occupational Therapist 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 2020-08-14
1265058408 Lisa M Stein Dietitian, Registered 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 2020-06-23
1881219608 Yesenia Sequera Doula 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 2020-06-09
1336761808 Thomas Crum Family Medicine 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 2020-05-07
1447871587 Daniel Stephen Mortens Family Medicine 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 2020-04-29
1275153355 Patrik Osornio-centerwall Family Medicine 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 2020-04-20
1932729951 Sunny D Patel Surgery 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 2020-04-20
1760002034 James Reece Harris Surgery 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 2020-04-16
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780707174 Wheeler John Dale Internal Medicine 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 2007-04-09
1992712483 Vincent Gimino Internal Medicine 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 2006-08-01
1366492886 Mari M Goldner Internal Medicine 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 2006-05-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548587660 Anna Kristin Brady Internal Medicine 3181 Sw Sam Jackson Park Rd # 67, Portland, OR 97239-3011 2010-04-29
1447417100 Mary Suzanne Mckenzie Internal Medicine 19250 Sw 65th Ave Ste 137, Tualatin, OR 97062-7745 2008-05-20
1316142425 Fayez A. Bader Internal Medicine 801 Mission St. Se, Salem, OR 97302-6217 2007-06-19
1699869255 Ralph A Juarez Internal Medicine 10201 Se Main St Ste 11, Portland, OR 97216-2937 2006-10-03
1285731059 Catherine J Markin Internal Medicine 2222 Nw Lovejoy St., Mob 1 Suite 411, Portland, OR 97210 2006-09-20
1477520120 Poh Hock Leng Internal Medicine 2222 Nw Lovejoy St Ste 411, Portland, OR 97210-5102 2006-03-01
1407832868 Razvan I Gosman Internal Medicine 2460 Nw Stewart Pkwy, Suite 103, Roseburg, OR 97471-1516 2005-12-19
1629054085 Luana Ionela Petre Nedita Internal Medicine 2460 Nw Stewart Parkway, Suite 103, Roseburg, OR 97471-1516 2005-12-19
1952885659 Amy Purkey Internal Medicine 890 Oak St Se, Salem, OR 97301-3905 2018-09-18
1467979344 Don Gilbert Burke Internal Medicine 2500 Ne Neff Rd, Bend, OR 97701 2017-08-23
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Competitor

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City CORVALLIS
Zip Code 97330

Improve Information

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Dataset Information

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.

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