SAMARITAN PACIFIC HEALTH SERVICES (NPI# 1578813903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578813903 |
Entity Type | Organization |
Organization Name | SAMARITAN PACIFIC HEALTH SERVICES |
Other Organization Name | SAMARITAN HEMATOLOGY AND ONCOLOGY CONSULTANTS-NEWPORT |
Practice Address |
930 Sw Abbey St Newport OR 97365-4820 |
Mailing Address |
Po Box 2847 Corvallis OR 97339-2847 |
Practice Telephone | 5415744678 |
Mailing Telephone | 5415744678 |
Mailing Fax Number | 5415744926 |
Enumeration Date | 2012-09-13 |
Last Update Date | 2015-05-07 |
Authorized Official Name | DAVID BIGELOW (CEO) |
Authorized Official Telephone | 5415741801 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Samaritan Hematology and Oncology Consultants-Newport | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548490345 | Samaritan Pacific Health Services | Clinic/Center | 957 Sw Coast Hwy 101, Newport, OR 97365-5143 | 2009-07-15 |
1063682276 | Samaritan Pacific Health Services | Durable Medical Equipment & Medical Supplies | 121 Ne Harney Street, Suite A, Newport, OR 97365-2524 | 2008-03-04 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | SAMARITAN PACIFIC HEALTH SERVICES, INC. | 930 Sw Abbey St, Newport, OR 97365 |
Street Address |
930 SW ABBEY ST |
City | NEWPORT |
State | OR |
Zip Code | 97365-4820 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205818663 | Donald W Stoddard | Internal Medicine | 930 Sw Abbey St, Newport, OR 97365-4820 | 2005-11-18 |
1568091296 | Lauren Morrison Burns | Dietitian, Registered | 930 Sw Abbey St, Newport, OR 97365-4820 | 2020-04-04 |
1669013561 | Douglas Edward Witzke | Pharmacist | 930 Sw Abbey St, Newport, OR 97365-4820 | 2019-10-01 |
1417459108 | Michelle Cowles | Nurse Practitioner | 930 Sw Abbey St, Newport, OR 97365-4820 | 2018-03-08 |
1982106621 | Nayla Johnson | Pharmacist | 930 Sw Abbey St, Newport, OR 97365 | 2018-03-07 |
1124527791 | Nicole Jolin | Pharmacist | 930 Sw Abbey St, Newport, OR 97365 | 2018-02-08 |
1013449966 | Debra Pankiewicz | Internal Medicine | 930 Sw Abbey St, Newport, OR 97365-4820 | 2017-03-30 |
1760923015 | Joshua Estep | Internal Medicine | 930 Sw Abbey St, Newport, OR 97365-4820 | 2017-03-19 |
1295275667 | Robert Bennett | Physical Therapist | 930 Sw Abbey St, Newport, OR 97365-4820 | 2017-03-03 |
1295279404 | Shannon Denise Brecik | Nurse Practitioner | 930 Sw Abbey St, Newport, OR 97365-4820 | 2016-12-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063036101 | Integrity Women's Health & Wellness, LLC | Obstetrics & Gynecology | 594 Se Running Springs, Newport, OR 97365 | 2020-06-04 |
1538799333 | Big Creek Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1664 N Coast Hwy, Newport, OR 97365 | 2020-01-21 |
1710527999 | Costal Support Services | Case Management | 125 Se Mast Ave #55, Lincoln City, OR 97365 | 2020-01-15 |
1821650169 | Darren Lee Taylor | Peer Specialist | 35 North Cottage Street, Newport, OR 97365 | 2019-07-08 |
1518405091 | The City of Newport 60 Plus Activity Center | Clinic/Center | 20 Se 2nd St, Newport, OR 97365 | 2017-02-06 |
1982020384 | Kristine Elizabeth Foley | Dental Hygienist | 123 Se Douglas Street, Family Dental, Newport, OR 97365 | 2014-03-10 |
1245655075 | Catherine Marie Vickers | Registered Nurse | 36 Sw Nye Street, Lincoln County Health and Human Services, Newport, OR 97365 | 2014-03-04 |
1114295342 | Donna Cressy | Physical Therapist | 140 Nw 4th Street, Newport, OR 97365 | 2011-12-02 |
1063647949 | Wrazen & Rash PC, Physicians | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
1194950048 | Stephen Macbain Burns, Md, PC | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
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Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831246305 | Tennessee Cancer Specialists Pllc | Internal Medicine | 423 2nd Street, Tennova Newport Medical Center, Newport, TN 37821-3702 | 2007-01-05 |
1689094039 | Northeast Kingdom Hematology Oncology Pllc | Internal Medicine | 637 Union St, Newport, VT 05855-5498 | 2014-04-24 |
1710103536 | Rimini A Breakstone | Internal Medicine | 11 Friendship St, Newport, RI 02840-2209 | 2007-04-18 |
1972634350 | North Country Hospital & Health Systems Inc | Internal Medicine | 189 Prouty Dr, Newport, VT 05855-9326 | 2007-03-08 |
1205984911 | Tennessee Cancer Specialists Pllc | Internal Medicine | 434 4th St, Suite 208, Newport, TN 37821-3746 | 2007-01-08 |
1366528366 | North Country Hospital & Health Center Inc | Internal Medicine | 189 Prouty Dr, Newport, VT 05855-9326 | 2006-10-31 |
1295725141 | Alessandro Papa | Internal Medicine | 19 Friendship St, Suite 360, Newport, RI 02840-2200 | 2005-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386022358 | Joseph Sedillo | Internal Medicine | 1879 Williams Hwy, Grants Pass, OR 97527-5864 | 2015-05-11 |
1013326362 | Steelhead Specialty Group, PC | Internal Medicine | 2880 Nw Stewart Pkwy Ste 300, Roseburg, OR 97471-1205 | 2014-08-11 |
1366860553 | Daniel Guy | Internal Medicine | 4805 Ne Glisan St Ste 11n-1, Portland, OR 97213-2933 | 2014-04-03 |
1730422015 | Annie Kwok Hung | Internal Medicine | 24988 Se Stark St Ste 140, Gresham, OR 97030-8326 | 2013-04-04 |
1033464318 | William Galen | Internal Medicine | 1221 Sw 10th Ave, 1804, Portland, OR 97205-2426 | 2012-07-23 |
1164711305 | Robert Francis Granatir | Internal Medicine | 3863 Saint Andrews Loop S, Salem, OR 97302-9498 | 2011-03-28 |
1730348632 | Sasha Elizabeth Stanton | Internal Medicine | 4805 Ne Glisan St # 2n103, Portland, OR 97213-2933 | 2008-06-05 |
1952578742 | Yale Sacks | Internal Medicine | 2200 Old Military Rd, Central Point, OR 97502-1022 | 2008-05-12 |
1114123601 | Joshua Michael Weese | Internal Medicine | 2880 Nw Stewart Parkway, Suite 300, Roseburg, OR 97471 | 2007-06-22 |
1437370947 | Stephen A Williams | Internal Medicine | 2880 Nw Stewart Parkway, Suite 300, Roseburg, OR 97471-1201 | 2007-05-01 |
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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.