DR. DAVID T ELMGREN (NPI# 1598826851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598826851 |
| Entity Type | Individual |
| Full Name | DR. DAVID T ELMGREN |
| Credential | M.D. |
| Practice Address |
2973 12th Street Se Salem OR 97302-6162 |
| Practice Telephone | 5035617100 |
| Practice Fax Number | 5035617124 |
| Mailing Telephone | 5035617100 |
| Mailing Fax Number | 5035617124 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2013-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD07578 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 234658 | 05 |
| Street Address |
2973 12TH STREET SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-6162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801820139 | Jaffer H Bashey | Urology | 2973 12th Street Se, Salem, OR 97302-6162 | 2006-07-11 |
| 1306291802 | Christopher M Woods | Urology | 2973 12th Street Se, Salem, OR 97302-3162 | 2016-05-03 |
| 1417100405 | Bradley W Warner | Urology | 2973 12th Street Se, Salem, OR 97302-6162 | 2008-11-04 |
| 1194986026 | Philip A. Rosen | Urology | 2973 12th Street Se, Salem, OR 97302-3162 | 2008-06-23 |
| 1013077510 | John Mark Mhoon | Urology | 2973 12th Street Se, Salem, OR 97302-6162 | 2006-12-12 |
| 1710048061 | Alan R Hay | Urology | 2973 12th Street Se, Salem, OR 97302-6162 | 2006-12-12 |
| 1467512996 | Willamette Urology, PC | Urology | 2973 12th Street Se, Salem, OR 97302-6162 | 2006-12-12 |
| 1821159187 | David A Elkins | Urology | 2973 12th Street Se, Salem, OR 97302-6162 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| 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 |
|---|---|---|---|---|
| 1609200427 | Erika Lynn Mccarthy | Urology | 2973 12th St Se, Salem, OR 97302-3162 | 2013-08-28 |
| 1801820139 | Jaffer H Bashey | Urology | 2973 12th Street Se, Salem, OR 97302-6162 | 2006-07-11 |
| 1174589709 | Stuart Maru Diamond | Urology | 4 Bypass Rd, Suite 103, Salem, NJ 08079 | 2006-04-22 |
| 1750807640 | Comprehensive Urology Institute Inc. | Urology | 2364 Southeast Blvd, Salem, OH 44460-3418 | 2017-08-22 |
| 1306291802 | Christopher M Woods | Urology | 2973 12th Street Se, Salem, OR 97302-3162 | 2016-05-03 |
| 1194082370 | First Urology, Psc | Urology | 911 N Shelby St, Salem, IN 47167-2304 | 2012-04-12 |
| 1417100405 | Bradley W Warner | Urology | 2973 12th Street Se, Salem, OR 97302-6162 | 2008-11-04 |
| 1114181054 | Mark Laspina | Urology | 400 Highland Ave, Suite 6, Salem, MA 01970-7003 | 2008-07-10 |
| 1578725438 | Zoubir Akrout Md | Urology | 4 Bypass Road, Suite 204, Salem, NJ 08079 | 2008-07-01 |
| 1194986026 | Philip A. Rosen | Urology | 2973 12th Street Se, Salem, OR 97302-3162 | 2008-06-23 |
| Find all providers in SALEM | ||||
Please comment or provide details below to improve the information on DR. DAVID T ELMGREN.
| 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.