DR. SPENCER P NAGLE (NPI# 1639585813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639585813 |
| Entity Type | Individual |
| Full Name | DR. SPENCER P NAGLE |
| Credential | M.D. |
| Practice Address |
1700 E 19th St The Dalles OR 97058 |
| Mailing Address |
1700 E 19th St The Dalles OR 97058-3317 |
| Practice Telephone | 5412961111 |
| Mailing Telephone | 5415065710 |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2018-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD185426 | OR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 945 Ottawa Ave Nw, Grand Rapids, MI 495031431 | 6167326200 |
| Street Address |
1700 E 19TH ST |
| City | THE DALLES |
| State | OR |
| Zip Code | 97058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306842752 | Mid-columbia Medical Center | General Acute Care Hospital | 1700 E 19th St, The Dalles, OR 97058-3317 | 2005-06-21 |
| 1851999866 | Michelle Burnett | Specialist/Technologist, Other | 1700 E 19th St, The Dalles, OR 97058-3317 | 2020-10-12 |
| 1821569286 | Nader Saad | Pharmacist | 1700 E 19th St, The Dalles, OR 97058-3398 | 2018-12-11 |
| 1821581430 | Timbus Anesthesiology, LLC | Anesthesiology | 1700 E 19th St, The Dalles, OR 97058-3317 | 2018-06-08 |
| 1205338084 | Maricela Elena Bandel-ramirez | Hospitalist | 1700 E 19th St, The Dalles, OR 97058 | 2018-03-07 |
| 1922551381 | Tim P Bondarenko | Pharmacist | 1700 E 19th St, The Dalles, OR 97058-3317 | 2016-08-02 |
| 1396121265 | Tanisha Peck | Pharmacist | 1700 E 19th St, The Dalles, OR 97058-3317 | 2015-08-03 |
| 1487035945 | Jaskeerat Singh | Internal Medicine | 1700 E 19th St, The Dalles, OR 97058 | 2015-06-10 |
| 1053708297 | Columbia River Radiology, PC | Radiology | 1700 E 19th St, The Dalles, OR 97058-3317 | 2015-04-24 |
| 1114320199 | Rachel Hopkins | Pharmacist | 1700 E 19th St, The Dalles, OR 97058-3317 | 2014-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538646864 | Ashlee Kai Mcnamara | Behavior Technician | 2525 W 8th St., #34, The Dalles, OR 97058 | 2018-07-19 |
| 1548784689 | Mireya Moreno Ibarra | Behavior Technician | 401 East 3rd Street, Suite 101, The Dalles, OR 97058 | 2017-07-31 |
| 1407304991 | Joshua Seidel | Pharmacist | 515 Mt Hood St, The Dalles, OR 97058 | 2016-09-14 |
| 1366809048 | Mid-columbia Medical Center | Surgery | 1810 E. 19th St. #225, The Dalles, OR 97058 | 2016-01-26 |
| 1558731141 | Louise Goodnight | Case Manager/Care Coordinator | 419 East 7 Th Street, The Dalles, OR 97058 | 2015-09-25 |
| 1578944666 | Jessica Donnell | Dental Hygienist | 2529 E 12th St, The Dalles, OR 97058 | 2015-06-15 |
| 1487034328 | Savanna Schaan | Specialist | 609 W 14th St, The Dalles, OR 97058 | 2015-06-05 |
| 1801299102 | Mary E Zenorini | Social Worker | 1620 E. 12th St, The Dalles, OR 97058 | 2014-09-30 |
| 1669889143 | Diane Joan Irwin | Social Worker | 419 E 7th St #207, The Dalles, OR 97058 | 2014-07-17 |
| 1124452008 | Lacey A Nichols | Counselor | 312 E. Third St., The Dalles, OR 97058 | 2013-08-27 |
| Find all providers in zip 97058 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548363732 | Blake Gornowicz | Internal Medicine | 1700 E 19th Street, The Dalles, OR 97058 | 2006-09-06 |
| 1407839665 | Daniel S Morris | Internal Medicine | 1825 E 19th St, The Dalles, OR 97058-3388 | 2005-11-22 |
| 1538156005 | Alan N Peiris | Internal Medicine | 551 Lone Pine Blvd, The Dalles, OR 97058-9403 | 2005-09-30 |
| 1487035945 | Jaskeerat Singh | Internal Medicine | 1700 E 19th St, The Dalles, OR 97058 | 2015-06-10 |
| 1568889798 | Ana Lucia Moreno | Internal Medicine | 1040 Webber St, The Dalles, OR 97058-3749 | 2014-03-26 |
| 1043530587 | Jason Robert Morich | Internal Medicine | 1700 E 19th St, The Dalles, OR 97058-3317 | 2010-06-07 |
| 1154586105 | Ian Leong Liao | Internal Medicine | 1700 E 19th St, The Dalles, OR 97058-3317 | 2008-07-18 |
| 1376705897 | James M Edwards | Internal Medicine | 1825 E 19th St, The Dalles, OR 97058 | 2008-06-26 |
| 1417124371 | Margaret Cook | Internal Medicine | 1700 E 19th St, The Dalles, OR 97058-3317 | 2008-05-09 |
| 1982895835 | Patrick H Archie | Internal Medicine | 1800 E 19th St, The Dalles, OR 97058-3389 | 2007-08-06 |
| Find all providers in THE DALLES | ||||
| City | THE DALLES |
| Zip Code | 97058 |
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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.