TIMOTHY F GLADDING JR. (NPI# 1659342830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659342830 |
| Entity Type | Individual |
| Full Name | TIMOTHY F GLADDING JR. |
| Credential | MD |
| Practice Address |
2700 Nw Stewart Pkwy Roseburg OR 97470-1281 |
| Practice Telephone | 5416774313 |
| Practice Fax Number | 5416774533 |
| Mailing Telephone | 5416774313 |
| Mailing Fax Number | 5416774533 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
MD20362 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 288459 | 05 |
| Street Address |
2700 NW STEWART PKWY |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-1281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790766822 | Mercy Healthcare, Inc | General Acute Care Hospital | 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 | 2005-11-07 |
| 1902412505 | Lisa Mai | Physician Assistant | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1214 | 2020-09-18 |
| 1609480359 | Jacob Watters | Physician Assistant | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2020-09-01 |
| 1245843143 | Marcus Lee David Sickelton | Student in an Organized Health Care Education/Training Program | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1214 | 2020-08-28 |
| 1053978403 | Shelli Cross | Registered Nurse | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2019-05-21 |
| 1225695711 | Christa Lynne Creech | Pharmacist | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2019-05-21 |
| 1366007510 | Nikki Jean Whiting | Nurse Practitioner | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2019-05-03 |
| 1629554811 | Gary Sorcher | Physician Assistant | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2018-07-11 |
| 1548756158 | Timothy Lawrence Garvey Jr. | Physician Assistant | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2018-07-06 |
| 1437645223 | Kimberly Ann Romano | Registered Nurse | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2018-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497993695 | Centennial Medical Group | Pathology | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2009-01-26 |
| 1861463044 | John F Dauterman | Pathology | 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811539448 | Pregnancy Care Centers Inc | Pathology | 158 Sw 2nd Ave, Canby, OR 97013-4152 | 2019-10-15 |
| 1477757359 | Julie Daneil Kingery | Pathology | 3710 Sw Us Veterans Hospital Rd, P2path, Portland, OR 97239-2964 | 2007-06-13 |
| 1205049368 | Jo Carolyn Hernandez | Pathology | 4805 Ne Glisan St, Portland, OR 97213-2933 | 2007-05-07 |
| 1245451038 | Xiaohong Cai | Pathology | 4805 Ne Glisan St, Portland, OR 97213-2933 | 2007-05-01 |
| 1982825782 | Franklin Curl | Pathology | 4805 Ne Glisan St, Portland, OR 97213-2933 | 2007-05-01 |
| 1760603567 | Perry Holbrook Howard Jr. | Pathology | 4805 Ne Glisan St, Portland, OR 97213-2933 | 2007-05-01 |
| 1730300641 | Su Wang | Pathology | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2007-05-01 |
| 1275754970 | Jeffrey Harter | Pathology | 4805 Ne Glisan St, Portland, OR 97213-2933 | 2007-05-01 |
| 1447471347 | Laura Mehren | Pathology | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2007-05-01 |
| 1578784369 | James B Durham | Pathology | 4805 Ne Glisan St, Portland, OR 97213-2933 | 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.