MEDFORD EAR NOSE AND THROAT CLINIC PC (NPI# 1669490546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669490546 |
| Entity Type | Organization |
| Organization Name | MEDFORD EAR NOSE AND THROAT CLINIC PC |
| Other Organization Name | OREGON EAR NOSE AND THROAT CENTER |
| Practice Address |
1170 Royal Ave Medford OR 97504-6101 |
| Practice Telephone | 5417797331 |
| Practice Fax Number | 5417793522 |
| Mailing Telephone | 5417797331 |
| Mailing Fax Number | 5417793522 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-12-06 |
| Authorized Official Name | SANDRA LEA LEE (FINANCE MANAGER) |
| Authorized Official Telephone | 5417797331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Oregon Ear Nose and Throat Center | Doing Business As Name - Organization |
| Street Address |
1170 ROYAL AVE |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265410211 | Jonathan H Lee | Otolaryngology | 1170 Royal Ave, Medford, OR 97504-6101 | 2006-01-09 |
| 1720687072 | Amanda Lucille Mueller | Audiologist-Hearing Aid Fitter | 1170 Royal Ave, Medford, OR 97504-6101 | 2020-10-19 |
| 1326693094 | Erik Richard Fladmo | Physician Assistant | 1170 Royal Ave, Medford, OR 97504-6101 | 2019-08-08 |
| 1700298916 | Laura E Robinson | Audiologist | 1170 Royal Ave, Medford, OR 97504-6101 | 2014-05-21 |
| 1124396544 | Valley Plastic Surgery, LLC | Clinic/Center | 1170 Royal Ave, Medford, OR 97504-6101 | 2011-12-13 |
| 1669779096 | Amanda Omielam Meyers | Audiologist | 1170 Royal Ave, Medford, OR 97504-6101 | 2011-02-21 |
| 1811158884 | Joseph Capt Clarke | Otolaryngology | 1170 Royal Ave, Medford, OR 97504-6101 | 2008-06-22 |
| 1912057134 | Stephen F Lovich LLC | Plastic Surgery | 1170 Royal Ave, Medford, OR 97504-6101 | 2007-01-11 |
| 1164586939 | Jeffrey P Rice | Audiologist-Hearing Aid Fitter | 1170 Royal Ave, Medford, OR 97504-6101 | 2006-12-19 |
| 1366532442 | Stephen Lovich | Plastic Surgery | 1170 Royal Ave, Medford, OR 97504-6101 | 2006-10-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265410211 | Jonathan H Lee | Otolaryngology | 1170 Royal Ave, Medford, OR 97504-6101 | 2006-01-09 |
| 1811158884 | Joseph Capt Clarke | Otolaryngology | 1170 Royal Ave, Medford, OR 97504-6101 | 2008-06-22 |
| 1598839821 | Harold Gregory Ota | Otolaryngology | 101 Main St, Suite 216, Medford, MA 02155-4540 | 2006-11-20 |
| 1952327280 | Elizabeth H Steele | Otolaryngology | 1170 Royal Ave, Medford, OR 97504-6101 | 2006-07-13 |
| 1972529212 | Jay B Reeck | Otolaryngology | 1170 Royal Ave, Medford, OR 97504-6101 | 2006-07-13 |
| 1619993953 | David W Chambers | Otolaryngology | 1170 Royal Ave, Medford, OR 97504-6101 | 2006-07-13 |
| 1194741439 | Sean J Traynor | Otolaryngology | 1170 Royal Ave, Medford, OR 97504-6101 | 2006-07-13 |
| 1194716308 | David Marsh Bowling | Otolaryngology | 101 Main St, Suite 211, Medford, MA 02155-4540 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1104289933 | Ci An Gerald Tay | Otolaryngology | 3181 Sw Sam Jackson Park Rd, Pv01, Portland, OR 97239 | 2016-03-30 |
| 1922471291 | Caitlin Bertelsen | Otolaryngology | 3303 Sw Bond Ave Ste 15, Portland, OR 97239-4501 | 2015-11-08 |
| 1326467812 | Tyler Scott Weaver | Otolaryngology | 1508 Division St Ste 115, Oregon City, OR 97045-1584 | 2014-04-10 |
| 1013286822 | Lawrence Thomas Eschelman | Otolaryngology | 3585 Cherokee Dr S, Salem, OR 97302-9712 | 2011-12-22 |
| 1962708578 | John A Lindgren, Md PC | Otolaryngology | 9155 Sw Barnes Rd Ste 401, Portland, OR 97225-6631 | 2011-01-28 |
| 1558674861 | Lucas Rein Rudmik | Otolaryngology | 3720 Sw Bond Ave Unit 2210, Portland, OR 97239-4577 | 2010-07-16 |
| 1134447741 | Aleen J Lee | Otolaryngology | 9280 Se Sunnybrook Blvd Ste 300, Clackamas, OR 97015 | 2010-05-06 |
| 1811164262 | Carrie Maiorana Brown | Otolaryngology | 24076 Se Stark St Ste 230, Gresham, OR 97030 | 2008-05-14 |
| 1114193448 | Ryan Jeffrey Li | Otolaryngology | 3181 Sw Sam Jackson Park Rd # 01, Portland, OR 97239-3011 | 2008-05-06 |
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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.