DR. STEPHEN E FITCH (NPI# 1679586234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679586234 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN E FITCH |
| Credential | D.O. |
| Practice Address |
Skyline Medical Office, 5125 Skyline Rd, S Kaiser Permanente Salem OR 97306-9427 |
| Mailing Address |
Kaiser Permanente Skyline Medical Office 5125 Skyline Rd, S Salem OR 97306-9427 |
| Practice Telephone | 5035885985 |
| Practice Fax Number | 5035885957 |
| Mailing Telephone | 5035885985 |
| Mailing Fax Number | 5035885957 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
1459 | WV | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
34170 | CO | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2705 | AK | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2692 | OK | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A778-83 | NM | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
DO22418 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104851963 | Stephen M. Fitch | Psychologist | 1601 Carmen Drive, Suite #111, Camarillo, CA 93010-3103 | 2006-07-11 |
| 1538109574 | Stephen Fitch | Internal Medicine | 4100 Lake Dr Se, S-200, Grand Rapids, MI 49546-8292 | 2006-06-07 |
| Street Address |
SKYLINE MEDICAL OFFICE, 5125 SKYLINE RD, S KAISER PERMANENTE |
| City | SALEM |
| State | OR |
| Zip Code | 97306-9427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609050 | Andrea P Merryman | Dental Assistant | 5135 Skyline Rd South, Salem, OR 97306 | 2018-08-20 |
| 1215470315 | Anthony Quoc Ngo | Nurse Practitioner | 5050 Skyline Village Loop, Salem, OR 97306 | 2016-11-22 |
| 1134521305 | Wendy Poling | Occupational Therapy Assistant | 1966 Madras St Se Apt 1082, Salem, OR 97306 | 2014-09-19 |
| 1659601045 | Monarch Medical Group LLC | Clinic/Center | 5686 Commercial St Se, Suite 100, Salem, OR 97306 | 2010-01-06 |
| 1316188006 | Judith A Mitchell | Physician Assistant | 4999 Skyline Rd. S., Salem, OR 97306 | 2009-03-10 |
| 1164685574 | Leon Chira | Pharmacist | 2431 Concomly Rd S, Salem, OR 97306 | 2008-07-07 |
| 1912175035 | Salem Clinic, PC | General Practice | 2531 Boone Road Se, Salem, OR 97306 | 2008-02-11 |
| 1326257486 | Robert Allen Long | Physical Therapist | 6250 Commercial St N.e., Salem, OR 97306 | 2007-05-22 |
| 1922137504 | Charlene Garbutt | Dental Assistant | 5135 Skyline Rd. S., Salem, OR 97306 | 2007-03-02 |
| 1417085747 | Michelle West | Dental Assistant | 5135 Skyline R S, Salem, OR 97306 | 2007-02-28 |
| Find all providers in zip 97306 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730357617 | Ralph E Adams | Radiology | 3506 Cherokee Dr S, Salem, OR 97302-9712 | 2008-02-13 |
| 1760565303 | Piper Rooke | Radiology | 1165 Union St Ne Ste 100, Salem, OR 97301-4693 | 2006-10-24 |
| 1053330639 | Robert S Andrews | Radiology | 11 Coxswain Pl, Salem, SC 29676-4442 | 2006-07-18 |
| 1093731440 | Kenneth H Elson | Radiology | 755 Honeysuckle Rd, Salem, VA 24153-2745 | 2006-07-15 |
| 1306893979 | Mission Medical Imaging | Radiology | 1155 Mission St Se, Suite 105, Salem, OR 97302-6228 | 2006-05-28 |
| 1417908757 | Jose Novoa | Radiology | 2925 Ryan Dr Se, Salem, OR 97301-9687 | 2006-05-12 |
| 1093779282 | Edwin Yen Wang | Radiology | 698 12th St Se Ste 145, Salem, OR 97301 | 2006-04-14 |
| 1548247901 | Placido De Guzman | Radiology | 1970 Roanoke Blvd., Salem, VA 24153-6404 | 2005-12-28 |
| 1215924089 | Salem Radiology Associates | Radiology | 310 Woodstown Rd, Salem, NJ 08079-2064 | 2005-10-05 |
| 1770578742 | James Johnston | Radiology | 31 Stiles Rd, Ste 1200, Salem, NH 03079-2897 | 2005-09-15 |
| Find all providers in SALEM | ||||
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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.