COLUMBIA SANDS MEDICAL SPECIALITIES, LLC (NPI# 1679705289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679705289 |
| Entity Type | Organization |
| Organization Name | COLUMBIA SANDS MEDICAL SPECIALITIES, LLC |
| Practice Address |
1245 Nw 4th St Ste 201 Redmond OR 97756-1680 |
| Practice Telephone | 5415266626 |
| Mailing Telephone | 5415266626 |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-10-01 |
| Authorized Official Name | RICHARD W FAWCETT (OWNER) |
| Authorized Official Telephone | 5414080436 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
1245 NW 4TH ST STE 201 |
| City | REDMOND |
| State | OR |
| Zip Code | 97756-1680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144738675 | Katherine Mccarthy | Nurse Practitioner | 1245 Nw 4th St Ste 201, Redmond, OR 97756-1680 | 2018-01-18 |
| 1376076414 | High Desert Women's Care | Clinic/Center | 1245 Nw 4th St Ste 201, Redmond, OR 97756-1680 | 2017-04-05 |
| 1508221094 | Lori Mcrae | Nurse Practitioner | 1245 Nw 4th St Ste 201, Redmond, OR 97756-1680 | 2015-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
| 1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
| 1750778015 | Kelly Gobler | Occupational Therapy Assistant | 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 | 2015-04-23 |
| 1912303934 | Andrea Adams | Pharmacist | 944 Sw Veterans Way, Redmond, OR 97756 | 2014-11-18 |
| 1649670365 | Advantage Dental Clinics LLC | Dentist | 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 | 2014-08-29 |
| 1760891832 | Elizabeth Mae Smith | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2014-08-04 |
| 1700296837 | Heather A Ahlf | Physician Assistant | 1245 Nw Canal Blvd, Redmond, OR 97756 | 2014-04-29 |
| 1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
| 1427396969 | Alison Elizabeth Jackson | Pharmacist | 944 Sw 9th Street, Redmond, OR 97756 | 2013-01-17 |
| 1083964449 | Julie C Plachta | Mechanotherapist | 654 Nw 4th Street, Redmond, OR 97756 | 2012-09-13 |
| Find all providers in zip 97756 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1912257460 | Samaritan Pacific Health Services, Inc. | Internal Medicine | 531 Nw Hwy 101, Suite A, Depoe Bay, OR 97341-9801 | 2012-09-12 |
| 1578812277 | Mid-valley Healthcare, Inc. | Internal Medicine | 100 Mullins Drive, Suite B1, Lebanon, OR 97355 | 2012-09-10 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1548558117 | Jina Tushar Makadia | Internal Medicine | 3181 Sam Jackson Park Road, Mail Code L457, Oregon Health & Science University, Div of Id, Portland, OR 97239-3098 | 2011-07-18 |
| 1417181629 | Phil Holland Alday Jr. | Internal Medicine | 3181 Sw Sam Jackson Park Road L457, Portland, OR 97239-3098 | 2009-05-04 |
| 1851506299 | Melissa Rose Nyendak | Internal Medicine | Oregon Health and Science University, 3181 Sw Sam Jackson Park Road L457, Portland, OR 97239 | 2007-05-11 |
| 1174745418 | Raymond Bracis, Md | Internal Medicine | 1015 Nw 22nd Ave #r200, Portland, OR 97210 | 2007-05-03 |
| 1083758130 | Paul Raymond Cieslak | Internal Medicine | 3007 Ne 53rd Ave, Portland, OR 97213-2439 | 2007-02-19 |
| 1457461022 | Mark Alden Crislip | Internal Medicine | 1015 Nw 22nd, R200, Portland, OR 97210 | 2006-08-30 |
| 1609983766 | Keith B. Riley | Internal Medicine | 990 Se Sunnyside Rd., Clackamas, OR 97015-8970 | 2006-08-24 |
| Find all providers with the same taxonomy | ||||
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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.