STEVEN T. BRANTINGHAM (NPI# 1689195505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689195505 |
Entity Type | Individual |
Full Name | STEVEN T. BRANTINGHAM |
Credential | DPM |
Practice Address |
500 5th St Brookings OR 97415-9702 |
Practice Telephone | 5414122000 |
Practice Fax Number | 5414122018 |
Mailing Telephone | 5414122000 |
Mailing Fax Number | 5414122081 |
Enumeration Date | 2017-06-30 |
Last Update Date | 2020-09-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
DP198976 | OR | Podiatric Medicine & Surgery Service Providers |
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
135000952 | IL | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | CURRY MEDICAL CENTER | 1083656367 | 01 |
OR | CURRY GENERAL HOSPITAL | 1487696985 | 01 |
OR | 119263 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
215 E 1st St Ste 310, Dixon, IL 610213190 | (815) 285-5801 | 8152855699 |
Street Address |
500 5TH ST |
City | BROOKINGS |
State | OR |
Zip Code | 97415-9702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245226935 | Stephen W Shea | Orthopaedic Surgery | 500 5th St, Brookings, OR 97415-9702 | 2005-09-27 |
1174167555 | Brian Duncan Sinnott | Physician Assistant | 500 5th St, Brookings, OR 97415-9702 | 2019-10-29 |
1740821453 | Kellie Marie Creaser | Nurse Practitioner | 500 5th St, Brookings, OR 97415-9702 | 2019-10-03 |
1700440856 | Oregon Em-i Medical Services PC | Physician Assistant | 500 5th St, Brookings, OR 97415-9702 | 2019-04-24 |
1073070678 | Lacy Ann Woods | Occupational Therapist | 500 5th St, Brookings, OR 97415-9702 | 2019-03-01 |
1548701600 | Jackie B Michael-havens | Nurse Practitioner | 500 5th St, Brookings, OR 97415-9702 | 2017-03-09 |
1083088199 | Tiffanie Newman | Occupational Therapist | 500 5th St, Brookings, OR 97415-9702 | 2015-12-01 |
1538537469 | Oregon Em-i Medical Services PC | Physician Assistant | 500 5th St, Brookings, OR 97415-9702 | 2015-09-09 |
1457730632 | Harris Beach Emergency Physicians LLC | Emergency Medicine | 500 5th St, Brookings, OR 97415-9702 | 2015-05-21 |
1124443676 | Shana S Stark | Nurse Practitioner | 500 5th St, Brookings, OR 97415-9702 | 2014-02-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013549575 | Christopher Scott Mayo Jr. | Denturist | 937 Chetco Ave Ste. B, Brookings, OR 97415 | 2020-02-12 |
1912564329 | Lori A Burkart | Speech-Language Pathologist | Curry Medical Ctr, 500 5th Street, Brookings, OR 97415 | 2019-05-21 |
1881144178 | Costa Clinical Psychology, LLC | Social Worker | 625 Spruce St., # 7666, Brookings, OR 97415 | 2016-10-11 |
1194173898 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 410 Maple St, Brookings, OR 97415 | 2016-06-03 |
1336595784 | Monica Shaw | Case Manager/Care Coordinator | 412 Alder, Brookings, OR 97415 | 2016-05-04 |
1639531437 | Ian Leonard | Behavioral Analyst | 450 Sb Chetco River Road, Brookings, OR 97415 | 2016-03-22 |
1518201151 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 210 Cove Lane, Brookings, OR 97415 | 2012-11-20 |
1699033365 | Sunlight Family Center, LLC | Clinic/Center | 604 Spruce Street, Brookings, OR 97415 | 2012-05-01 |
1649544784 | Oregon Coast Wellness Inc. | Clinic/Center | 648 Chetco Ave., Brookings, OR 97415 | 2012-03-07 |
1790072544 | Elizabeth A. Nation | Registered Nurse | 96343 Alder Ridge Road, Brookings, OR 97415 | 2011-06-30 |
Find all providers in zip 97415 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841651825 | Tyler Richard Harrell | Podiatrist | 400 22nd Ave, Brookings, SD 57006-2450 | 2016-03-17 |
1659677318 | Foot and Ankle Clinic, PC | Podiatrist | 3405 6th St, Brookings, SD 57006-4417 | 2011-01-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003432204 | Frontier Foot and Ankle Specialists LLC | Podiatrist | 780 2nd St Se # 10, Bandon, OR 97411-8354 | 2020-06-23 |
1710436662 | Hermiston Family Foot Clinic LLC | Podiatrist | 1050 W Elm Ave Ste 170, Hermiston, OR 97838-2715 | 2016-10-03 |
1255784492 | Sunny Sajjad | Podiatrist | 4905 River Rd N, Keizer, OR 97303-4539 | 2016-07-22 |
1285080556 | Sean Westover | Podiatrist | 1227 Ne 7th St Ste A, Grants Pass, OR 97526-1430 | 2016-05-05 |
1659774792 | Heather Keeler | Podiatrist | 1880 Willamette Falls Dr Ste 111, West Linn, OR 97068-4653 | 2014-10-03 |
1386051803 | Southwest Podiatry Center LLC | Podiatrist | 9370 Sw Greenburg Rd Ste 102, Portland, OR 97223-5428 | 2014-07-16 |
1578980694 | Amy Theppote | Podiatrist | 6542 Se Lake Rd Ste 102, Milwaukie, OR 97222-2245 | 2014-03-26 |
1144576224 | Trevor J Haynes | Podiatrist | 39400 Pioneer Blvd Ste 4, Sandy, OR 97055-8000 | 2012-07-26 |
1922379379 | John S Balknap Dpm PC | Podiatrist | 1716 E 12th St, The Dalles, OR 97058-3137 | 2012-01-17 |
1407145568 | Justin T Johnson Dpm Inc. | Podiatrist | 1661 Hwy 99 N Ste 201, Ashland, OR 97520-8900 | 2011-03-29 |
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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.