PHILLIP M DOVE (NPI# 1699966689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699966689 |
| Entity Type | Individual |
| Full Name | PHILLIP M DOVE |
| Practice Address |
51600 Huntington Rd La Pine OR 97739-9626 |
| Mailing Address |
Po Box 3300 La Pine OR 97739-3300 |
| Practice Telephone | 5415363435 |
| Practice Fax Number | 5415368047 |
| Mailing Telephone | 5415363435 |
| Mailing Fax Number | 5415368047 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2013-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD157489 | OR | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD60152937 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500645438 | 05 | |
| WA | PTAN | G8892632 | 01 |
| WA | 2008096 | 05 |
| Street Address |
51600 HUNTINGTON RD |
| City | LA PINE |
| State | OR |
| Zip Code | 97739-9626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912904202 | Martin Lindsey Smart | Family Medicine | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2005-07-01 |
| 1285245761 | Deborah Butcher | Licensed Practical Nurse | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2020-08-10 |
| 1538779301 | Marc Grayson Lewis | Registered Nurse | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2020-08-05 |
| 1922644640 | Kevin Christy | Pharmacist | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2019-11-18 |
| 1053973099 | Brianne Kanehl | Nurse Practitioner | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2019-06-30 |
| 1932609369 | Rachel Gonce | Registered Nurse | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2018-02-12 |
| 1265931000 | Hallie Rebecca Whinnery | Registered Nurse | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2018-02-07 |
| 1114436672 | Thomas Ryan Giles | Physician Assistant | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2017-09-27 |
| 1184146417 | Beth Ellen Erickson | Social Worker | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2017-07-07 |
| 1194180562 | Janice Cody | Nurse Practitioner | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2015-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174910897 | Hannah Noble | Occupational Therapist | 51340 Highway 97 # Or97739, La Pine, OR 97739 | 2015-04-21 |
| 1093145484 | Holly Lassen | Counselor | 51530 Huntington Rd Ste 5, La Pine, OR 97739 | 2013-11-20 |
| 1487899183 | Jennifer Ann Slater | Specialist | 16639 Box Way, Suite A, La Pine, OR 97739 | 2008-12-09 |
| 1003082652 | Jonathan Yang | Dentist | 16475 Bluewood Pl, Lapine, OR 97739 | 2008-05-05 |
| 1104943521 | Total Vision, Inc. | Technician/Technologist | 16487 Bluewood Place, Suite 2, La Pine, OR 97739 | 2007-03-22 |
| 1831243286 | Ronald Otto Nowack | Chiropractor | 16410 3rd St, Ste A, La Pine, OR 97739 | 2007-01-23 |
| 1477613313 | David Kimlin Dunscombe | Dentist | 16440 3rd Street, La Pine, OR 97739 | 2006-12-11 |
| 1740349430 | Joannie J Miller | Nurse Practitioner | 51375 S Huntington Rd, La Pine, OR 97739 | 2006-12-08 |
| 1285677575 | Brice Tyler Stanley | Physician Assistant | 5600 Huntington Rd, Lapine Community Clinic, Lapine, OR 97739 | 2006-06-14 |
| 1922072909 | High Desert Therapy Associates Inc | Hospice Care, Community Based | 51681 Huntington Road, La Pine, OR 97739 | 2006-02-15 |
| Find all providers in zip 97739 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1831708916 | P3 Health Partners-oregon LLC | Internal Medicine | 2525 12th St Se Ste 240250, Salem, OR 97302-2281 | 2020-07-24 |
| 1912521105 | Ehg of Oregon, P.C. | Internal Medicine | 1755 Coburg Rd Unit 502, Eugene, OR 97401-4900 | 2020-06-03 |
| 1770107302 | Vpa PC | Internal Medicine | 1500 Ne 15th Ave Apt 431, Portland, OR 97232-4418 | 2020-05-29 |
| 1285279042 | Gaps Health Or PC | Internal Medicine | 780 Commercial St Se Ste 100, Salem, OR 97301-3465 | 2019-11-15 |
| 1497306468 | David P Larson, Md, LLC | Internal Medicine | 16043 Sw Waxwing Way, Beaverton, OR 97007-8362 | 2019-09-21 |
| 1073167730 | Oregon Adult Medicine PC | Internal Medicine | 2330 Nw Flanders St Ste 201, Portland, OR 97210-3460 | 2019-07-30 |
| 1306303979 | Healthy Connections Hood River LLC | Internal Medicine | 33 Nichols Pkwy # 300, Hood River, OR 97031-3121 | 2019-03-01 |
| 1932679297 | Southern Oregon Medical Clinic LLC | Internal Medicine | 537 Murphy Rd Ste B, Medford, OR 97504-8187 | 2018-11-29 |
| 1891276101 | William Charles Southworth | Internal Medicine | 866 Blaine St.., Ashland, OR 97520 | 2018-08-24 |
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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.