DR. ANTON ERIKOVICH LOTMAN (NPI# 1730173691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730173691 |
| Entity Type | Individual |
| Full Name | DR. ANTON ERIKOVICH LOTMAN |
| Credential | M.D. |
| Practice Address |
1900 Woodland Drive Coos Bay OR 97420-0000 |
| Practice Telephone | 5412675151 |
| Practice Fax Number | 5412664553 |
| Mailing Telephone | 5412675151 |
| Mailing Fax Number | 5412664553 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2010-03-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
26134 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MEDICARE GROUP NPI | 1407812365 | 01 |
| OR | TAX ID | 930635514 | 01 |
| OR | TAX ID# | 930802343 | 01 |
| OR | MEDICARE GROUP PIN | R0000WFBTV | 01 |
| OR | 026822 | 05 |
| Street Address |
1900 WOODLAND DRIVE |
| City | COOS BAY |
| State | OR |
| Zip Code | 97420-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649277450 | Linda L Bufton | Psychiatry & Neurology | 1900 Woodland Drive, Coos Bay, OR 97420-0000 | 2005-07-07 |
| 1528166287 | William Wallace Webster | Allergy & Immunology | 1900 Woodland Drive, Coos Bay, OR 97420-0000 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880606 | Danielle Goette | Massage Therapist | 320 Central Ave Suite 226, Coos Bay, OR 97420 | 2020-01-14 |
| 1730643735 | Nicole Hand-therapeutic Massage | Massage Therapist | 3229 Broadway Avenue, Suite D, Coos Bay, OR 97420 | 2019-01-24 |
| 1528531100 | A Better Reality | Clinic/Center | 2690 N. 17th Sstreet, Coos Bay, OR 97420 | 2019-01-07 |
| 1396216883 | Elizabeth Rose Stephens | Health Educator | 97381 Newport Lane, Coos Bay, OR 97420 | 2018-12-10 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1285091884 | Richard T Rigney | Counselor | 62754 Karl Road, Coos Bay, OR 97420 | 2016-01-27 |
| 1821493032 | James Thomas Agee | Pharmacist | 2051 Newmark Avenue, Walmart Pharmacy 1880, Coos Bay, OR 97420 | 2014-10-30 |
| 1346663895 | Steven D. Richardson D.m.d. L.l.c | Dentist | 1835 Ocean Blvd Se, Coos Bay, OR 97420 | 2014-02-03 |
| 1144669243 | Michael Jason Cole | Pharmacist | 1020 South First Ave, Coos Bay, OR 97420 | 2013-06-21 |
| 1639518053 | Jonathan Thomas Small | Physical Therapist | 2645 North 17th St, Coos Bay, OR 97420 | 2013-06-19 |
| Find all providers in zip 97420 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245237908 | James Paul Kowall | Psychiatry & Neurology | 1925 Thompson Rd, Coos Bay, OR 97420-2040 | 2005-07-07 |
| 1649277450 | Linda L Bufton | Psychiatry & Neurology | 1900 Woodland Drive, Coos Bay, OR 97420-0000 | 2005-07-07 |
| 1114049640 | Oregon Coast Neurology Clinic | Psychiatry & Neurology | 1925 Thompson Rd, Coos Bay, OR 97420-2040 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639690704 | Tuality Medical Group LLC | Psychiatry & Neurology | 364 Se 8th Ave Ste 101, Hillsboro, OR 97123-4243 | 2017-06-29 |
| 1659891455 | Weller Neurology LLC | Psychiatry & Neurology | 24900 Se Stark St Ste 211, Gresham, OR 97030-3382 | 2017-06-22 |
| 1750739132 | Neil William Douglas Thomas | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Road, Cr131, Oregon Health and Science University, Portland, OR 97239 | 2016-05-26 |
| 1205283462 | Candice Kam | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Road, Cr-131s, Portland, OR 97239 | 2016-05-18 |
| 1487073789 | Tracy Bazan | Psychiatry & Neurology | 10330 Se 32nd Ave Ste 226, Milwaukie, OR 97222-6699 | 2014-04-15 |
| 1881937050 | Michael Saul Farris | Psychiatry & Neurology | Ohsu-3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2013-04-05 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1831460377 | Dennis B Smith | Psychiatry & Neurology | 827 Nw 25th Ave, Portland, OR 97210-3808 | 2012-01-13 |
| 1790078608 | George Reeves Throop IIi | Psychiatry & Neurology | 1142 Nw Scenic Dr, Albany, OR 97321-9669 | 2011-05-25 |
| 1992000228 | Ruchi J Wanchoo | Psychiatry & Neurology | 19260 Sw 65th Ave Ste 280, Tualatin, OR 97062 | 2011-01-18 |
| 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.