ELISA ANN PEAVEY (NPI# 1740508480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740508480 |
| Entity Type | Individual |
| Full Name | ELISA ANN PEAVEY |
| Credential | D.O. |
| Practice Address |
1219 Sw 4th Ave Unit 2 Ontario OR 97914-4500 |
| Mailing Address |
732 Lilac St Fruitland ID 83619-5026 |
| Practice Telephone | 5418892229 |
| Mailing Telephone | 2085596150 |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2013-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DO161883 | OR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1219 SW 4TH AVE UNIT 2 |
| City | ONTARIO |
| State | OR |
| Zip Code | 97914-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104895705 | James T Roth | Obstetrics & Gynecology | 1219 Sw 4th Ave Unit 2, Ontario, OR 97914-4500 | 2006-03-16 |
| 1316402258 | Valley Family Health Care, Inc | Family Medicine | 1219 Sw 4th Ave Unit 2, Ontario, OR 97914-4500 | 2019-02-05 |
| 1235507310 | Erika Johnson | Advanced Practice Midwife | 1219 Sw 4th Ave Unit 2, Ontario, OR 97914-4500 | 2015-09-08 |
| 1396159125 | Daisy L Miller | Family Medicine | 1219 Sw 4th Ave Unit 2, Ontario, OR 97914-4500 | 2014-06-19 |
| 1144668534 | Peavey Medical PC | Family Medicine | 1219 Sw 4th Ave Unit 2, Ontario, OR 97914-4500 | 2013-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467925420 | The Family Place D/b/a Tfp Services Therapeutic | Case Manager/Care Coordinator | 390 Ne 2nd St., Ontario, OR 97914 | 2019-01-02 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1700334117 | Arlene Schwenke | Social Worker | 686 Nw 9th St., Ontario, OR 97914 | 2016-09-14 |
| 1871990408 | Sally Melissa Sluder | Nurse Practitioner | 351 Sw 9th Ave, Ontario, OR 97914 | 2014-11-25 |
| 1932460870 | E Patricia Jeanne Engel | Surgery | 1050 Sw 3rd Ave Ste 2600, Ontario, OR 97914 | 2012-06-07 |
| 1487946521 | Tyler Jepson | Physical Therapist | 1182 Sw 4th Avenue, Ontario, OR 97914 | 2011-05-09 |
| 1255641577 | Cami Lyn Rebmann | Pharmacist | 728 S 4th Ave, Ontario, OR 97914 | 2010-10-20 |
| 1295051126 | Project Dove | Case Manager/Care Coordinator | 915-02 Sw 2nd Ave, Ontario, OR 97914 | 2010-04-16 |
| 1467666024 | Tfp Therapeutic Service, Inc. | Counselor | 390 Ne 2nd Street, Ontario, OR 97914 | 2007-05-10 |
| 1639381569 | Emeritus Corporation | Assisted Living Facility | 1372 Southwest 8th Avenue, Ontario, OR 97914 | 2007-05-04 |
| Find all providers in zip 97914 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629603972 | Sau Thong | Family Medicine | 1109 W Francis St Apt D, Ontario, CA 91762-6188 | 2020-03-06 |
| 1023572401 | Julie Elizabeth Burkhart | Family Medicine | 715 Richland Mall Ste A, Ontario, OH 44906-3802 | 2019-01-30 |
| 1386149391 | Chase William Gulstrom | Family Medicine | 3430 E 4th St Unit 3041, Ontario, CA 91764-5066 | 2018-03-30 |
| 1326579525 | Rancho Physicians Choice A Medical Corporation | Family Medicine | 1871 E 4th St, Ontario, CA 91764-2601 | 2017-03-21 |
| 1619215373 | Norman Richard Loomis | Family Medicine | 7736 Tamarack Ln, Ontario, NY 14519-9536 | 2013-01-30 |
| 1578816120 | Sana Medical Clinic Inc | Family Medicine | 1435 S Grove Ave Ste 8, Ontario, CA 91761-4590 | 2012-10-19 |
| 1386919397 | Paul None Dest | Family Medicine | 1545 North Cypress Ave, Ontario, CA 91762-1215 | 2012-03-09 |
| 1750651485 | David Duc Diep | Family Medicine | 2295 S. Vineyard Ave, Medical Office Building A - Family Medicine, Ontario, CA 91761 | 2012-01-11 |
| 1447561162 | Ontario Family Medical Center Inc | Family Medicine | 3700 E. Inland Empire Blvd, Suite 250, Ontario, CA 91764-4906 | 2010-06-28 |
| 1306026091 | Vernon E Barton Md PC | Family Medicine | 915 Sw 3rd Ave, Ontario, OR 97914-2124 | 2007-11-09 |
| Find all providers in ONTARIO | ||||
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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.