BEVERLEY E PHILLIPSON (NPI# 1790888097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790888097 |
| Entity Type | Individual |
| Full Name | BEVERLEY E PHILLIPSON |
| Credential | M.D. |
| Practice Address |
107 Se Swan Ave Siletz OR 97380 |
| Mailing Address |
Po Box 320 Siletz OR 97380-0320 |
| Practice Telephone | 5414441030 |
| Practice Fax Number | 5414441278 |
| Mailing Telephone | 5414441030 |
| Mailing Fax Number | 5414441278 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
11071 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
107 SE SWAN AVE |
| City | SILETZ |
| State | OR |
| Zip Code | 97380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033324264 | James Peirce Haeg | Family Medicine | 107 Se Swan Ave, Siletz, OR 97380 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740408525 | Mary Ellen Volansky | Dental Hygienist | 107 Se Swan Avenue, Ctsi Dental Clinic, Siletz, OR 97380 | 2007-04-24 |
| 1023131646 | Conrad M Douma Jr. | Counselor | 107 Se Swan, Siletz, OR 97380 | 2007-04-09 |
| 1952403990 | Lisa D Taylor | Registered Nurse | 200 Gwee-shut Road, Siletz, OR 97380 | 2006-09-01 |
| 1083966329 | Lorene Stanger | Optometrist | 200 Gwee-shut Rd, Optometry, Siletz, OR 97380 | 2012-10-10 |
| 1427345826 | Delina Lynn John | Counselor | 200 Gwee-shut Road, Siletz, OR 97380 | 2011-07-06 |
| 1508196718 | Timothy W. Henkels | Nurse Practitioner | 200 Gwee Shut Road, Siletz, OR 97380 | 2010-01-11 |
| 1477747095 | Molly M Francis | Dentist | 107 Se Swan, Siletz, OR 97380 | 2007-08-28 |
| 1477676088 | Janet Wicklund | Counselor | 107 Se Swan, Siletz, OR 97380 | 2007-04-09 |
| 1346363959 | Sandra S Gordon | Counselor | 107 Se Swan, Siletz, OR 97380 | 2007-04-09 |
| 1396868923 | Allen K Nelson | Counselor | 107 Se Swan, Siletz, OR 97380 | 2007-04-09 |
| Find all providers in zip 97380 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1346620408 | Albany General Hospital | Internal Medicine | 1086 7th Avenue Sw, Suite 200, Albanyr, OR 97321-1954 | 2015-06-04 |
| 1164772281 | Sheldon Junior Mckenzie | Internal Medicine | 520 Sw Ramsey Avenue, Suite 205, Grants Pass, OR 97527-0001 | 2012-09-17 |
| 1669731204 | Elena Vladimirovna Varlamov | Internal Medicine | 3181 Sw Sam Jackson Park Road, L607, Portland, OR 97239-3098 | 2012-05-15 |
| 1134486780 | Leah M Wilson | Internal Medicine | 3181 Sw Sam Jackson Park Rd L579, Ohsu, Portland, OR 97239 | 2012-04-20 |
| 1225225113 | James W. Theen, Md PC | Internal Medicine | 935 Town Centre Dr, Suite B, Medford, OR 97504-6172 | 2007-09-25 |
| 1821283631 | Priya Krishnamurthy | Internal Medicine | 960 Liberty St. Se, Suite 170, Salem, OR 97302 | 2007-09-14 |
| 1700983574 | Maria Fleseriu | Internal Medicine | 3181 Sw Sam Jackson Park Rd # Bte472, Portland, OR 97239-3011 | 2006-09-20 |
| 1306894647 | Rogue Endocrinology and Metabolic Clinic | Internal Medicine | 3144 State St, Medford, OR 97504-8450 | 2006-05-05 |
| 1992768592 | Irina Robinson | Internal Medicine | 3615 Nw Samaritan Dr Ste G2, Corvallis, OR 97330-3783 | 2006-04-06 |
| 1508852252 | Patricia Shannon Hopson | Internal Medicine | 3680 Nw Samaritan Dr, Corvallis, OR 97330 | 2005-09-27 |
| 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.