UMPQUA VALLEY WOMENS CARE PC (NPI# 1790905859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790905859 |
| Entity Type | Organization |
| Organization Name | UMPQUA VALLEY WOMENS CARE PC |
| Other Organization Name | LA BELLA VITA HEALTH & WELLNESS |
| Practice Address |
2423 Nw Troost St Roseburg OR 97471-1706 |
| Mailing Address |
2423 Nw Troost Street Roseburg OR 97470 |
| Practice Telephone | 5414640788 |
| Practice Fax Number | 5414640789 |
| Mailing Telephone | 5414640788 |
| Mailing Fax Number | 5414640789 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2009-03-13 |
| Authorized Official Name | MR. STEVEN JOEL VANNUCCI (COO/ CFO) |
| Authorized Official Telephone | 5414640788 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
DO21702 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 139406 | 05 | |
| OR | BLUE CROSS | 067743001 | 01 |
| Other Name | Type Code |
|---|---|
| La Bella Vita Health & Wellness | Doing Business As Name - Organization |
| Street Address |
2423 NW TROOST ST |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710969175 | Carl S Schreiner | Otolaryngology | 2423 Nw Troost St, Roseburg, OR 97471-1706 | 2005-11-18 |
| 1659929040 | Randall B Loch Md PC | Otolaryngology | 2423 Nw Troost St, Roseburg, OR 97471-1706 | 2019-08-28 |
| 1932656931 | Nisha Jackson Inc. | Nurse Practitioner | 2423 Nw Troost St, Roseburg, OR 97471-1706 | 2016-09-07 |
| 1629334131 | Randall Beckett Paden Loch | Otolaryngology | 2423 Nw Troost St, Roseburg, OR 97471 | 2012-04-09 |
| 1255667747 | James M Yun Md PC | Otolaryngology | 2423 Nw Troost St, Roseburg, OR 97471-1706 | 2009-10-19 |
| 1407182900 | Carl S Schreiner Md PC | Otolaryngology | 2423 Nw Troost St, Roseburg, OR 97471-1706 | 2009-10-19 |
| 1144273566 | James M Yun | Otolaryngology | 2423 Nw Troost St, Roseburg, OR 97471-1706 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811066822 | Faye E Ameredes | Obstetrics & Gynecology | 2460 Nw Stewart Parkway, Suite 104, Roseburg, OR 97471-1516 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1649775610 | Asma S. Ahmad, Md, LLC | Obstetrics & Gynecology | 4160 Sw Charming Way, Portland, OR 97225-2025 | 2018-03-29 |
| 1780021899 | Grapevine Womens Health and Gynecology, LLC | Obstetrics & Gynecology | 5880 Ne Cornell Rd Ste C, Hillsboro, OR 97124-9075 | 2013-05-30 |
| 1861717290 | Richard Malcolm Thorne | Obstetrics & Gynecology | 1295 Victoria Falls Dr, Redmond, OR 97756-8287 | 2010-03-29 |
| 1194975078 | Mid-columbia Medical Center | Obstetrics & Gynecology | 1730 E. 12th St, The Dalles, OR 97058 | 2008-09-26 |
| 1477729754 | Lithia Women's Healthcare LLC | Obstetrics & Gynecology | 725 N. Main St., Ashland, OR 97520-1752 | 2008-05-06 |
| 1164695953 | Leonard Laskow | Obstetrics & Gynecology | 1939 Tamarack Pl, Ashland, OR 97520-3542 | 2008-04-11 |
| 1164600243 | Northwest Gynecology Associates,llc | Obstetrics & Gynecology | 4660 Ne Belknap Ct Ste 109, Hillsboro, OR 97124-8402 | 2008-01-31 |
| 1033323613 | Laila Raad Sillay | Obstetrics & Gynecology | 9555 Sw Barnes Rd Ste 360, Portland, OR 97225-6617 | 2007-05-10 |
| 1528181625 | Emily Christina Culbert | Obstetrics & Gynecology | 4626 Se Salmon St, Portland, OR 97215-2542 | 2007-04-06 |
| 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.