IDA B. SKINNER (NPI# 1801914734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801914734 |
| Entity Type | Individual |
| Full Name | IDA B. SKINNER |
| Credential | RNFA |
| Practice Address |
3615 Nw Samaritan Dr Suite 201 Corvallis OR 97330-3783 |
| Practice Telephone | 5417685930 |
| Mailing Telephone | 5417685930 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP2800X |
Clinical Nurse Specialist Specialization: Perioperative |
180151 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 090487 | 05 |
| Street Address |
3615 NW SAMARITAN DR SUITE 201 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-3783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316944572 | Anthony Charlies De Mory | Internal Medicine | 3615 Nw Samaritan Dr, Suite 203, Corvallis, OR 97330-3783 | 2005-07-02 |
| 1154763050 | Michelle Renae-pippel Keller | Physician Assistant | 3615 Nw Samaritan Dr, Suite 210, Corvallis, OR 97330-3783 | 2013-07-22 |
| 1063771152 | Good Samaritan Hospital Corvallis | Neurological Surgery | 3615 Nw Samaritan Dr, Suite 211, Corvallis, OR 97330-3783 | 2012-05-09 |
| 1144596479 | Good Samaritan Hospital Corvallis | Surgery | 3615 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-3783 | 2012-03-30 |
| 1528395969 | Crystal M Buglino | Physician Assistant | 3615 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-3783 | 2009-11-05 |
| 1073749396 | Poojitha Reddy Beravol | Internal Medicine | 3615 Nw Samaritan Dr, Suite 203, Corvallis, OR 97330-3783 | 2009-06-01 |
| 1306976022 | Frank Clifford Roberson | Neurological Surgery | 3615 Nw Samaritan Dr, Suite 210, Corvallis, OR 97330-3783 | 2007-03-06 |
| 1942343025 | Jacqueline D Joss | Pharmacist | 3615 Nw Samaritan Dr, Suite 103, Corvallis, OR 97330-3783 | 2007-02-15 |
| 1326148552 | Christopher Michael Weinman | Physician Assistant | 3615 Nw Samaritan Dr, Suite 210, Corvallis, OR 97330-3783 | 2006-09-25 |
| 1477599058 | Steven K. Goodwin | Neurological Surgery | 3615 Nw Samaritan Dr, Suite 211, Corvallis, OR 97330-3783 | 2006-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 364SP2800X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Perioperative |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861420655 | Linda M. White | Clinical Nurse Specialist | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417171836 | Claudia Renee Flaiz | Clinical Nurse Specialist | 610 Nw 11th St, Ste. E21, Hermiston, OR 97838-6601 | 2007-04-13 |
| 1972661338 | Julianna Tomlinson | Clinical Nurse Specialist | 2668 Montara Dr, Medford, OR 97504-2170 | 2006-12-05 |
| 1508924473 | Mary E. Resler | Clinical Nurse Specialist | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2006-12-04 |
| 1598793952 | M. Dennis Smith | Clinical Nurse Specialist | 55 Twin Oaks Ave, Suite C, Lebanon, OR 97355-2864 | 2006-06-28 |
| 1407894389 | Stephen Paul Patten | Clinical Nurse Specialist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2006-06-03 |
Please comment or provide details below to improve the information on IDA B. SKINNER.
| 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.