MED INFO SERVICES, LLC (NPI# 1811192792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811192792 |
| Entity Type | Organization |
| Organization Name | MED INFO SERVICES, LLC |
| Other Organization Name | WILLAMETTE HEART |
| Practice Address |
348 S Pine St Carlton OR 97111-1228 |
| Practice Telephone | 5034720101 |
| Practice Fax Number | 5034726363 |
| Mailing Telephone | 5034720101 |
| Mailing Fax Number | 5034726363 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-01-16 |
| Authorized Official Name | DR. ALAN W HURTY II (PRESIDENT/MEMBER) |
| Authorized Official Telephone | 5034720101 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
18801 | OR | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Willamette Heart | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MED INFO SERVICES, LLC | 348 S Pine St, Carlton, OR 97111 |
| Street Address |
348 S PINE ST |
| City | CARLTON |
| State | OR |
| Zip Code | 97111-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346507746 | Verdura Family Wellness, Inc | Clinic/Center | 348 S Pine St, Carlton, OR 97111-1228 | 2012-04-23 |
| 1043577869 | Verdura Family Wellness, Inc | Family Medicine | 348 S Pine St, Carlton, OR 97111-1228 | 2012-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922480656 | Tia J Baxter | Massage Therapist | 500 N Gilwood St, Carlton, OR 97111 | 2015-06-18 |
| 1295031870 | Carlton Dental | Dentist | 133 E. Main St., Carlton, OR 97111 | 2011-01-31 |
| 1518966423 | Mark A. Miller | Dentist | 133 E Main, Carlton, OR 97111 | 2005-07-21 |
| 1134573843 | Jacqueline Gambee | Dentist | 133 E Main St, Carlton, OR 97111 | 2016-04-19 |
| 1275912560 | Carlton Dental, LLC | Dentist | 133 E Main St, Carlton, OR 97111 | 2015-05-20 |
| 1568587194 | Jeremiah W Cook | Massage Therapist | 310 S 3rd St, Carlton, OR 97111-0610 | 2007-03-20 |
| 1801155320 | Nichole Alexandria Pilakowski | Veterinarian | 230 S Pine St, Carlton, OR 97111-1169 | 2012-05-04 |
| 1033666730 | Jennifer Kelley | Counselor | 712 N 8th St, Carlton, OR 97111-1233 | 2016-09-09 |
| 1942849872 | Carlton Wellness Studio LLC | Massage Therapist | 455 W Main St, Carlton, OR 97111-8904 | 2019-12-23 |
| 1851623888 | Christina Michelle Perdew | Specialist | 455 W Main St, Carlton, OR 97111-8904 | 2010-02-01 |
| Find all providers in zip 97111 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1982969820 | Samaritan Pacific Health Services, Inc. | Internal Medicine | 1010 Sw Coast Hwy Ste 101, Newport, OR 97365-5239 | 2012-07-06 |
| 1922362243 | Albany General Hospital | Internal Medicine | 631 Elm St Sw Ste 201, Albany, OR 97321-1952 | 2012-07-02 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1225309685 | Patrick Bergin | Internal Medicine | 1794 Sweetbriar Ln, Eugene, OR 97405-4457 | 2012-01-17 |
| 1154646610 | Theodore Allen Foster IIi | Internal Medicine | 1003 Providence Dr Ste 325, Newberg, OR 97132-7521 | 2010-03-28 |
| 1164755534 | Richard E. Romm M.d., LLC | Internal Medicine | 2082 Dogwood Dr, Eugene, OR 97405-7007 | 2009-09-16 |
| 1568699932 | Arjun K. Chagarlamudi | Internal Medicine | 777 Commercial St. Se, Suite 130, Salem, OR 97301 | 2009-06-12 |
| 1518103274 | Centennial Medical Group Inc. | Internal Medicine | 201 Nw Medical Loop Ste 190, Roseburg, OR 97471-8835 | 2008-12-31 |
| 1124281423 | Jane Tuyet Luu | Internal Medicine | 2222 Nw Lovejoy St Ste 606, Portland, OR 97210-5104 | 2008-07-07 |
| 1760692529 | Shaun Lowell Ageno | Internal Medicine | 3181 Sw Sam Jackson Park Rd # Uhn-62, Portland, OR 97239-3011 | 2007-05-23 |
| 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.