PATH TO AWARENESS PC (NPI# 1811484603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811484603 |
| Entity Type | Organization |
| Organization Name | PATH TO AWARENESS PC |
| Practice Address |
809 E Jackson St Medford OR 97504-6713 |
| Mailing Address |
Po Box 503010 White City OR 97503-0813 |
| Practice Telephone | 5417870498 |
| Practice Fax Number | 5412453549 |
| Mailing Telephone | 5419417792 |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2020-03-31 |
| Authorized Official Name | TRACY GONZALEZ (BILLING MANAGER) |
| Authorized Official Telephone | 5419417792 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD28568 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2239 Ne Doctors Dr Ste 110, Bend, OR 977017185 | 5412453614 | 5412453549 |
| Street Address |
809 E JACKSON ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164598363 | Virginia Jaschke | Psychiatry & Neurology | 809 E Jackson St, Medford, OR 97504-6713 | 2006-11-28 |
| 1003362617 | Juliana Ayres | Nurse Practitioner | 809 E Jackson St, Medford, OR 97504 | 2016-09-01 |
| 1013276757 | Lauren Rene Bellenbaum | Counselor | 809 E Jackson St, Medford, OR 97504 | 2012-05-15 |
| 1144428855 | Jeffrey Patrick Fry | Psychologist | 809 E Jackson St, Medford, OR 97504-6713 | 2007-07-03 |
| 1881729945 | Chad Tee Brown | Psychiatry & Neurology | 809 E Jackson St, Medford, OR 97504-6713 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1215447008 | Jacqueline Amato, Md PC | Psychiatry & Neurology | 841 Alder Creek Dr, Medford, OR 97504-8900 | 2017-10-05 |
| 1982069357 | Ferguson and Pitch Tms Medical Associates Pllc | Psychiatry & Neurology | 1739-a North Ocean Ave, Medford, NY 11763-2683 | 2015-12-29 |
| 1295175347 | Nicole Shirvani | Psychiatry & Neurology | 691 Murphy Rd Ste 218, Medford, OR 97504-4311 | 2013-07-02 |
| 1487908927 | Jeffrey D. Thompson, Md, PC | Psychiatry & Neurology | 18 Myrtle St Ste 102, Medford, OR 97504-7471 | 2012-11-06 |
| 1033404785 | Akshar Health Associates, LLC | Psychiatry & Neurology | 15 Somerton Sq, Medford, NJ 08055-3366 | 2011-06-10 |
| 1073835377 | Center for Senior Wellness, Francis R. Murphy, M.d., LLC | Psychiatry & Neurology | 105 Atsion Rd Unit H, Medford, NJ 08055-1352 | 2010-02-27 |
| 1821257841 | Gail Alexander | Psychiatry & Neurology | 1005 East Main St, Medford, OR 97504 | 2008-06-05 |
| 1881868933 | Margo Christiane Funk | Psychiatry & Neurology | 691 Murphy Rd, Suite 218, Asante Physician Partners, Medford, OR 97504 | 2008-04-19 |
| 1902003080 | Sunny Kim | Psychiatry & Neurology | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2007-07-02 |
| Find all providers in MEDFORD | ||||
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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.