DOUGLAS EDWARD ANDERSON (NPI# 1841294774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841294774 |
| Entity Type | Individual |
| Full Name | DOUGLAS EDWARD ANDERSON |
| Credential | MD |
| Practice Address |
2801 Nw Mercy Dr Ste 300 Roseburg OR 97471-2348 |
| Mailing Address |
201 Nw Medical Loop Ste 190 Roseburg OR 97471-8835 |
| Practice Telephone | 5416771555 |
| Practice Fax Number | 5416772113 |
| Mailing Telephone | 5416774319 |
| Mailing Fax Number | 5416772294 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2020-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD192562 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6009 Pentz Rd, Ste C, Paradise, CA 959695542 | 5308721578 | 5308723825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497183396 | Douglas Anderson | Occupational Therapy Assistant | 234 Carney St, Twin Falls, ID 83301-5010 | 2013-10-31 |
| 1639417983 | Douglas Alan Anderson | Internal Medicine | 11942 N 95th St, Scottsdale, AZ 85260-7133 | 2013-01-22 |
| 1184900292 | Douglas M Anderson | Pharmacist | 13 Lafayette St, Saco, ME 04072-2022 | 2011-11-02 |
| 1467667741 | Douglas M Anderson | Pharmacist | 4510 Jubilee Ct, Powder Springs, GA 30127-4946 | 2007-05-11 |
| 1972718310 | Douglas W Anderson | Dentist | 18160 Cottonwood Rd, Pmb 258, Sunriver, OR 97707 | 2007-05-11 |
| 1821157918 | Douglas M Anderson | Dentist | 2651 W South Jordan Pkwy Ste 201, South Jordan, UT 84095-8966 | 2006-12-06 |
| 1568565109 | Douglas M Anderson | Social Worker | 701 Richmond Ave, Houston, TX 77006-5511 | 2006-09-07 |
| 1699788307 | Douglas A Anderson | Chiropractor | 12510 W 62nd Terrace, Ste #101, Shawnee, KS 66216 | 2006-08-14 |
| 1477554095 | Douglas Calvin Anderson Jr. | Pharmacist | 1712a E Broad Ave, East Albany Medical Center, Albany, GA 31705-2611 | 2005-08-04 |
| 1750381851 | Douglas L Anderson | Psychologist | 2109 S Norton Ave, Sioux Falls, SD 57105-3730 | 2005-07-29 |
| Street Address |
2801 NW MERCY DR STE 300 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-2348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144885575 | Michael Peterson | Physician Assistant | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471-2348 | 2019-05-01 |
| 1417225939 | Ibrahim Osman | Internal Medicine | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471 | 2011-12-12 |
| 1932499373 | Deepika Narasimha | Internal Medicine | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471-2348 | 2011-04-18 |
| 1265745715 | Ashraf Abusara | Internal Medicine | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471-2348 | 2010-07-26 |
| 1033365135 | Centennial Medical Group Inc. | Internal Medicine | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471-2348 | 2008-08-08 |
| 1720278922 | Ortho Spine LLC | Orthopaedic Surgery | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97470-2348 | 2007-07-25 |
| 1285753160 | Courtney Rae Virgilio | Internal Medicine | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471-2348 | 2007-03-29 |
| 1639174527 | Dana M Finch | Nurse Practitioner | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471 | 2005-06-16 |
| 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 | 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 |
|---|---|---|---|---|
| 1518103274 | Centennial Medical Group Inc. | Internal Medicine | 201 Nw Medical Loop Ste 190, Roseburg, OR 97471-8835 | 2008-12-31 |
| 1497820583 | Frances C Munkenbeck Md PC | Internal Medicine | 2700 Nw Stewart Parkway 200, Roseburg, OR 97470 | 2006-11-22 |
| 1639275712 | Lifetime Health Clinic | Internal Medicine | 868 Northwest Garden Valley Boulevard, Roseburg, OR 97470-1959 | 2006-09-15 |
| 1417225939 | Ibrahim Osman | Internal Medicine | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471 | 2011-12-12 |
| 1730308529 | Roseburg Heart Associates PC | Internal Medicine | 2700 Nw Stewart Pkwy, Suite 200, Roseburg, OR 97470-1281 | 2007-04-24 |
| 1285753160 | Courtney Rae Virgilio | Internal Medicine | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471-2348 | 2007-03-29 |
| 1932284528 | Gary Bronstein | Internal Medicine | 2801 Nw Mercy Dr, Suite 300, Roseburg, OR 97471-2348 | 2006-10-25 |
| 1083703078 | Cynthia Brownson Kremser | Internal Medicine | 489 Cherokee Ave, Roseburg, OR 97470-9534 | 2006-10-11 |
| 1992728760 | Leslie Vernor Walker | Internal Medicine | 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 | 2006-07-25 |
| 1093786261 | Frederic J Van Dis | Internal Medicine | 2801 Nw Mercy Dr, Ste. 300, Roseburg, OR 97471 | 2006-01-27 |
| Find all providers in ROSEBURG | ||||
Please comment or provide details below to improve the information on DOUGLAS EDWARD ANDERSON.
| 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.