ONCOLOGY OF SOUTHERN OREGON LLC (NPI# 1861459828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861459828 |
| Entity Type | Organization |
| Organization Name | ONCOLOGY OF SOUTHERN OREGON LLC |
| Practice Address |
748 State St Medford OR 97504-8473 |
| Practice Telephone | 5412828888 |
| Practice Fax Number | 5412828898 |
| Mailing Telephone | 5412828888 |
| Mailing Fax Number | 5412828898 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2008-05-20 |
| Authorized Official Name | NANCY A NOYCE (ADMINISTRATOR) |
| Authorized Official Telephone | 5417725282 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | DEMERC | 3988910001 | 01 |
| OR | 227273 | 05 |
| Street Address |
748 STATE ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811962400 | Jeffrey S Rinkoff | Ophthalmology | 748 State St, Medford, OR 97504-8473 | 2006-02-17 |
| 1700204088 | Rocio Isabel Diaz Sanjur | Ophthalmology | 748 State St, Medford, OR 97504-8473 | 2014-04-03 |
| 1982915344 | Adam Christopher Aufderheide | Ophthalmology | 748 State St, Medford, OR 97504-8473 | 2010-06-30 |
| 1568422053 | Jeffrey S Rinkoff Md LLC | Optometrist | 748 State St, Medford, OR 97504-8473 | 2006-03-27 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962469585 | Alison Diana Savage | Internal Medicine | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2006-04-27 |
| 1487618328 | Aleksandra Simic Sander | Internal Medicine | 2828 E Barnett Road, Medford, OR 97504 | 2006-04-17 |
| 1508421751 | Ethan Pace | Internal Medicine | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2019-05-02 |
| 1104866193 | Susan E Kohler | Internal Medicine | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2006-06-07 |
| 1245286301 | Charles R Dibb | Internal Medicine | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2006-05-26 |
| 1124073671 | Gerald B Ahmann | Internal Medicine | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2006-05-23 |
| 1952355000 | Richard K Karchmer | Internal Medicine | 19 Myrtle St, Medford, OR 97504-7337 | 2006-05-22 |
| 1528011350 | Sandra J Taylor | Internal Medicine | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2006-05-19 |
| 1043263619 | Hematology Oncology Associates, P.C. | Internal Medicine | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2006-05-18 |
| 1386696490 | Sean T Hehn | Internal Medicine | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2006-05-17 |
| Find all providers in MEDFORD | ||||
Please comment or provide details below to improve the information on ONCOLOGY OF SOUTHERN OREGON LLC.
| 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.