WILLAMETTE SPINE CENTER AMBULATORY SURGERY LLC (NPI# 1881694792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881694792 |
| Entity Type | Organization |
| Organization Name | WILLAMETTE SPINE CENTER AMBULATORY SURGERY LLC |
| Other Organization Name | LIBERTY SURGERY CENTER |
| Practice Address |
2480 Liberty St Ne Suite 120 Salem OR 97303-6780 |
| Mailing Address |
Po Box 1267 Portland OR 97207-1267 |
| Practice Telephone | 5034852290 |
| Mailing Telephone | 5034852290 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. D KAY NEMEC (ADMINISTRATOR) |
| Authorized Official Telephone | 5034852290 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 227889 | 05 |
| Other Name | Type Code |
|---|---|
| Liberty Surgery Center | Doing Business As Name - Organization |
| Street Address |
2480 LIBERTY ST NE SUITE 120 |
| City | SALEM |
| State | OR |
| Zip Code | 97303-6780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356726418 | Advanced Vascular Therapy LLC | Surgery | 2480 Liberty St Ne, Suite 110, Salem, OR 97301-8380 | 2015-07-29 |
| 1912308404 | Nash William Keene | Physician Assistant | 2480 Liberty St Ne, Suite 180, Salem, OR 97301-8380 | 2014-09-16 |
| 1326464181 | Janelle Zych | Physical Therapist | 2480 Liberty St Ne, Suite 140, Salem, OR 97301 | 2014-03-17 |
| 1336411636 | Donald Edwin Winder Jr. | Physician Assistant | 2480 Liberty St Ne, #110, Salem, OR 97301-8380 | 2012-02-01 |
| 1235466772 | Jessica Lauren Visintainer | Physical Therapist | 2480 Liberty St Ne, Ste 140, Salem, OR 97301-8380 | 2009-11-04 |
| 1023243474 | Pain Care Specialists, PC | Anesthesiology | 2480 Liberty St Ne, Suite 180, Salem, OR 97301-8380 | 2009-05-28 |
| 1982841565 | Priscilla Anne Walters | Social Worker | 2480 Liberty St Ne, Salem, OR 97301-8380 | 2009-01-19 |
| 1992999536 | Pacific Spine & Rehab, LLC | Clinic/Center | 2480 Liberty St Ne, Ste 180, Salem, OR 97301-8388 | 2007-08-28 |
| 1932310216 | Alyce M. Huntsinger | Nurse Practitioner | 2480 Liberty St Ne, Suite 180, Salem, OR 97301-8380 | 2007-05-25 |
| 1255421467 | Poly Chen | Anesthesiology | 2480 Liberty St Ne, Suite 110, Salem, OR 97301-8380 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649750175 | Kristin Marie Barz | Behavioral Analyst | 4690 12th Ave Ne, Keizer, OR 97303 | 2018-08-15 |
| 1003359605 | Angela Rose Richard | Community Health Worker | 3410 Cherry Avenue Ne, Keizer, OR 97303 | 2016-11-30 |
| 1881146629 | Alma Denise Vera | Dental Hygienist | 5825 Shoreview Lane Ste C, Keizer, OR 97303 | 2016-10-27 |
| 1679919849 | Ramya Shyamala Kamath | Dentist | 4817 River Rd N, Keizer, OR 97303 | 2013-05-15 |
| 1356682041 | Teresa M Treinen | Physical Therapist | 190 Sandy Drive N, Keizer, OR 97303 | 2013-03-06 |
| 1598001844 | Eagle Eye Vision Care LLC | Optometrist | 4048 River Road North, Keizer, OR 97303 | 2012-12-13 |
| 1245590553 | Thora Jane Stacy | Dental Assistant | 2300 N.e. Lacncaster Dr., Salem, OR 97303 | 2012-05-21 |
| 1295028850 | Rodger Nordskog Magnuson | Pharmacist | 5452 River Road N., Keizer, OR 97303 | 2011-05-16 |
| 1326299843 | Douglas Scott Hamblin | Pediatrics | 5685 Inland Shores Way, Keizer, OR 97303 | 2008-10-02 |
| 1982870382 | Debra Kaye Lynch | Podiatrist | 4905 River Road N, Keizer, OR 97303 | 2008-05-06 |
| Find all providers in zip 97303 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784556 | North Atlantic Surgical Suites, LLC | Clinic/Center | 23 Keewaydin Dr, Salem, NH 03079-2840 | 2017-08-01 |
| 1972902286 | Oregon Specialists Surgery Center LLC | Clinic/Center | 2785 River Rd S, Salem, OR 97302-5883 | 2014-08-22 |
| 1952567257 | Salem Surgical Services | Clinic/Center | 2360 Southeast Blvd, Salem, OH 44460-3418 | 2008-08-06 |
| 1912045154 | Croisan Ridge Surgery Center, LLC | Clinic/Center | 4999 Skyline Rd S # 150, Salem, OR 97306-2009 | 2007-02-01 |
| 1932256278 | The Surgery Center of Salem County LLC | Clinic/Center | 336 Woodstown Rd., Salem, NJ 08079 | 2007-01-05 |
| 1285725713 | The Surgery Center of Salem County LLC | Clinic/Center | 336 Woodstown Rd, Salem, NJ 08079 | 2006-09-28 |
| 1619933264 | Salem Surgery Center, LLC | Clinic/Center | 2525 12st Se, Suite 110, Salem, OR 97302 | 2006-04-23 |
| 1811962103 | Salem Or Ophthalmology Asc LLC | Clinic/Center | 1330 Commercial St Se, Salem, OR 97302-4206 | 2006-02-21 |
| 1538146931 | Willamette Surgery Center LLC | Clinic/Center | 1445 State St, Salem, OR 97301-4248 | 2005-12-27 |
| 1023005139 | Roanoke Valley Center for Sight LLC | Clinic/Center | 438 W Main St, Salem, VA 24153-3610 | 2005-10-04 |
| Find all providers in SALEM | ||||
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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.