CONNIE SUE DIMARCO (NPI# 1891712477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891712477 |
| Entity Type | Individual |
| Full Name | CONNIE SUE DIMARCO |
| Credential | MD |
| Practice Address |
2400 Hartman Ln Springfield OR 97477-1118 |
| Practice Telephone | 5413343350 |
| Practice Fax Number | 5412845198 |
| Mailing Telephone | 5413343350 |
| Mailing Fax Number | 5412845198 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
MD26368 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
2400 HARTMAN LN |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738375 | Oregon Surgicenter LLC | Clinic/Center | 2400 Hartman Ln, Ste 300, Springfield, OR 97477-1198 | 2005-05-23 |
| 1306463161 | Paige Price | Urology | 2400 Hartman Ln, Springfield, OR 97477-1118 | 2020-06-28 |
| 1124581277 | Annabel H Chen | Physician Assistant | 2400 Hartman Ln, Springfield, OR 97477-1118 | 2019-04-06 |
| 1528318995 | Kevin Brandt | Physician Assistant | 2400 Hartman Ln, Springfield, OR 97477-1118 | 2012-09-13 |
| 1811207913 | Lisa Stevens | Physician Assistant | 2400 Hartman Ln, Springfield, OR 97477-1118 | 2010-10-07 |
| 1891008561 | Joseph Steven Harp | Physician Assistant | 2400 Hartman Ln, Springfield, OR 97477-1118 | 2010-07-22 |
| 1144401795 | Devi Dawady | Physician Assistant | 2400 Hartman Ln, Ste.100, Springfield, OR 97477-1118 | 2007-11-23 |
| 1730370743 | Genoa Goetz Ferguson | Urology | 2400 Hartman Ln, Springfield, OR 97477-1118 | 2007-08-05 |
| 1205037587 | Christopher Charles Kyle | Urology | 2400 Hartman Ln, Springfield, OR 97477-1118 | 2007-05-31 |
| 1134247844 | Radiology Associates, PC | Specialist | 2400 Hartman Ln, Ste#200, Springfield, OR 97477-1118 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245577048 | Effingham Hospital, Inc. | Obstetrics & Gynecology | 1451 Highway 21 S Ste H, Springfield, GA 31329-5244 | 2013-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831451079 | Stephen Rogers | Obstetrics & Gynecology | 60500 Arnold Market Rd, Bend, OR 97702-9277 | 2012-06-13 |
| 1881615102 | Sarah Hamilton Boyles | Obstetrics & Gynecology | 9155 Sw Barnes Rd Ste 735, Portland, OR 97225-6634 | 2006-07-21 |
| 1477816049 | Daniel Do Hoon Lee | Obstetrics & Gynecology | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2012-06-19 |
| 1346255833 | Mary Anna Denman | Obstetrics & Gynecology | 9155 Sw Barnes Rd Ste 735, Portland, OR 97225-6634 | 2006-07-31 |
| City | SPRINGFIELD |
| Zip Code | 97477 |
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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.