SHELLY R SVOBODA


Address: 444 Nw Elks Dr, Corvallis, OR 97330-3745
Phone: 5417541150

SHELLY R SVOBODA (NPI# 1891790952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891790952
Entity Type Individual
Full Name SHELLY R SVOBODA
Credential M.D.
Practice Address 444 Nw Elks Dr
Corvallis
OR 97330-3745
Practice Telephone 5417541150
Mailing Telephone 5417541150
Enumeration Date 2005-06-16
Last Update Date 2011-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
MD152419 OR Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
41101 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 500625065 05
MN 145421800 05
OR RAILROAD MEDICARE P00958597 01

Office Location

Street Address 444 NW ELKS DR
City CORVALLIS
State OR
Zip Code 97330-3745

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770098659 Heather Lauren Herman Nurse Practitioner 444 Nw Elks Dr, Corvallis, OR 97330 2017-12-13
1033642020 Beth Anne Rathbun Physician Assistant 444 Nw Elks Dr, Corvallis, OR 97330-3745 2017-04-06
1649678434 Diane Wendel Habel Social Worker 444 Nw Elks Dr, Corvallis, OR 97330-3745 2014-12-11
1912317751 Caitlin Deede Registered Nurse 444 Nw Elks Dr, Corvallis, OR 97330-3745 2014-05-01
1851722706 Nelson Joseph Binggeli Psychologist 444 Nw Elks Dr, Corvallis, OR 97330-3745 2013-12-03
1396087110 Bryce Andrew Allio Urology 444 Nw Elks Dr, Corvallis, OR 97330-3745 2013-03-19
1699040311 Kristen Workman Specialist/Technologist, Other 444 Nw Elks Dr, Corvallis, OR 97330-3745 2012-03-13
1295013613 Gregory Allen Richard Ophthalmology 444 Nw Elks Dr, Corvallis, OR 97330 2011-08-02
1083904304 Keith Ryan Wells Internal Medicine 444 Nw Elks Dr, Corvallis, OR 97330-3745 2011-04-08
1104126861 Kimberly Jean Powell Registered Nurse 444 Nw Elks Dr, Corvallis, OR 97330-3745 2010-10-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235754912 Miya Claborn Counselor 4495 Se Hwy 20, Corvallis, OR 97330 2020-06-09
1548889017 Greydi Olvera Counselor Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 2020-04-14
1053953992 Andie Marie Gaipo Counselor 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 2019-10-11
1740847177 Stephen Jack Eccles Behavior Technician Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 2019-05-21
1750944815 Tiffany Rene Flinchpaugh Counselor Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 2019-04-15
1679035455 Isaiah Mile Cassidy Counselor Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 2019-04-02
1982168399 Haylee Cramblit Counselor Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 2019-01-30
1457835365 Ashley Alyn Couch Counselor 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 2018-09-18
1104318898 Megan Gerding Technician, Other 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 2018-05-30
1700377108 Pacific Hearing Services Audiologist 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 2018-05-22
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932231495 Gina Kathleen Anderson Psychiatry & Neurology 650 Sw 3rd St, Corvallis, OR 97333-4437 2007-03-11
1639336795 Rebecca H Reiser Psychiatry & Neurology 444 Nw Elks Dr, Corvallis, OR 97330-3745 2008-05-16
1770761215 Charmin Kay Sagert Psychiatry & Neurology 444 Nw Elks Dr, Corvallis, OR 97330-3745 2008-02-07
1881807626 Andrew Jason Rice Psychiatry & Neurology 444 Nw Elks Dr, Corvallis, OR 97330-3745 2007-05-08
1801846167 Richard A Lafrance Psychiatry & Neurology 444 Nw Elks Dr, Corvallis, OR 97330-3745 2006-05-10
1952350746 Cecilia A Keller Psychiatry & Neurology 444 Nw Elks Dr, Corvallis, OR 97330-3745 2006-05-09
1730146200 Weijia Wang Psychiatry & Neurology 444 Nw Elks Dr, Corvallis, OR 97330-3745 2006-04-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639690704 Tuality Medical Group LLC Psychiatry & Neurology 364 Se 8th Ave Ste 101, Hillsboro, OR 97123-4243 2017-06-29
1659891455 Weller Neurology LLC Psychiatry & Neurology 24900 Se Stark St Ste 211, Gresham, OR 97030-3382 2017-06-22
1750739132 Neil William Douglas Thomas Psychiatry & Neurology 3181 Sw Sam Jackson Park Road, Cr131, Oregon Health and Science University, Portland, OR 97239 2016-05-26
1205283462 Candice Kam Psychiatry & Neurology 3181 Sw Sam Jackson Park Road, Cr-131s, Portland, OR 97239 2016-05-18
1487073789 Tracy Bazan Psychiatry & Neurology 10330 Se 32nd Ave Ste 226, Milwaukie, OR 97222-6699 2014-04-15
1881937050 Michael Saul Farris Psychiatry & Neurology Ohsu-3181 Sw Sam Jackson Park Road, Portland, OR 97239 2013-04-05
1194083105 Mersedeh Bahr Hosseini Psychiatry & Neurology 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 2012-04-26
1831460377 Dennis B Smith Psychiatry & Neurology 827 Nw 25th Ave, Portland, OR 97210-3808 2012-01-13
1790078608 George Reeves Throop IIi Psychiatry & Neurology 1142 Nw Scenic Dr, Albany, OR 97321-9669 2011-05-25
1992000228 Ruchi J Wanchoo Psychiatry & Neurology 19260 Sw 65th Ave Ste 280, Tualatin, OR 97062 2011-01-18
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Competitor

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City CORVALLIS
Zip Code 97330

Improve Information

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Dataset Information

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.

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