ENT ASSOCIATES OF ROSEBURG LLC (NPI# 1902132483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902132483 |
| Entity Type | Organization |
| Organization Name | ENT ASSOCIATES OF ROSEBURG LLC |
| Practice Address |
2801 Nw Mercy Dr Suite 330 Roseburg OR 97471-2348 |
| Practice Telephone | 5416773300 |
| Practice Fax Number | 5416773350 |
| Mailing Telephone | 5416773300 |
| Mailing Fax Number | 5416773350 |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2011-06-28 |
| Authorized Official Name | DR. CARL STURGIS SCHREINER IV (PHYSICIAN) |
| Authorized Official Telephone | 5416773300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Street Address |
2801 NW MERCY DR SUITE 330 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-2348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174528038 | Ambulatory Surgery Center of Roseburg, LLC | Clinic/Center | 2801 Nw Mercy Dr, Ste 200, Roseburg, OR 97470-2348 | 2005-06-16 |
| 1518341437 | Jeremy James Wedge | Registered Nurse | 2801 Nw Mercy Dr, Suite 200, Roseburg, OR 97471-2348 | 2015-07-10 |
| 1699173161 | Hilary Oakes | Nurse Practitioner | 2801 Nw Mercy Dr, Ste. 300, Roseburg, OR 97471-2348 | 2014-12-15 |
| 1891003497 | Centennial Medical Group West, LLC | Internal Medicine | 2801 Nw Mercy Dr, Suite 345, Roseburg, OR 97471-2348 | 2010-09-16 |
| 1528375532 | Christine Yap Villardo | Hospitalist | 2801 Nw Mercy Dr, Suite 340, Roseburg, OR 97471-2348 | 2010-09-13 |
| 1356517098 | Bryan Michael Mcvay | Surgery | 2801 Nw Mercy Dr, Suite 330, Roseburg, OR 97471-6214 | 2008-05-02 |
| 1205057908 | Sharyse L Williams | Registered Nurse | 2801 Nw Mercy Dr, Suite 330, Roseburg, OR 97470-2348 | 2007-05-01 |
| 1356425169 | Umpqua Orthopedics | Specialist | 2801 Nw Mercy Dr, Ste 300, Roseburg, OR 97470-2348 | 2006-10-25 |
| 1932284528 | Gary Bronstein | Internal Medicine | 2801 Nw Mercy Dr, Suite 300, Roseburg, OR 97471-2348 | 2006-10-25 |
| 1841396405 | Roseburg Clinic, P.C. | Otolaryngology | 2801 Nw Mercy Dr, Ste 330, Roseburg, OR 97471-2348 | 2006-09-14 |
| Find all providers in the same location | ||||
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710969175 | Carl S Schreiner | Otolaryngology | 2423 Nw Troost St, Roseburg, OR 97471-1706 | 2005-11-18 |
| 1598746307 | James D Scott Md PC | Otolaryngology | 300 Independence Ln, Roseburg, OR 97470-9540 | 2005-11-09 |
| 1659929040 | Randall B Loch Md PC | Otolaryngology | 2423 Nw Troost St, Roseburg, OR 97471-1706 | 2019-08-28 |
| 1629334131 | Randall Beckett Paden Loch | Otolaryngology | 2423 Nw Troost St, Roseburg, OR 97471 | 2012-04-09 |
| 1255667747 | James M Yun Md PC | Otolaryngology | 2423 Nw Troost St, Roseburg, OR 97471-1706 | 2009-10-19 |
| 1407182900 | Carl S Schreiner Md PC | Otolaryngology | 2423 Nw Troost St, Roseburg, OR 97471-1706 | 2009-10-19 |
| 1619128246 | James Dennis Scott | Otolaryngology | 300 Independence Ln, Roseburg, OR 97471-9540 | 2008-10-01 |
| 1861571440 | David E Owens Md PC | Otolaryngology | 1813 W Harvard Ave, Suite 207, Roseburg, OR 97470-2752 | 2006-11-03 |
| 1841396405 | Roseburg Clinic, P.C. | Otolaryngology | 2801 Nw Mercy Dr, Ste 330, Roseburg, OR 97471-2348 | 2006-09-14 |
| 1144273566 | James M Yun | Otolaryngology | 2423 Nw Troost St, Roseburg, OR 97471-1706 | 2006-05-18 |
| Find all providers in ROSEBURG | ||||
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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.