MR. TERRY WAYNE SHORTRIDGE


Address: 55 Twin Oaks, Suite C-1, Lebanon, OR 97355-2864
Phone: 5414516412

MR. TERRY WAYNE SHORTRIDGE (NPI# 1922028711) 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) 1922028711
Entity Type Individual
Full Name MR. TERRY WAYNE SHORTRIDGE
Credential MD
Practice Address 55 Twin Oaks
Suite C-1
Lebanon
OR 97355-2864
Mailing Address 100 Mullins Drive
Ste C-1
Lebanon
OR 97355
Practice Telephone 5414516412
Practice Fax Number 5414516414
Mailing Telephone 5414516412
Mailing Fax Number 5414516414
Enumeration Date 2006-07-21
Last Update Date 2010-12-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery MD16008 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 094276 05

Office Location

Street Address 55 TWIN OAKS
SUITE C-1
City LEBANON
State OR
Zip Code 97355-2864

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710516182 Patricia Hoangphuong Nguyen Student in an Organized Health Care Education/Training Program Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 2020-04-07
1528609740 Liana Beaty Technician 31231 Mccraven Ln, Lebanon, OR 97355 2019-09-30
1710465323 Jackie Welter Health Educator 35 Mullins Drvie Ste 3, Lebanon, OR 97355 2018-08-06
1518415371 Kathleen Hillary Registered Nurse 525 North Santiam Highway, Lebanon, OR 97355 2016-09-21
1861849283 Emily Marshall Student in an Organized Health Care Education/Training Program 200 Mullins Drive, Lebanon, OR 97355 2016-05-16
1033565551 Celeste Maxine Croy-baker Student in an Organized Health Care Education/Training Program 200 Mullins Dr., Lebanon, OR 97355 2016-05-13
1770956963 Jeff Parsons Occupational Therapist 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 2015-11-10
1003289588 Hong Ngoc Nguyen Pharmacist 675 N Fifth Street, Lebanon, OR 97355 2015-11-05
1801278049 Darrel A Decker Skilled Nursing Facility 350 8th Street, Lebanon, OR 97355 2015-06-24
1679985113 State of Oregon Department of Veterans' Affairs Skilled Nursing Facility 600 N. 5th Street, Lebanon, OR 97355 2014-06-02
Find all providers in zip 97355

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720216898 Kyle Ward Surgery 120 Hospital Dr Ste 200, Lebanon, MO 65536-9227 2009-06-29
1699943951 Blue Ridge Medical Mangement Corporation Surgery 81 Carroll Street, Lebanon, VA 24266 2008-02-20
1386866853 Raman Kumar Surgery 735 Norman Dr Ste 3, Lebanon, PA 17042-7559 2007-05-03
1194733832 Lebanon Surgical Associates Surgery Carroll & Tate Sts., Suite 4, Lebanon, VA 24266 2006-08-04
1164451621 Jimmy R Maneksha Surgery 125 Mascoma Street, Alice Peck Day Memorial Hospital, Lebanon, NH 03766 2006-06-30
1255383766 Larimore C Warren Surgery 1405 W Baddour Pkwy, Suite 100, Lebanon, TN 37087-2567 2006-05-16
1174571863 Barbara A. Klatchko, M.d., Ltd. Surgery 402 S 12th St, Lebanon, PA 17042-6617 2006-05-04
1215991443 Kevin D Slentz Surgery 429 W Walnut St, Lebanon, KY 40033-1346 2006-04-14
1386612943 Donald Duane Coker Surgery 229 South Fourth Street, Lebanon, PA 17042-1281 2006-03-09
1154318673 David R Kroner Surgery 17 Alice Peck Day Dr Unit A, Lebanon, NH 03766-2684 2005-09-30
Find all providers in LEBANON

Competitor

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City LEBANON
Zip Code 97355

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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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