PAIN CARE SPECIALISTS OF OREGON, LLC (NPI# 1942675467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942675467 |
| Entity Type | Organization |
| Organization Name | PAIN CARE SPECIALISTS OF OREGON, LLC |
| Practice Address |
2480 Liberty St Ne Ste 180 Salem OR 97301-8388 |
| Practice Telephone | 5033711010 |
| Practice Fax Number | 5033710805 |
| Mailing Telephone | 5033711010 |
| Mailing Fax Number | 5033710805 |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-22 |
| Authorized Official Name | ANDREW H OH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5033711010 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2480 LIBERTY ST NE STE 180 |
| City | SALEM |
| State | OR |
| Zip Code | 97301-8388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518978469 | Frances Lydia Howe | Nurse Practitioner | 2480 Liberty St Ne Ste 180, Salem, OR 97301-8388 | 2006-08-10 |
| 1811500671 | Pride Neuroscience Group LLC | Neurological Surgery | 2480 Liberty St Ne Ste 180, Salem, OR 97301-8388 | 2020-08-30 |
| 1679936579 | Oregon Pain Management LLC | Anesthesiology | 2480 Liberty St Ne Ste 180, Salem, OR 97301-8388 | 2016-03-30 |
| 1346583820 | Youngeun Cho | Anesthesiology | 2480 Liberty St Ne Ste 180, Salem, OR 97301-8388 | 2013-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265461396 | Twh Incorporated | Anesthesiology | 340 Route 45, Salem, NJ 08079-2027 | 2006-07-01 |
| 1346583820 | Youngeun Cho | Anesthesiology | 2480 Liberty St Ne Ste 180, Salem, OR 97301-8388 | 2013-04-03 |
| 1861753386 | Andrew Richard Crichlow | Anesthesiology | 100 Knotbreak Rd, Salem, VA 24153 | 2012-05-31 |
| 1023243474 | Pain Care Specialists, PC | Anesthesiology | 2480 Liberty St Ne, Suite 180, Salem, OR 97301-8380 | 2009-05-28 |
| 1518118330 | Blue Ridge Pain Management Associates, PC | Anesthesiology | 100 Knotbreak Rd, Salem, VA 24153 | 2008-10-10 |
| 1003981929 | Rizwan N Khan | Anesthesiology | 911 N Shelby St, Salem, IN 47167-2304 | 2006-11-24 |
| 1093806192 | George M. Baylor | Anesthesiology | 100 Knotbreak Rd, Salem, VA 24153 | 2006-09-27 |
| 1174554877 | Douglas Richard Nemec | Anesthesiology | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912346461 | Vishal Khemlani | Anesthesiology | 6464 Sw Borland Rd Ste A2, Tualatin, OR 97062-8854 | 2013-06-18 |
| 1316140965 | Russell Robert Kinder | Anesthesiology | 10000 Se Main St Ste 128, Portland, OR 97216-2462 | 2007-06-08 |
| 1124075791 | Gregory Gullo | Anesthesiology | 2020 8th Ave, Suite 200, West Linn, OR 97068-4657 | 2006-05-28 |
| 1851353502 | Ahmed Ebeid | Anesthesiology | 851 Ne Baker St Ste 1, Mcminnville, OR 97128-4991 | 2006-04-06 |
| 1992798169 | Timothy L Kelly | Anesthesiology | 831 Nw Council Dr, Suite 300, Gresham, OR 97030-3721 | 2005-08-23 |
| 1013911361 | Brett T Quave | Anesthesiology | 701 Golf View Dr, Medford, OR 97504-9643 | 2005-06-01 |
| 1568083517 | Deschutes Pain Specialists LLC | Anesthesiology | 2235 Nw Shevlin Park Rd Ste 100, Bend, OR 97703-7111 | 2020-04-30 |
| 1487023388 | Comprehensive Pain Care, LLC | Anesthesiology | 842 E Main St, Medford, OR 97504-7134 | 2015-09-21 |
| 1235520503 | Andrew Oh Md PC | Anesthesiology | 140 Nw 14th Ave, Portland, OR 97209-2601 | 2015-02-09 |
| 1558751958 | Washington Center for Pain Management LLC | Anesthesiology | 11786 Sw Barnes Rd, Suite 270, Portland, OR 97225-5929 | 2015-01-23 |
| Find all providers with the same taxonomy | ||||
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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.