Snell Fontus (NPI# 1073639712, PAC ID# 1153426887) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1073639712 |
| PAC ID by PECOS | 1153426887 |
| Professional Enrollment ID | I20100623000375 |
| Full Name | Snell Fontus |
| Organization Legal Name | HEALOGICS SPECIALTY PHYSICIANS OF OREGON LLC |
| Address |
3154 W 11th Ave Eugene OR 97402-3104 |
| Phone Number | 5419886200 |
| Gender | M |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 1254637846 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380020 | MCKENZIE-WILLAMETTE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3154 W 11th Ave, Eugene, OR 97402-3104 | 5419886200 | HEALOGICS SPECIALTY PHYSICIANS OF OREGON LLC |
| Organization Legal Name | HEALOGICS SPECIALTY PHYSICIANS OF OREGON LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Leroy Cummings | Nurse Practitioner | Healogics Specialty Physicians of Oregon LLC | 392 Ne Norton Ln, Mcminnville, OR 97128-8481 |
| Lisa M Emond | Internal Medicine | Healogics Specialty Physicians of Oregon LLC | 3154 W 11th Ave, Eugene, OR 97402-3104 |
| Judith A Richmond | General Surgery | Healogics Specialty Physicians of Oregon LLC | 392 Ne Norton Ln, Mcminnville, OR 97128-8481 |
| Priscilla Myco | Nurse Practitioner | Healogics Specialty Physicians of Oregon LLC | 1460 G St, Springfield, OR 97477-4112 |
| Vanessa Darnell | Nurse Practitioner | Healogics Specialty Physicians of Oregon LLC | 875 Oak St Se, Salem, OR 97301-3975 |
| John V Young | General Surgery | Healogics Specialty Physicians of Oregon LLC | 875 Oak St Se, Salem, OR 97301-3975 |
| John A Mackey | Emergency Medicine | Healogics Specialty Physicians of Oregon LLC | 1460 G St, Springfield, OR 97477-4112 |
| Gerald P Mcmanama Iii | Vascular Surgery | Healogics Specialty Physicians of Oregon LLC | 1460 G St, Springfield, OR 97477-4112 |
| Street Address |
3154 W 11TH AVE |
| City | EUGENE |
| State | OR |
| Zip | 97402-3104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Emond | Internal Medicine | Healogics Specialty Physicians of Oregon LLC | 3154 W 11th Ave, Eugene, OR 97402-3104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert M Carlock | Chiropractic | 1180 Hwy 99 N, Eugene, OR 97402-2013 | |
| Alan Garcin | Nurse Practitioner | Peacehealth Medical Group | 3321 W 11th Ave, Eugene, OR 97402-3040 |
| Diana L Lamboy | Nurse Practitioner | Peacehealth Medical Group | 3321 W 11th Ave, Eugene, OR 97402-3040 |
| John P Merrick | Family Medicine | Peacehealth Medical Group | 3321 W 11th Ave, Eugene, OR 97402-3040 |
| William R Macmaster Jr. | Family Medicine | Peacehealth Medical Group | 3321 W 11th Ave, Eugene, OR 97402-3040 |
| Neil E Roundy | Neurosurgery | Peacehealth Medical Group | 3321 W 11th Ave, Eugene, OR 97402-3040 |
| Heidi R Schultz | Nurse Practitioner | Peacehealth Medical Group | 3321 W 11th Ave, Eugene, OR 97402-3040 |
| Hollys J. Nielsen | Nurse Practitioner | Peacehealth Medical Group | 3321 W 11th Ave, Eugene, OR 97402-3040 |
| Valerie C Coon | Neurology | Peacehealth Medical Group | 3321 W 11th Ave, Eugene, OR 97402-3040 |
| Hans T Notenboom | Emergency Medicine | Peacehealth Medical Group | 3321 W 11th Ave, Eugene, OR 97402-3040 |
| Find all physicians in zip 97402 | |||
| City | EUGENE |
| Zip Code | 97402 |
| Specialty | GENERAL SURGERY |
| City + Specialty | EUGENE + GENERAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.