William P Irvine (NPI# 1265659510, PAC ID# 1850485418) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1265659510 |
| PAC ID by PECOS | 1850485418 |
| Professional Enrollment ID | I20081124000595 |
| Full Name | William P Irvine |
| Organization Legal Name | MOSAIC MEDICAL |
| Address |
850 Sw 4th St Suite 101 Madras OR 97741-9629 |
| Phone Number | 5414757800 |
| Gender | M |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 5395653497 |
| Number of Group Practice Members | 55 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 381324 | ST CHARLES MADRAS |
| Address | Phone | Organization |
|---|---|---|
| 850 Sw 4th St, Suite 101, Madras, OR 97741-9629 | 5414757800 | MOSAIC MEDICAL |
| Organization Legal Name | MOSAIC MEDICAL |
| Physicians | 58 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randi Louise Duble | Nurse Practitioner | Mosaic Medical | 1250 Sw Veterans Way, Redmond, OR 97756-2585 |
| Keith William Bell | Physician Assistant | Mosaic Medical | 2084 Ne Professional Ct, Bend, OR 97701-6077 |
| Linda C Hatch | Nurse Practitioner | Mosaic Medical | 375 Nw Beaver St, Suite 101, Prineville, OR 97754-1802 |
| Eric L Foote | Physician Assistant | Mosaic Medical | 2965 Ne Conners Ave, Suite 280, Bend, OR 97701-7753 |
| Lisa L Kuettle | Nurse Practitioner | Mosaic Medical | 1700 Se Tempest Dr, Bend, OR 97702-1884 |
| Angela D Enos | Physician Assistant | Mosaic Medical | 850 Sw 4th St, Suite 101, Madras, OR 97741-9629 |
| Gerda E Tapelband | Internal Medicine | Mosaic Medical | 2084 Ne Professional Ct, Bend, OR 97701-6077 |
| Dana M Rhode | Family Medicine | Mosaic Medical | 850 Sw 4th St, Suite 101, Madras, OR 97741-9629 |
| Mark T Press | Nurse Practitioner | Mosaic Medical | 2084 Ne Professional Ct, Bend, OR 97701-6077 |
| Diana Burden | Nurse Practitioner | Mosaic Medical | 375 Nw Beaver St, Suite 101, Prineville, OR 97754-1802 |
| Street Address |
850 SW 4TH ST SUITE 101 |
| City | MADRAS |
| State | OR |
| Zip | 97741-9629 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela D Enos | Physician Assistant | Mosaic Medical | 850 Sw 4th St, Suite 101, Madras, OR 97741-9629 |
| Dana M Rhode | Family Medicine | Mosaic Medical | 850 Sw 4th St, Suite 101, Madras, OR 97741-9629 |
| Kim R Montee | Family Medicine | Mosaic Medical | 850 Sw 4th St, Suite 101, Madras, OR 97741-9629 |
| Megann Dastrup | Registered Dietitian Or Nutrition Professional | Mosaic Medical | 850 Sw 4th St, Suite 101, Madras, OR 97741-9629 |
| Leeann C Osborne | Physician Assistant | Mosaic Medical | 850 Sw 4th St, Suite 101, Madras, OR 97741-9629 |
| Joy Elizabeth Light | Physician Assistant | Mosaic Medical | 850 Sw 4th St, Suite 101, Madras, OR 97741-9629 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Josh David Farrester | Physical Therapy | Apex Physical Therapy LLC | 230 Sw 5th St, Madras, OR 97741-1341 |
| Brock Philip Monger | Physical Therapy | Apex Physical Therapy LLC | 230 Sw 5th St, Madras, OR 97741-1341 |
| James P Wallace | Physical Therapy | Apex Physical Therapy LLC | 230 Sw 5th St, Madras, OR 97741-1341 |
| Douglas S Willems | Chiropractic | 242 Sw 4th St A, Madras, OR 97741-1364 | |
| Audrey H Brumley | Optometry | Madras Vision Source PC | 211 Se 5th St, Madras, OR 97741-1603 |
| Jessica B Tegen | Optometry | Madras Vision Source PC | 211 Se 5th St, Madras, OR 97741-1603 |
| Brian C Oulman | Optometry | Central Oregon Eyecare PC | 65 Ne Oak St, Suite 110, Madras, OR 97741-1814 |
| Molly Sue Nichols | Physician Assistant | Madras Medical Group PC | 76 Ne 12th St, Madras, OR 97741-1827 |
| Mark M Mullins | Chiropractic | 28 Ne 12th St, Madras, OR 97741-1827 | |
| Katherine Jane Volk | Physician Assistant | Madras Medical Group PC | 76 Ne 12th St, Madras, OR 97741-1827 |
| Find all physicians in zip 97741 | |||
| City | MADRAS |
| Zip Code | 97741 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MADRAS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on William P Irvine.
| 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.