David L Edmonds (NPI# 1144204629, PAC ID# 2062302144) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1144204629 |
| PAC ID by PECOS | 2062302144 |
| Professional Enrollment ID | I20090319000139 |
| Full Name | David L Edmonds |
| Organization Legal Name | WVP MEDICAL GROUP LLC |
| Address |
5050 Skyline Vilge Loop S Salem OR 97306-9490 |
| Phone Number | 5033911110 |
| Gender | M |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 4486627965 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380051 | SALEM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5050 Skyline Vilge Loop S, Salem, OR 97306-9490 | 5033911110 | WVP MEDICAL GROUP LLC |
| Organization Legal Name | WVP MEDICAL GROUP LLC |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Lynne Card | Family Medicine | Wvp Medical Group LLC | 5050 Skyline Village Loop S, Salem, OR 97306-9490 |
| Shelly A Wimmer | Physician Assistant | Wvp Medical Group LLC | 1430 Monmouth St, Independence, OR 97351-1127 |
| Robin M Jewett | Physician Assistant | Wvp Medical Group LLC | 5100 River Rd N, Keizer, OR 97303-5371 |
| Ginger A Denney | Nurse Practitioner | Wvp Medical Group LLC | 1000 Southeast Uglow Ave, Dallas, OR 97338-2645 |
| Shanna Lyn Howald | Clinical Social Worker | Wvp Medical Group LLC | 2485 12th St Se, Salem, OR 97302-2151 |
| Jennifer L Lee | Nurse Practitioner | Wvp Medical Group LLC | 5100 River Rd N, Keizer, OR 97303-5371 |
| Madison N Buda | Physician Assistant | Wvp Medical Group LLC | 5100 River Rd N, Keizer, OR 97303-5371 |
| Jeffery Brown | Internal Medicine | Wvp Medical Group LLC | 5050 Skyline Village Loop S, Salem, OR 97306-9490 |
| Eric A Laro | General Surgery | Wvp Medical Group LLC | 5050 Skyline Village Loop S, Salem, OR 97306-9490 |
| Richard F Meyers | Nurse Practitioner | Wvp Medical Group LLC | 5100 River Rd N, Keizer, OR 97303-5371 |
| Street Address |
5050 SKYLINE VILGE LOOP S |
| City | SALEM |
| State | OR |
| Zip | 97306-9490 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia L Stupfel | Nurse Practitioner | Wvp Medical Group LLC | 5050 Skyline Vilge Loop S, Salem, OR 97306-9490 |
| Evelyn Torres Carpiet | Family Practice | Doctors Clinic LLP | 5050 Skyline Vilge Loop S, Salem, OR 97306-9490 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Foster | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 6250 Commercial St Se, Salem, OR 97306-1333 |
| Christina D Alba | Physical Therapy | 6250 Commercial St Sw, Salem, OR 97306-1333 | |
| Leanna Stracco | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 6250 Commercial St Se, Salem, OR 97306-1333 |
| Jessica O'hara Allen | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 6250 Commercial St Se, Salem, OR 97306-1333 |
| Kylee D Alexander | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 6250 Commercial St Se, Salem, OR 97306-1333 |
| Cindy S Williams | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 6250 Commercial St Se, Salem, OR 97306-1333 |
| Brenda J Lamb | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 6250 Commercial St Se, Salem, OR 97306-1333 |
| Nolan W Kellow | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 6250 Commercial St Se, Salem, OR 97306-1333 |
| Suzanne M Trebnick | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 6250 Commercial St Se, Salem, OR 97306-1333 |
| Jennifer Herzwurm | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 6250 Commercial St Se, Salem, OR 97306-1333 |
| Find all physicians in zip 97306 | |||
| City | SALEM |
| Zip Code | 97306 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | SALEM + FAMILY PRACTICE |
Please comment or provide details below to improve the information on David L Edmonds.
| 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.