Robert John Laciak (NPI# 1114196169, PAC ID# 2062672264) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1114196169 |
| PAC ID by PECOS | 2062672264 |
| Professional Enrollment ID | I20120326000714 |
| Full Name | Robert John Laciak |
| Organization Legal Name | GOOD SAMARITAN HOSPITAL CORVALLIS |
| Address |
114 Gill Coliseum Rm 6263 Corvallis OR 97331-8547 |
| Phone Number | 5417374527 |
| Gender | M |
| Medical School | CHICAGO COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 2006 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 1557270725 |
| Number of Group Practice Members | 278 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380014 | GOOD SAMARITAN REGIONAL MEDICAL CENTER |
| 381314 | SAMARITAN PACIFIC COMMUNITY HOSPITAL |
| 380022 | SAMARITAN ALBANY GENERAL HOSPITAL |
| 381323 | SAMARITAN LEBANON COMMUNITY HOSPITAL |
| 381302 | SAMARITAN NORTH LINCOLN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 114 Gill Coliseum, Rm 6263, Corvallis, OR 97331-8547 | 5417374527 | GOOD SAMARITAN HOSPITAL CORVALLIS |
| Organization Legal Name | GOOD SAMARITAN HOSPITAL CORVALLIS |
| Physicians | 303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Rosevelt Jones | Psychiatry | Good Samaritan Hospital Corvallis | 1052 29th Ave Sw, Albany, OR 97321-3416 |
| Moacyr Ribeiro De Oliveira | Hematology/oncology | Good Samaritan Hospital Corvallis | 501 Nw Elks Dr, Suite 100, Corvallis, OR 97330-3757 |
| Samantha Domingo | Psychologist, Clinical | Good Samaritan Hospital Corvallis | 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-4744 |
| Jonathan D Jones | Rheumatology | Good Samaritan Hospital Corvallis | 3620 Nw Samaritan Dr, Suite 203a, Corvallis, OR 97330-4714 |
| Michaela Jae Williams | Physician Assistant | Good Samaritan Hospital Corvallis | 996 Nw Circle Blvd, Suite 103, Corvallis, OR 97330-1485 |
| Erin Marin Kettler | Physical Therapy | Good Samaritan Hospital Corvallis | 815 Nw 9th St, Suite 180, Corvallis, OR 97330-6173 |
| Christopher P Kargel | Osteopathic Manipulative Medicine | Good Samaritan Hospital Corvallis | 3517 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-3769 |
| Travis Michael Obermire | Physical Therapy | Good Samaritan Hospital Corvallis | 845 Sw 30th St, Corvallis, OR 97331-8629 |
| Nancy L Nelson | Pediatric Medicine | Good Samaritan Hospital Corvallis | 1112 Nw Circle Blvd, Corvallis, OR 97330-1462 |
| Kevin Chiappone | Physician Assistant | Good Samaritan Hospital Corvallis | 990 Nw Circle Blvd, Corvallis, OR 97330-1967 |
| Street Address |
114 GILL COLISEUM RM 6263 |
| City | CORVALLIS |
| State | OR |
| Zip | 97331-8547 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis Michael Obermire | Physical Therapy | Good Samaritan Hospital Corvallis | 845 Sw 30th St, Corvallis, OR 97331-8629 |
| Sandra Lynn Minta | Psychologist, Clinical | Good Samaritan Hospital Corvallis | 845 Sw 30th St, Corvallis, OR 97331-8629 |
| Kevin R Muncey | Undefined Non-physician Type (specify) | Good Samaritan Hospital Corvallis | 845 Sw 30th St, Corvallis, OR 97331-8629 |
| Kaitlyn R Schlueter | Physical Therapy | Good Samaritan Hospital Corvallis | 845 Sw 30th St, Corvallis, OR 97331-8629 |
| Shawn A Cole | Physical Therapy | Good Samaritan Hospital Corvallis | 845 Sw 30th St, Corvallis, OR 97331-8629 |
| Christina Davis Davis | Physical Therapy | Good Samaritan Hospital Corvallis | 845 Sw 30th St, Corvallis, OR 97331-8629 |
| Jennifer Frances Neudorfer | Physical Therapy | Good Samaritan Hospital Corvallis | 845 Sw 30th St, Corvallis, OR 97331-8629 |
| Amanda D Baltazar | Physical Therapy | Good Samaritan Hospital Corvallis | 845 Sw 30th St, Corvallis, OR 97331-8629 |
| Rachael A Lee | Physical Therapy | Good Samaritan Hospital Corvallis | 845 Sw 30th St, Corvallis, OR 97331-8629 |
| Paul Joseph Sawicki | Physical Therapy | Good Samaritan Hospital Corvallis | 845 Sw 30th St, Corvallis, OR 97331-8629 |
| Find all physicians in zip 97331 | |||
| City | CORVALLIS |
| Zip Code | 97331 |
| Specialty | UROLOGY |
| City + Specialty | CORVALLIS + UROLOGY |
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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.