Sita S Taibi (NPI# 1811327281, PAC ID# 3779713060) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1811327281 |
| PAC ID by PECOS | 3779713060 |
| Professional Enrollment ID | I20140306001164 |
| Full Name | Sita S Taibi |
| Organization Legal Name | ROGUE VALLEY PHYSICIANS |
| Address |
3524 Heathrow Way Medford OR 97504-4004 |
| Phone Number | 5416463505 |
| Gender | F |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1850374240 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380018 | ASANTE ROGUE REGIONAL MEDICAL CENTER |
| 380075 | PROVIDENCE MEDFORD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2900 Doctors Park Dr, Suite 200, Medford, OR 97504-8198 | 5412822208 | ROGUE VALLEY PHYSICIANS |
| 3524 Heathrow Way, Medford, OR 97504-4004 | 5416463505 | ROGUE VALLEY PHYSICIANS |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ROGUE VALLEY PHYSICIANS |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dea N Collins | Nurse Practitioner | Rogue Valley Physicians | 229 W Stewart Ave, Medford, OR 97501-3663 |
| Christine A Stanek | Nurse Practitioner | Rogue Valley Physicians | 3524 Heathrow Way, Medford, OR 97504-4004 |
| Julie Newmann Lucero | Physician Assistant | Rogue Valley Physicians | 2900 Doctors Park Dr, Suite 250, Medford, OR 97504-4348 |
| Karen A Kozleski | Nurse Practitioner | Rogue Valley Physicians | 3524 Heathrow Way, Medford, OR 97504-4004 |
| Kristine A Groskopp | Family Medicine | Rogue Valley Physicians | 800 E Main St, Medford, OR 97504-7134 |
| Monique A Noyes | Nurse Practitioner | Rogue Valley Physicians | 800 E Main St, Medford, OR 97504-7134 |
| Scott E Wilson | Nurse Practitioner | Rogue Valley Physicians | 3524 Heathrow Way, Medford, OR 97504-4004 |
| Cindy A Konecne | Osteopathic Manipulative Medicine | Rogue Valley Physicians | 3524 Heathrow Way, Medford, OR 97504-4004 |
| Thomas D Margulies | Internal Medicine | Rogue Valley Physicians | 229 W Stewart Ave, Medford, OR 97501-3663 |
| William C Husum | Internal Medicine | Rogue Valley Physicians | 2900 Doctors Park Dr, Suite 250, Medford, OR 97504-4348 |
| Street Address |
3524 HEATHROW WAY |
| City | MEDFORD |
| State | OR |
| Zip | 97504-4004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine A Stanek | Nurse Practitioner | Rogue Valley Physicians | 3524 Heathrow Way, Medford, OR 97504-4004 |
| Karen A Kozleski | Nurse Practitioner | Rogue Valley Physicians | 3524 Heathrow Way, Medford, OR 97504-4004 |
| Scott E Wilson | Nurse Practitioner | Rogue Valley Physicians | 3524 Heathrow Way, Medford, OR 97504-4004 |
| Cindy A Konecne | Osteopathic Manipulative Medicine | Rogue Valley Physicians | 3524 Heathrow Way, Medford, OR 97504-4004 |
| Michael Ray Miller | Clinical Social Worker | Rogue Valley Physicians | 3524 Heathrow Way, Medford, OR 97504-4004 |
| Mary Elizabeth Caron | Osteopathic Manipulative Medicine | Rogue Valley Physicians | 3524 Heathrow Way, Medford, OR 97504-4004 |
| John P Shonerd | Osteopathic Manipulative Medicine | Rogue Valley Physicians | 3524 Heathrow Way, Medford, OR 97504-4004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Anne Zaslow | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Benjamin Robert Oldson | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Shirley A Malcolm | Osteopathic Manipulative Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Denise M Viss | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Carissa D Scalf | Psychologist, Clinical | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Wesley T Ramoso | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Uzomechine Thabiso Chiedozi | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Grant A Jolliffe | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Travis Adam Day | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Jasmin Williams | Clinical Social Worker | Options for Southern Oregon | 1700 E Barnett Rd, Medford, OR 97504-0052 |
| Find all physicians in zip 97504 | |||
| City | MEDFORD |
| Zip Code | 97504 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MEDFORD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Sita S Taibi.
| 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.