Matthew A Fagert (NPI# 1265561377, PAC ID# 5395780381) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1265561377 |
| PAC ID by PECOS | 5395780381 |
| Professional Enrollment ID | I20050621000428 |
| Full Name | Matthew A Fagert |
| Organization Legal Name | ROGUE ANESTHESIA LLC |
| Address |
1601 Nw Hawthorne Ave Grants Pass OR 97526-1041 |
| Phone Number | 5414724880 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1994 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 9830162197 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1601 Nw Hawthorne Ave, Grants Pass, OR 97526-1041 | 5414724880 | ROGUE ANESTHESIA LLC |
| Organization Legal Name | ROGUE ANESTHESIA LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith R Anderson | Certified Registered Nurse Anesthetist (crna) | Rogue Anesthesia LLC | 1601 Nw Hawthorne Ave, Grants Pass, OR 97526-1041 |
| Keith A Jensen | Certified Registered Nurse Anesthetist (crna) | Rogue Anesthesia LLC | 1601 Nw Hawthorne Ave, Grants Pass, OR 97526-1041 |
| Joseph Fowler | Certified Registered Nurse Anesthetist (crna) | Rogue Anesthesia LLC | 1601 Nw Hawthorne Ave, Grants Pass, OR 97526-1041 |
| Street Address |
1601 NW HAWTHORNE AVE |
| City | GRANTS PASS |
| State | OR |
| Zip | 97526-1041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith R Anderson | Certified Registered Nurse Anesthetist (crna) | Rogue Anesthesia LLC | 1601 Nw Hawthorne Ave, Grants Pass, OR 97526-1041 |
| Keith A Jensen | Certified Registered Nurse Anesthetist (crna) | Rogue Anesthesia LLC | 1601 Nw Hawthorne Ave, Grants Pass, OR 97526-1041 |
| Joseph Fowler | Certified Registered Nurse Anesthetist (crna) | Rogue Anesthesia LLC | 1601 Nw Hawthorne Ave, Grants Pass, OR 97526-1041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tori Lynn Rumrey | Nurse Practitioner | 1585 Nw Washington Blvd, Grants Pass, OR 97526-1049 | |
| Robert M Gentry | Family Practice | Rumrey Family Practice, LLC | 1585 Nw Washington Blvd, Grants Pass, OR 97526-1049 |
| Dan Phillip Gleffe | Family Medicine | 1587 Nw Washington Blvd, Grants Pass, OR 97526-1085 | |
| Melissa M Greive | General Surgery | Grants Pass Surgical Associates, P.C. | 1600 Nw 6th St, Suite N, Grants Pass, OR 97526-1094 |
| David C Oehling | General Surgery | Grants Pass Surgical Associates, P.C. | 1600 Nw 6th St N, Grants Pass, OR 97526-1094 |
| Darlena Pike | Nurse Practitioner | Optimal Health of Southern Oregon, LLC | 1600 Nw 6th St, South Suite, Grants Pass, OR 97526-1094 |
| Wendell C Heidinger | Family Medicine | Optimal Health of Southern Oregon, LLC | 1600 Nw 6th St, South Suite, Grants Pass, OR 97526-1094 |
| Mark A Jones | Vascular Surgery | Grants Pass Surgical Associates, P.C. | 1600 Nw 6th St, Suite N, Grants Pass, OR 97526-1094 |
| Mark Frederick Deatherage | Vascular Surgery | Grants Pass Surgical Associates, P.C. | 1600 Nw 6th St, Suite N, Grants Pass, OR 97526-1094 |
| Jeremy Scott Cathey | Nurse Practitioner | Optimal Health of Southern Oregon, LLC | 1600 Nw 6th St, South Suite, Grants Pass, OR 97526-1094 |
| Find all physicians in zip 97526 | |||
| City | GRANTS PASS |
| Zip Code | 97526 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | GRANTS PASS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.