David A Staneck (NPI# 1730181199, PAC ID# 7416172192) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
Nation Provider ID (NPI) | 1730181199 |
PAC ID by PECOS | 7416172192 |
Professional Enrollment ID | I20150623000890 |
Full Name | David A Staneck |
Organization Legal Name | NORTHWEST UROLOGY LLC |
Address |
2435 Ne Cumulus Ave E Mcminnville OR 97128-8805 |
Phone Number | 5034352561 |
Gender | M |
Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2003 |
Primary Specialty | UROLOGY |
Group Practice PAC ID | 2668783770 |
Number of Group Practice Members | 13 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
380071 | WILLAMETTE VALLEY MEDICAL CENTER |
380037 | PROVIDENCE NEWBERG MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2435 Ne Cumulus Ave E, Mcminnville, OR 97128-8805 | 5034352561 | NORTHWEST UROLOGY LLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | NORTHWEST UROLOGY LLC |
Physicians | 15 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeffrey Christopher La Rochelle | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
Brian S Shaffer | Urology | Northwest Urology LLC | 9135 Sw Barnes Rd, Suite 663, Portland, OR 97225-6683 |
Sasha Courand Druskin | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
James F Tycast | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
James M Bresee | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
Stanley A Myers | Urology | Northwest Urology LLC | 1000 Se Tech Ctr Dr, Suite 120, Vancouver, WA 98683-5548 |
Sara E Spettel Aliyar | Urology | Northwest Urology LLC | 9135 Sw Barnes Rd, Suite 663, Portland, OR 97225-6683 |
Daniel M Janoff | Urology | Northwest Urology LLC | 9135 Sw Barnes Rd, Suite 663, Portland, OR 97225-6683 |
Michael T Lavelle Jr. | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
Jennifer Botelho | Physician Assistant | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
Street Address |
2435 NE CUMULUS AVE E |
City | MCMINNVILLE |
State | OR |
Zip | 97128-8805 |
Name | Specialty | Organization | Address |
---|---|---|---|
Thomas M Pitre | Urology | Northwest Urology LLC | 2435 Ne Cumulus Ave E, Mcminnville, OR 97128-8805 |
Name | Specialty | Organization | Address |
---|---|---|---|
Halley N Moore | Chiropractic | 1709 Ne 27th St, Suite H, Mcminnville, OR 97128-2348 | |
Laura M Magers | Physical Therapy | Andrew Physical Therapy, Inc | 2025 Ne Baker St A, Mcminnville, OR 97128-2656 |
Melissa A Law | Physical Therapy | Andrew Physical Therapy, Inc | 2025 Ne Baker St A, Mcminnville, OR 97128-2656 |
Nathan L Lucherini | Physical Therapy | Andrew Physical Therapy, Inc | 2025 Ne Baker St A, Mcminnville, OR 97128-2656 |
John A Andrew | Physical Therapy | Andrew Physical Therapy, Inc | 2025 Ne Baker St A, Mcminnville, OR 97128-2656 |
Jordan N Visser | Physical Therapy | Andrew Physical Therapy, Inc | 2025 Ne Baker St A, Mcminnville, OR 97128-2656 |
Molly M Weinbender | Physical Therapy | Andrew Physical Therapy, Inc | 2025 Ne Baker St A, Mcminnville, OR 97128-2656 |
Alexandra N Brockman | Physical Therapy | Andrew Physical Therapy, Inc | 2025 Ne Baker St A, Mcminnville, OR 97128-2656 |
Cressie L Kearns | Chiropractic | 2214 Ne Mcdonald Ln, Mcminnville, OR 97128-2702 | |
Gary D Crowell | Optometry | 1341 Ne Hwy 99w, Mcminnville, OR 97128-2722 | |
Find all physicians in zip 97128 |
City | MCMINNVILLE |
Zip Code | 97128 |
Specialty | UROLOGY |
City + Specialty | MCMINNVILLE + 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.