David A Staneck
NORTHWEST UROLOGY LLC


Address: 2435 Ne Cumulus Ave E, Mcminnville, OR 97128-8805
Phone: 5034352561

David A Staneck (NPI# 1730181199, PAC ID# 7416172192) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
380071 WILLAMETTE VALLEY MEDICAL CENTER
380037 PROVIDENCE NEWBERG MEDICAL CENTER

Other Locations

Address Phone Organization
2435 Ne Cumulus Ave E, Mcminnville, OR 97128-8805 5034352561 NORTHWEST UROLOGY LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name NORTHWEST UROLOGY LLC
Physicians 15

Physicians with the same organization

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

Office Location

Street Address 2435 NE CUMULUS AVE E
City MCMINNVILLE
State OR
Zip 97128-8805

Physicians in the same location

Name Specialty Organization Address
Thomas M Pitre Urology Northwest Urology LLC 2435 Ne Cumulus Ave E, Mcminnville, OR 97128-8805

Physicians in the same zip code

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

Competitor

Search similar physicians

City MCMINNVILLE
Zip Code 97128
Specialty UROLOGY
City + Specialty MCMINNVILLE + UROLOGY

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Dataset Information

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.

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