Jon D Prulhiere (NPI# 1700857174, PAC ID# 8123040888) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1700857174 |
| PAC ID by PECOS | 8123040888 |
| Professional Enrollment ID | I20051221000727 |
| Full Name | Jon D Prulhiere |
| Organization Legal Name | ROGUE VALLEY MANOR INC |
| Address |
1200 Mira Mar Ave Medford OR 97504-8546 |
| Phone Number | 5418577133 |
| Gender | M |
| Credential | MD |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8426041005 |
| Number of Group Practice Members | 6 |
| 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 |
|---|---|---|
| 1200 Mira Mar Ave, Medford, OR 97504-8546 | 5418577133 | ROGUE VALLEY MANOR INC |
| Organization Legal Name | ROGUE VALLEY MANOR INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan K Basilicato | Nurse Practitioner | Rogue Valley Manor Inc | 1200 Mira Mar Ave, Medford, OR 97504-8546 |
| Chelsea A Jennings | Nurse Practitioner | Rogue Valley Manor Inc | 1200 Mira Mar Ave, Medford, OR 97504-8546 |
| Linda Bellinson | Clinical Social Worker | Rogue Valley Manor Inc | 1200 Mira Mar Ave, Medford, OR 97504-8546 |
| Michael E Rudisile | Family Medicine | Rogue Valley Manor Inc | 1200 Mira Mar Ave, Medford, OR 97504-8546 |
| Jonathan Gell | Internal Medicine | Rogue Valley Manor Inc | 1200 Mira Mar Ave, Medford, OR 97504-8546 |
| Street Address |
1200 MIRA MAR AVE |
| City | MEDFORD |
| State | OR |
| Zip | 97504-8546 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan K Basilicato | Nurse Practitioner | Rogue Valley Manor Inc | 1200 Mira Mar Ave, Medford, OR 97504-8546 |
| Chelsea A Jennings | Nurse Practitioner | Rogue Valley Manor Inc | 1200 Mira Mar Ave, Medford, OR 97504-8546 |
| Linda Bellinson | Clinical Social Worker | Rogue Valley Manor Inc | 1200 Mira Mar Ave, Medford, OR 97504-8546 |
| Michael E Rudisile | Family Medicine | Rogue Valley Manor Inc | 1200 Mira Mar Ave, Medford, OR 97504-8546 |
| Jonathan Gell | Internal Medicine | Rogue Valley Manor Inc | 1200 Mira Mar Ave, Medford, OR 97504-8546 |
| 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 | FAMILY MEDICINE |
| City + Specialty | MEDFORD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jon D Prulhiere.
| 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.