Angie Pagano (NPI# 1265794135, PAC ID# 8729238357) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1265794135 |
| PAC ID by PECOS | 8729238357 |
| Professional Enrollment ID | I20190808000407 |
| Full Name | Angie Pagano |
| Organization Legal Name | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK |
| Address |
200 Se Hwy 224 Estacada OR 97023-7022 |
| Phone Number | 5036305511 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5092619569 |
| Number of Group Practice Members | 64 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520193 | AURORA BAYCARE MEDICAL CENTER |
| 381317 | TILLAMOOK REGIONAL MEDICAL CENTER |
| 380060 | ADVENTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 Se Hwy 224, Estacada, OR 97023-7022 | 5036305511 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK |
| 200 Se Hwy 224, Suite 100, Estacada, OR 97023-7022 | 5036305511 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK |
| 2253 W Mason St, Green Bay, WI 54303-4706 | 9203277300 | AURORA MEDICAL GROUP INC |
| Organization Legal Name | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK |
| Physicians | 65 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lila F Nussair | Family Medicine | Northwest Medical Foundation of Tillamook | 12350 Nw Main St, Suite 112, Banks, OR 97106-9045 |
| Brandy A Jacob | Physical Therapy | Northwest Medical Foundation of Tillamook | 36155 9th St, Suite 4, Nehalem, OR 97131-8000 |
| Shawn N Kuehl | Nurse Practitioner | Northwest Medical Foundation of Tillamook | 1011 3rd St, Tillamook, OR 97141-8292 |
| Erin Wisbey-martin | Family Medicine | Northwest Medical Foundation of Tillamook | 10445 Neahkahnie Creek Rd, Adventist Health Tillamook Medical Group Manzanita, Manzanita, OR 97130-0129 |
| Jing Wei | Nurse Practitioner | Northwest Medical Foundation of Tillamook | 200 Se Hwy 224, Suite 100, Estacada, OR 97023-7022 |
| Jeremy S Johnston | Physician Assistant | Northwest Medical Foundation of Tillamook | 1100 3rd St, Tillamook, OR 97141-3402 |
| Murlan E Grise | General Practice | Northwest Medical Foundation of Tillamook | 24661 E Welches Rd, Welches, OR 97067-7067 |
| Craig A Brown | Family Medicine | Northwest Medical Foundation of Tillamook | 38505 Brooten Rd A, Pacific City, OR 97135-8049 |
| Elaine M Oleksick | Nurse Practitioner | Northwest Medical Foundation of Tillamook | 1105 Se Jetty Ave C, Adventist Health Bayshore Medical Lincoln City, Lincoln City, OR 97367-2604 |
| Andrew F Nelson | Diagnostic Radiology | Northwest Medical Foundation of Tillamook | 1000 3rd St, Tillamook, OR 97141-3430 |
| Street Address |
200 SE HWY 224 |
| City | ESTACADA |
| State | OR |
| Zip | 97023-7022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jing Wei | Nurse Practitioner | Northwest Medical Foundation of Tillamook | 200 Se Hwy 224, Suite 100, Estacada, OR 97023-7022 |
| Alan E Nolasco | Family Medicine | Northwest Medical Foundation of Tillamook | 200 Se Hwy 224, Suite 100, Estacada, OR 97023-7022 |
| Morio Mcwilliams | Physician Assistant | Northwest Medical Foundation of Tillamook | 200 Se Hwy 224, Suite 100, Estacada, OR 97023-7022 |
| Benjamin F Hearty | Physician Assistant | Northwest Medical Foundation of Tillamook | 200 Se Hwy 224, Suite 100, Estacada, OR 97023-7022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian T Sundahl | Physical Therapy | 372 S Broadway, Estacada, OR 97023-7000 | |
| James Richard Niebergall | Physical Therapy | Countryside Physical Therapy Inc | 372 S Broadway, Estacada, OR 97023-7000 |
| Chris Johnson | Chiropractic | Oregon Trail Chiropractic LLC | 437 Ne Main St, Estacada, OR 97023-8528 |
| Candace D Hamel | Optometry | Molalla Vision Clinic PC | 405 Ne Main St, Estacada, OR 97023-8528 |
| Andrew D White | Physician Assistant | Orchid Oakridge Clinic PC | 535 Ne 6th Ave, Estacada, OR 97023-9312 |
| Micah S Bicker | Physician Assistant | Orchid Oakridge Clinic PC | 535 Ne 6th Ave, Estacada, OR 97023-9312 |
| Laura Stephanie Montez | Physician Assistant | Orchid Oakridge Clinic PC | 535 Ne 6th Ave, Estacada, OR 97023-9312 |
| Lynn M Murphy | Family Medicine | Orchid Oakridge Clinic PC | 535 Ne 6th Ave, Estacada, OR 97023-9312 |
| Jessica Lynn Garbutt-burden | Clinical Social Worker | Orchid Oakridge Clinic PC | 535 Ne 6th Ave, Estacada, OR 97023-9312 |
| City | ESTACADA |
| Zip Code | 97023 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ESTACADA + FAMILY MEDICINE |
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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.