Joel Bruce Klein (NPI# 1013090877, PAC ID# 9931176260) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1013090877 |
| PAC ID by PECOS | 9931176260 |
| Professional Enrollment ID | I20120816000749 |
| Full Name | Joel Bruce Klein |
| Organization Legal Name | COMPLETE INTEGRATIVE CARE, LLC |
| Address |
3144 State St Medford OR 97504-8450 |
| Phone Number | 5417739772 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0244510261 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380018 | ASANTE ROGUE REGIONAL MEDICAL CENTER |
| 380005 | ASANTE ASHLAND COMMUNITY HOSPITAL |
| 380002 | ASANTE THREE RIVERS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3144 State St, Medford, OR 97504-8450 | 5417739772 | COMPLETE INTEGRATIVE CARE, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | COMPLETE INTEGRATIVE CARE, LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah A Roberson | Nurse Practitioner | Complete Integrative Care, LLC | 3144 State St, Medford, OR 97504-8450 |
| Laura J Deleruyelle | Nurse Practitioner | Complete Integrative Care, LLC | 3144 State St, Medford, OR 97504-8450 |
| Susan K Preslar | Nurse Practitioner | Complete Integrative Care, LLC | 3144 State St, Medford, OR 97504-8450 |
| Debra G Robbins | Physician Assistant | Complete Integrative Care, LLC | 3144 State St, Medford, OR 97504-8450 |
| Jill A Henry | Physician Assistant | Complete Integrative Care, LLC | 3144 State St, Medford, OR 97504-8450 |
| Andrea Giachetti | Nurse Practitioner | Complete Integrative Care, LLC | 3144 State St, Medford, OR 97504-8450 |
| Street Address |
3144 STATE ST |
| City | MEDFORD |
| State | OR |
| Zip | 97504-8450 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah A Roberson | Nurse Practitioner | Complete Integrative Care, LLC | 3144 State St, Medford, OR 97504-8450 |
| Laura J Deleruyelle | Nurse Practitioner | Complete Integrative Care, LLC | 3144 State St, Medford, OR 97504-8450 |
| Susan K Preslar | Nurse Practitioner | Complete Integrative Care, LLC | 3144 State St, Medford, OR 97504-8450 |
| Debra G Robbins | Physician Assistant | Complete Integrative Care, LLC | 3144 State St, Medford, OR 97504-8450 |
| Jill A Henry | Physician Assistant | Complete Integrative Care, LLC | 3144 State St, Medford, OR 97504-8450 |
| Andrea Giachetti | Nurse Practitioner | Complete Integrative Care, LLC | 3144 State St, Medford, OR 97504-8450 |
| 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 |
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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.