Nathan Gruenhagen, MD | |
930 Sw Abbey St Ste B, Newport, OR 97365-4820 | |
(541) 265-2244 | |
Not Available |
Full Name | Nathan Gruenhagen |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 930 Sw Abbey St Ste B, Newport, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013442425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD213885 (Oregon) | Primary |
Entity Name | Samaritan Pacific Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174888010 PECOS PAC ID: 2466353529 Enrollment ID: O20040204000304 |
Entity Name | Corvallis Radiology Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881651289 PECOS PAC ID: 2062300676 Enrollment ID: O20040305000892 |
Entity Name | Samaritan Pacific Health Services Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1801847066 PECOS PAC ID: 2466353529 Enrollment ID: O20061104000163 |
Mailing Address | Practice Location Address |
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Nathan Gruenhagen, MD 2401 W University Ave, Muncie, IN 47303-3428 Ph: () - | Nathan Gruenhagen, MD 930 Sw Abbey St Ste B, Newport, OR 97365-4820 Ph: (541) 265-2244 |
Michael Theodore Peterson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 930 Sw Abbey St, Newport, OR 97365 Phone: 541-754-4710 Fax: 541-574-2858 | |
Dr. Tinko Ivanov Zlatev, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 930 Sw Abbey St, Newport, OR 97365 Phone: 541-265-2244 Fax: 541-574-1838 |