Grande Ronde Hospital, Inc. | |
900 Sunset Dr La Grande OR 97850-3290 | |
(541) 963-1472 | |
(541) 963-1862 |
Full Name | Grande Ronde Hospital, Inc. |
---|---|
Speciality | General Acute Care Hospital |
Location | 900 Sunset Dr, La Grande, Oregon |
Authorized Official Name and Position | Jeremy P Davis (CEO) |
Authorized Official Contact | 5419638421 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grande Ronde Hospital, Inc. Po Box 3290 La Grande OR 97850-7290 Ph: (541) 963-8421 | Grande Ronde Hospital, Inc. 900 Sunset Dr La Grande OR 97850-3290 Ph: (541) 963-1472 |
NPI Number | 1467446195 |
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Provider Enumeration Date | 09/08/2005 |
Last Update Date | 12/15/2021 |
Medicare PECOS PAC ID | 0547170789 |
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Medicare Enrollment ID | O20031124000758 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467446195 | NPI | - | NPPES |
067801 | Medicaid | OR |
Provider Name | Deborah Cohen |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1003847849 PECOS PAC ID: 0042106205 Enrollment ID: I20040224001333 |
Provider Name | Joel D Rice |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1477563203 PECOS PAC ID: 4385631647 Enrollment ID: I20040429000300 |
Provider Name | Aaron L Spracklen |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1235174947 PECOS PAC ID: 6507851565 Enrollment ID: I20040429000305 |
Provider Name | John M Page |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760493522 PECOS PAC ID: 7719963792 Enrollment ID: I20040629000959 |
Provider Name | Matthew W Allen |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1558445239 PECOS PAC ID: 0143208389 Enrollment ID: I20040713000656 |
Provider Name | Richard J Holecek |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1457314163 PECOS PAC ID: 0446203772 Enrollment ID: I20050228000361 |
Provider Name | Milo L Hibbert |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1689604233 PECOS PAC ID: 7315989415 Enrollment ID: I20050531000338 |
Provider Name | Susan K Rice |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306876958 PECOS PAC ID: 1052337243 Enrollment ID: I20051017001154 |
Provider Name | David L Galt |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1659369734 PECOS PAC ID: 5294630349 Enrollment ID: I20051028000033 |
Provider Name | Nailim M Milian |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1780615682 PECOS PAC ID: 4789639196 Enrollment ID: I20051104000289 |
Provider Name | Jill M Parsons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417983974 PECOS PAC ID: 4789674318 Enrollment ID: I20060328000815 |
Provider Name | Steven D Hunsaker |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386673903 PECOS PAC ID: 4981706256 Enrollment ID: I20070307000618 |
Provider Name | Richard A Haddock |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689610834 PECOS PAC ID: 5597669218 Enrollment ID: I20070409000606 |
Provider Name | Sheridan D Klinger |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1871563296 PECOS PAC ID: 1355437443 Enrollment ID: I20071022000059 |
Provider Name | Seymour M Bronstein |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1114984424 PECOS PAC ID: 8224935382 Enrollment ID: I20071226000097 |
Provider Name | Jesse Jarnes |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1215174669 PECOS PAC ID: 0345303210 Enrollment ID: I20090120000717 |
Provider Name | Shantay S Mayes |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609075779 PECOS PAC ID: 9234282310 Enrollment ID: I20090806000810 |
Provider Name | Rodrigo R Lim |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1558405878 PECOS PAC ID: 3476598376 Enrollment ID: I20090922000468 |
Provider Name | Blake A Gornowicz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548363732 PECOS PAC ID: 4981740776 Enrollment ID: I20091008000269 |
Provider Name | Brian R Mahon |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1104998962 PECOS PAC ID: 5799778957 Enrollment ID: I20091104000554 |
Provider Name | Stacy L Whitaker |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1316064512 PECOS PAC ID: 1355446055 Enrollment ID: I20100317000553 |
Provider Name | Robert P Mccarthy |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1629164116 PECOS PAC ID: 6608770326 Enrollment ID: I20100420000261 |
Provider Name | Dawn C Knight |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1689699787 PECOS PAC ID: 6608963608 Enrollment ID: I20100421000583 |
Provider Name | Francis Edward Szumski |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457347965 PECOS PAC ID: 4688723315 Enrollment ID: I20100727000284 |
Provider Name | Andrew C Pearson |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1871700450 PECOS PAC ID: 2567586159 Enrollment ID: I20100903000195 |
Provider Name | Mark G Parent |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1558301515 PECOS PAC ID: 6709846462 Enrollment ID: I20101026001308 |
Provider Name | Erika C Shakespeare |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1487963948 PECOS PAC ID: 7618157496 Enrollment ID: I20110210001085 |
Provider Name | Alex Johnson |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1417081399 PECOS PAC ID: 0345332433 Enrollment ID: I20120119000824 |
Provider Name | Christopher A Green |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1386830917 PECOS PAC ID: 8224194071 Enrollment ID: I20120731000806 |
Provider Name | Paul Clay Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942375043 PECOS PAC ID: 7214944107 Enrollment ID: I20121031000620 |
Provider Name | Leslie W Jackson |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1972690774 PECOS PAC ID: 0042407108 Enrollment ID: I20121211000137 |
Provider Name | Benjamin C Olson |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1932394186 PECOS PAC ID: 6406098136 Enrollment ID: I20130809000050 |
Provider Name | J Johnson |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1427257096 PECOS PAC ID: 7810036746 Enrollment ID: I20140414000916 |
Provider Name | Lewis B Baynes |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1497780266 PECOS PAC ID: 9133351638 Enrollment ID: I20140416000796 |
Provider Name | Jennine N Page |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1316262157 PECOS PAC ID: 3577718220 Enrollment ID: I20140501001264 |
Provider Name | Atul Karki |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1114205747 PECOS PAC ID: 7214154921 Enrollment ID: I20140804001030 |
Provider Name | Debra A Studer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356454631 PECOS PAC ID: 0244200830 Enrollment ID: I20140812002662 |
Provider Name | Jamie J Haddock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396151940 PECOS PAC ID: 5496972580 Enrollment ID: I20140813002289 |
Provider Name | Gerry F Funk |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1467443515 PECOS PAC ID: 7810039658 Enrollment ID: I20140905002515 |
Provider Name | Stephen A Mcilmoil |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1598052813 PECOS PAC ID: 9739308594 Enrollment ID: I20140910001419 |
Provider Name | Travis Blackhurst |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1548528706 PECOS PAC ID: 9436307741 Enrollment ID: I20141025000008 |
Provider Name | Brian D Wadley |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1124076732 PECOS PAC ID: 2264425966 Enrollment ID: I20150310001947 |
Provider Name | Courtney Travis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821419557 PECOS PAC ID: 9335362581 Enrollment ID: I20150420001616 |
Provider Name | Luther S Hemphill |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1508101569 PECOS PAC ID: 3971756123 Enrollment ID: I20150624003301 |
Provider Name | Carly A Gray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962804641 PECOS PAC ID: 6204149867 Enrollment ID: I20150724012415 |
Provider Name | Ellen Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679916738 PECOS PAC ID: 1951540947 Enrollment ID: I20151008001039 |
Provider Name | Kayla D Nixon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548646847 PECOS PAC ID: 1850601972 Enrollment ID: I20151102001949 |
Provider Name | Christine J Quinto |
---|---|
Provider Type | Practitioner - Sleep Medicine |
Provider Identifiers | NPI Number: 1174667406 PECOS PAC ID: 0345429767 Enrollment ID: I20151231000861 |
Provider Name | Monica A Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912366543 PECOS PAC ID: 2264730290 Enrollment ID: I20160407001325 |
Provider Name | James M Sheehy |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730541723 PECOS PAC ID: 8921390618 Enrollment ID: I20160718001301 |
Provider Name | Raffaella S Betza |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881955771 PECOS PAC ID: 6204147135 Enrollment ID: I20161013002627 |
Provider Name | Lacey K Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720455660 PECOS PAC ID: 7618256579 Enrollment ID: I20161116001923 |
Provider Name | Drue J Chandler |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1972801082 PECOS PAC ID: 5294912887 Enrollment ID: I20161130000622 |
Provider Name | Derek G Zickgraf |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568774362 PECOS PAC ID: 9436435583 Enrollment ID: I20170404002184 |
Provider Name | Gloria Dawn Turner |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174931182 PECOS PAC ID: 8325323405 Enrollment ID: I20170517002157 |
Provider Name | Irving Z Basanez |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1740546894 PECOS PAC ID: 3971805516 Enrollment ID: I20170622002715 |
Provider Name | Emma Peiris |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063830693 PECOS PAC ID: 7911125612 Enrollment ID: I20170720002343 |
Provider Name | Scott A Widener |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073060034 PECOS PAC ID: 4486928223 Enrollment ID: I20170918003353 |
Provider Name | Macey J Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417483553 PECOS PAC ID: 6800160466 Enrollment ID: I20170920001111 |
Provider Name | Roxanna G Stephens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891223848 PECOS PAC ID: 5698041820 Enrollment ID: I20171016002744 |
Provider Name | Jared J Hulme |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467974618 PECOS PAC ID: 3971860115 Enrollment ID: I20171127001839 |
Provider Name | Kristin Smith Hooper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720593197 PECOS PAC ID: 7618237074 Enrollment ID: I20180201003069 |
Provider Name | Casey A Nichols |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558583088 PECOS PAC ID: 2961593207 Enrollment ID: I20180219001542 |
Provider Name | Stephanie Go |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1881960078 PECOS PAC ID: 1658640198 Enrollment ID: I20180517001428 |
Provider Name | Brittany R Pryce |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497114417 PECOS PAC ID: 5294081196 Enrollment ID: I20180709000025 |
Provider Name | Maricela Elena Bandel-ramirez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205338084 PECOS PAC ID: 9537416912 Enrollment ID: I20180716003270 |
Provider Name | Arie G Trouw |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1952664062 PECOS PAC ID: 0648543629 Enrollment ID: I20181003002978 |
Provider Name | Adam J Heisinger |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1144460296 PECOS PAC ID: 1658591862 Enrollment ID: I20181004003085 |
Provider Name | Stacy E Iles |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1811257165 PECOS PAC ID: 7810202686 Enrollment ID: I20181025001872 |
Provider Name | Wade Brandt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629070297 PECOS PAC ID: 3375642648 Enrollment ID: I20190405000224 |
Provider Name | Alexander Neal Kurjatko |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1811277890 PECOS PAC ID: 2264708866 Enrollment ID: I20190410002299 |
Provider Name | Korreene A Dubray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154885689 PECOS PAC ID: 4789926775 Enrollment ID: I20190423000635 |
Provider Name | Heather R Earle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700939683 PECOS PAC ID: 4880790278 Enrollment ID: I20190515002965 |
Provider Name | Bradley Robert Close |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1649638875 PECOS PAC ID: 2466759303 Enrollment ID: I20190604001464 |
Provider Name | Brian T Reynolds |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1477636900 PECOS PAC ID: 0244135036 Enrollment ID: I20190725003633 |
Provider Name | Chong S Lee |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1497818025 PECOS PAC ID: 5597895359 Enrollment ID: I20190726000462 |
Provider Name | Johanna Delacroix |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1689807315 PECOS PAC ID: 7214238856 Enrollment ID: I20190917000783 |
Provider Name | Jeanna L Romer |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1205276003 PECOS PAC ID: 5799070108 Enrollment ID: I20190930001557 |
Provider Name | Kristell Marie Wade |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1871503748 PECOS PAC ID: 8123119146 Enrollment ID: I20191008001438 |
Provider Name | Shelyna A Thawer-rice |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235147646 PECOS PAC ID: 9739270695 Enrollment ID: I20191025002372 |
Provider Name | Eve D M Koltuv |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1043631708 PECOS PAC ID: 5395177133 Enrollment ID: I20191115000720 |
Provider Name | Mellisa Jane Lee Free-stouder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861042707 PECOS PAC ID: 4183056914 Enrollment ID: I20191118001102 |
Provider Name | Geraldine Gardner |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1033101696 PECOS PAC ID: 5597791939 Enrollment ID: I20191126001087 |
Provider Name | Beverley A Blake O'doherty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821166539 PECOS PAC ID: 3577514207 Enrollment ID: I20191202001316 |
Provider Name | Zachary W Spoehr-labutta |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1881057362 PECOS PAC ID: 6103259163 Enrollment ID: I20191204002790 |
Provider Name | Rodger William Althoff |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1417906991 PECOS PAC ID: 1355380007 Enrollment ID: I20191206001025 |
Provider Name | Staci L Rogers |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871968941 PECOS PAC ID: 0840623674 Enrollment ID: I20191209000786 |
Provider Name | Tara Palmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558894329 PECOS PAC ID: 7012287485 Enrollment ID: I20200303001693 |
Provider Name | Kim A Myers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912568825 PECOS PAC ID: 4981033438 Enrollment ID: I20200403000674 |
Provider Name | Ellen Faye Barlow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154956233 PECOS PAC ID: 0840629218 Enrollment ID: I20200406002205 |
Provider Name | Michelle Tolle |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063867661 PECOS PAC ID: 5092000133 Enrollment ID: I20200415000912 |
Provider Name | Bryan N Tolle |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275878894 PECOS PAC ID: 8628294394 Enrollment ID: I20200415003152 |
Provider Name | Robert Shanks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861029159 PECOS PAC ID: 3870923568 Enrollment ID: I20200421000735 |
Provider Name | Terry L Buchanan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851743165 PECOS PAC ID: 4486932167 Enrollment ID: I20200515000478 |
Provider Name | Steven K Pinther |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1245612589 PECOS PAC ID: 0941621478 Enrollment ID: I20200609000598 |
Provider Name | Brooke A Davis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164839320 PECOS PAC ID: 4082036082 Enrollment ID: I20200621000012 |
Provider Name | David Ingram |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1376071357 PECOS PAC ID: 7012289978 Enrollment ID: I20200703000038 |
Provider Name | Lauren A Vollinger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255803375 PECOS PAC ID: 2860730462 Enrollment ID: I20200706001558 |
Provider Name | Heather Hoops |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1609219781 PECOS PAC ID: 3870736358 Enrollment ID: I20201104002406 |
Provider Name | Devan Wallace Ball |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1942522198 PECOS PAC ID: 3971632217 Enrollment ID: I20201109001322 |
Provider Name | Lea M Carpenter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245894336 PECOS PAC ID: 0941611099 Enrollment ID: I20201123000857 |
Provider Name | Jacob Mcginnis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194325357 PECOS PAC ID: 2365856275 Enrollment ID: I20210203002474 |
Provider Name | Aaron M Walker |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1891050761 PECOS PAC ID: 0143477109 Enrollment ID: I20210215001231 |
Provider Name | Thomas L Mouritsen |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1811537012 PECOS PAC ID: 1951738665 Enrollment ID: I20210305000270 |
Provider Name | Jennifer S Hoffman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841230752 PECOS PAC ID: 0749233534 Enrollment ID: I20210408001269 |
Provider Name | Brandon Christian Stroh |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1841293628 PECOS PAC ID: 8224073838 Enrollment ID: I20210420000541 |
Provider Name | David Mcnaul |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1144262668 PECOS PAC ID: 2163318189 Enrollment ID: I20210427002431 |
Provider Name | Matthew Kay |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1033646096 PECOS PAC ID: 7315292430 Enrollment ID: I20210630003330 |
Provider Name | Heather J Holland |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902373616 PECOS PAC ID: 8022411610 Enrollment ID: I20210720001712 |
Provider Name | Aaron W Grigg |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1083804918 PECOS PAC ID: 0143346627 Enrollment ID: I20210727002467 |
Provider Name | Stephen Edward Holmes |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043227564 PECOS PAC ID: 3072513068 Enrollment ID: I20211007002008 |
Provider Name | Michael V Parmley |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1245674043 PECOS PAC ID: 3072740893 Enrollment ID: I20211019002545 |
Provider Name | Debora L Brown-cumpton |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407216989 PECOS PAC ID: 6800284886 Enrollment ID: I20211025000424 |
Provider Name | Lester Young |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1518118678 PECOS PAC ID: 6103074992 Enrollment ID: I20211116000969 |
Provider Name | Ronald E Beresky |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1417991084 PECOS PAC ID: 3779516232 Enrollment ID: I20211118002658 |
Provider Name | Anna Lanman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851912463 PECOS PAC ID: 4789074808 Enrollment ID: I20211203002525 |
Provider Name | Cynthia Tien-bao Chao |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1124164207 PECOS PAC ID: 9436057577 Enrollment ID: I20211214000794 |
Provider Name | Andrew K Oh |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1508884859 PECOS PAC ID: 5496652653 Enrollment ID: I20211222001245 |
Provider Name | Brendan P Coleman |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1568680783 PECOS PAC ID: 7416056734 Enrollment ID: I20220401000703 |
Provider Name | Melissa M Lin |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1659735751 PECOS PAC ID: 5991091225 Enrollment ID: I20220427002246 |
Provider Name | Debi J Thomas |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1245611995 PECOS PAC ID: 7113304320 Enrollment ID: I20220509002260 |
Provider Name | Rita Lopez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447433107 PECOS PAC ID: 0345570057 Enrollment ID: I20220513001209 |
Provider Name | Maurine E Robbins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528688017 PECOS PAC ID: 0042621740 Enrollment ID: I20220525001347 |
Provider Name | Paul V Beck |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1700921103 PECOS PAC ID: 9436315215 Enrollment ID: I20220725002195 |
Provider Name | Anthony L Joseph |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1831298223 PECOS PAC ID: 5890883219 Enrollment ID: I20220808003013 |
Provider Name | Tracy Epperson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1841498987 PECOS PAC ID: 0042645665 Enrollment ID: I20220809001979 |
Provider Name | Anna S Krapivina |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1053799353 PECOS PAC ID: 1254721087 Enrollment ID: I20220815002764 |
Provider Name | Brandy Renee Mclendon |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1518494038 PECOS PAC ID: 4789067034 Enrollment ID: I20220818002185 |
Provider Name | Tylo M Mackay |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255886297 PECOS PAC ID: 4789069550 Enrollment ID: I20220914002070 |
Provider Name | Vincent Tyson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003245457 PECOS PAC ID: 1355572520 Enrollment ID: I20220916002570 |
Provider Name | Lakesha Francis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235691445 PECOS PAC ID: 6901132596 Enrollment ID: I20220929003843 |
Provider Name | Russell L Reinbolt |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1366410367 PECOS PAC ID: 0648287557 Enrollment ID: I20221003002660 |
Provider Name | Eric R Schmitt |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1629242888 PECOS PAC ID: 2769521913 Enrollment ID: I20221010002842 |
Provider Name | Jacob David Sandefur |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1770212417 PECOS PAC ID: 8426425588 Enrollment ID: I20221101003476 |
Provider Name | Gautham R Kandukuri |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1174979462 PECOS PAC ID: 5890086680 Enrollment ID: I20230104001879 |
Provider Name | Celyn I Hughes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558862151 PECOS PAC ID: 9133559966 Enrollment ID: I20230123002731 |
Provider Name | Leah M Lange |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285978163 PECOS PAC ID: 6406009844 Enrollment ID: I20230127001505 |
Provider Name | Susan I Lasala-wood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457667016 PECOS PAC ID: 2860689460 Enrollment ID: I20230208002451 |
Provider Name | Benjamin Bruestle |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1659511970 PECOS PAC ID: 5890843726 Enrollment ID: I20230317001673 |
Provider Name | Hector Benitez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083222558 PECOS PAC ID: 2466861711 Enrollment ID: I20230412001227 |
Provider Name | Olufolajimi Obembe |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1164630117 PECOS PAC ID: 7315097367 Enrollment ID: I20230530002520 |
Provider Name | Kendel Margart |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1831758168 PECOS PAC ID: 5597163386 Enrollment ID: I20230531001747 |
Provider Name | Simranjit S Galhotra |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1962407601 PECOS PAC ID: 1254375413 Enrollment ID: I20230607003745 |
Provider Name | Michelle L Coplin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942648308 PECOS PAC ID: 0345607032 Enrollment ID: I20230612002813 |
Provider Name | Holly Shen |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1528221652 PECOS PAC ID: 7214184704 Enrollment ID: I20230616000364 |
Provider Name | Rebecca L Locke |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265672281 PECOS PAC ID: 8224208814 Enrollment ID: I20230619001423 |
Provider Name | Joseph O Letham |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1720583024 PECOS PAC ID: 7214396555 Enrollment ID: I20230808001559 |
Provider Name | Devamurugan Chandramohan |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1235166620 PECOS PAC ID: 7810088747 Enrollment ID: I20230811000548 |
Provider Name | Dennis Emuron |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1053604785 PECOS PAC ID: 6800026758 Enrollment ID: I20231024001009 |
Provider Name | Mark David Zubres |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1376521740 PECOS PAC ID: 5092771634 Enrollment ID: I20231025001990 |
Provider Name | Sekhar Md Iyer |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1679576045 PECOS PAC ID: 5294762258 Enrollment ID: I20231108002605 |
Provider Name | Gus J Leotta |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1336220771 PECOS PAC ID: 0345419222 Enrollment ID: I20231120003413 |
Provider Name | Robert M Cash |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1427061092 PECOS PAC ID: 4981663994 Enrollment ID: I20231127002528 |
Provider Name | Muhammad A Raza |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1881661593 PECOS PAC ID: 5496784688 Enrollment ID: I20231205001141 |
Provider Name | Daryl Manuel Pinedo |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1609098110 PECOS PAC ID: 3577719673 Enrollment ID: I20231206004361 |
Provider Name | Matthew Sigley |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1952347270 PECOS PAC ID: 4981872462 Enrollment ID: I20231215002528 |
Provider Name | Lu Pan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477843449 PECOS PAC ID: 3779862396 Enrollment ID: I20231219002523 |
Provider Name | Benjamin T Yunk |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1982100038 PECOS PAC ID: 8729448766 Enrollment ID: I20240108005989 |
Provider Name | Jonathan S Mcdougal |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1255866224 PECOS PAC ID: 3375812050 Enrollment ID: I20240117003321 |
Provider Name | Zachary Michael Jacobsen |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1225808264 PECOS PAC ID: 1355793084 Enrollment ID: I20240118002575 |
Provider Name | Hassan Massouh |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1083723969 PECOS PAC ID: 6305815820 Enrollment ID: I20240118002941 |
Provider Name | Janet J Rono |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467015818 PECOS PAC ID: 2668894700 Enrollment ID: I20240205002973 |
Provider Name | Pamela M Mcwhirter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003477233 PECOS PAC ID: 0840520599 Enrollment ID: I20240312000636 |
Provider Name | Laura T Molina |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1215577309 PECOS PAC ID: 1759717515 Enrollment ID: I20240422002553 |
Provider Name | Douglas Best |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1659321438 PECOS PAC ID: 9234111675 Enrollment ID: I20240521003876 |
Provider Name | John J Waddell |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1629562582 PECOS PAC ID: 1355699075 Enrollment ID: I20240602000091 |
Provider Name | Alecia G Brynda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598004780 PECOS PAC ID: 5698912434 Enrollment ID: I20240610002226 |
John Schaefer Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Sunset Dr, Suite C, La Grande, OR 97850 Phone: 541-963-4139 Fax: 541-963-4412 | |
Grande Ronde Hospital Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Sunset Dr Ste G, La Grande, OR 97850 Phone: 541-963-6070 Fax: 541-963-6490 | |
Grande Ronde Hospital Walk-in Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10303 S Walton Rd, La Grande, OR 97850 Phone: 541-962-7845 Fax: 541-975-5225 | |
Western Skies Wellness Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1807 Cove Ave, La Grande, OR 97850 Phone: 541-663-9008 Fax: 541-624-5454 | |
Eou Student Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 University Blvd, La Grande, OR 97850 Phone: 541-962-3524 Fax: 541-962-3825 | |
Grande Ronde Hospital Internal Medicine Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-963-3138 Fax: 541-963-5918 | |
Kim R. Montee, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Sunset Dr, Suite C, La Grande, OR 97850 Phone: 541-963-4139 Fax: 541-963-4412 |