| Santiam Medical Group Llc | |
|
1401 N 10th Ave Stayton OR 97383-1311 | |
| (503) 769-2175 | |
| (503) 769-5877 |
| Full Name | Santiam Medical Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1401 N 10th Ave, Stayton, Oregon |
| Authorized Official Name and Position | Maggie Hudson (CFO/COO) |
| Authorized Official Contact | 5037699236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santiam Medical Group Llc 1401 N 10th Ave Stayton OR 97383-1311 Ph: (503) 769-2175 | Santiam Medical Group Llc 1401 N 10th Ave Stayton OR 97383-1311 Ph: (503) 769-2175 |
| NPI Number | 1992149322 |
|---|---|
| Provider Enumeration Date | 04/29/2013 |
| Last Update Date | 04/29/2013 |
| Medicare PECOS PAC ID | 0345474748 |
|---|---|
| Medicare Enrollment ID | O20131017000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992149322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Beth Vermont |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487759775 PECOS PAC ID: 7113819723 Enrollment ID: I20040408000636 |
| Provider Name | Nicolas J Stratton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942346994 PECOS PAC ID: 3476543653 Enrollment ID: I20040826001258 |
| Provider Name | Robert G Mcgreevy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770545477 PECOS PAC ID: 0446292668 Enrollment ID: I20050527000513 |
| Provider Name | Andrea K Lind |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427070382 PECOS PAC ID: 9931113339 Enrollment ID: I20060206000218 |
| Provider Name | Thomas D Gilberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841214236 PECOS PAC ID: 6103823174 Enrollment ID: I20061104000068 |
| Provider Name | Damian E Jorgensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093700171 PECOS PAC ID: 4688575202 Enrollment ID: I20071205000369 |
| Provider Name | Susan J Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821093816 PECOS PAC ID: 2466420211 Enrollment ID: I20100831000481 |
| Provider Name | Tanie Hotan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023026309 PECOS PAC ID: 3577688548 Enrollment ID: I20100914000848 |
| Provider Name | Scott T Hadden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932117207 PECOS PAC ID: 0547452187 Enrollment ID: I20101014000288 |
| Provider Name | Larry D Sebring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063751642 PECOS PAC ID: 9739325945 Enrollment ID: I20130412000551 |
| Provider Name | James W Bayuk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770772493 PECOS PAC ID: 5991024879 Enrollment ID: I20150427000567 |
| Provider Name | Lauren Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013292952 PECOS PAC ID: 6305010380 Enrollment ID: I20150430000550 |
| Provider Name | Maria Margarita Turney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447491121 PECOS PAC ID: 2860542040 Enrollment ID: I20160301002351 |
| Provider Name | Jennifer C Brewer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467771295 PECOS PAC ID: 2769601822 Enrollment ID: I20160404000254 |
Cascade Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1369 N 10th Ave, Stayton, OR 97383 Phone: 503-769-7546 Fax: 503-769-8563 | |
Guesly Dessieux, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 N 10th Ave, Suite 100, Stayton, OR 97383 Phone: 503-769-6386 | |
Jeanne L Fitzpatrick Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 N 10th Ave Ste 100, Stayton, OR 97383 Phone: 503-769-4602 Fax: 503-769-5416 | |
Damian E. Jorgensen M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 N 10th Ave, Suite 200, Stayton, OR 97383 Phone: 503-769-9070 Fax: 503-769-5416 | |
Patrick R. Arden D.c.p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 E Washington St, Stayton, OR 97383 Phone: 503-769-2801 | |
Nancy Dougherty, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 N 10th Ave, Suite 200, Stayton, OR 97383 Phone: 503-769-9362 Fax: 503-769-5416 | |
Santiam Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1401 N 10th Ave, Ste. 100, Stayton, OR 97383 Phone: 503-769-6386 Fax: 503-769-5647 |