| Vituity | |
|
2700 Nw Stewart Pkwy Roseburg OR 97471-1281 | |
| (541) 673-0611 | |
| (541) 677-6563 |
| Full Name | Vituity |
|---|---|
| Speciality | Internal Medicine |
| Location | 2700 Nw Stewart Pkwy, Roseburg, Oregon |
| Authorized Official Name and Position | David Birdsall (C.O.O./VP) |
| Authorized Official Contact | 5103502600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vituity 1601 Cummins Dr Ste D Modesto CA 95358-6411 Ph: (510) 350-2666 | Vituity 2700 Nw Stewart Pkwy Roseburg OR 97471-1281 Ph: (541) 673-0611 |
| NPI Number | 1063833960 |
|---|---|
| Provider Enumeration Date | 12/18/2013 |
| Last Update Date | 06/23/2021 |
| Medicare PECOS PAC ID | 3678464633 |
|---|---|
| Medicare Enrollment ID | O20140702002722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063833960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Christina M Ford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528057593 PECOS PAC ID: 0547169971 Enrollment ID: I20040107000435 |
| Provider Name | Derrick J Sorweide |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497721625 PECOS PAC ID: 0345233086 Enrollment ID: I20040511000805 |
| Provider Name | Kurt A Brickner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023092178 PECOS PAC ID: 5991788853 Enrollment ID: I20040610001563 |
| Provider Name | Joseph M Black |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578524377 PECOS PAC ID: 6103895677 Enrollment ID: I20040930000988 |
| Provider Name | Steven A Blum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619990108 PECOS PAC ID: 6305945833 Enrollment ID: I20071022000800 |
| Provider Name | Anandita Tiwari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992775092 PECOS PAC ID: 0648359729 Enrollment ID: I20080430000477 |
| Provider Name | Wilson Gutierrez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962694802 PECOS PAC ID: 0345318911 Enrollment ID: I20081009000174 |
| Provider Name | Jeffrey E Frank |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639128895 PECOS PAC ID: 3476598491 Enrollment ID: I20081106000311 |
| Provider Name | Sarah L Agsten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104803691 PECOS PAC ID: 6709773591 Enrollment ID: I20090209000638 |
| Provider Name | Jun Beom Kwon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750499513 PECOS PAC ID: 1052465341 Enrollment ID: I20090820000818 |
| Provider Name | Hennie Tambot Abrio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891925129 PECOS PAC ID: 6305991159 Enrollment ID: I20090901000208 |
| Provider Name | Donald Stoddard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205818663 PECOS PAC ID: 9032259395 Enrollment ID: I20091216000659 |
| Provider Name | Siobhan A Oreilly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053395160 PECOS PAC ID: 7315088002 Enrollment ID: I20091231000486 |
| Provider Name | Heidi Beery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164627667 PECOS PAC ID: 3476686676 Enrollment ID: I20100809000100 |
| Provider Name | Nathaniel S Brigham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851362578 PECOS PAC ID: 5991991143 Enrollment ID: I20101130000525 |
| Provider Name | Warren I Okuns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134385461 PECOS PAC ID: 5698949717 Enrollment ID: I20111129000298 |
| Provider Name | Mukesh K Thawani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174716427 PECOS PAC ID: 5890832810 Enrollment ID: I20120216000232 |
| Provider Name | Susan M Rundle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578654232 PECOS PAC ID: 3476551615 Enrollment ID: I20120220000261 |
| Provider Name | Jolanta S Olson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346244043 PECOS PAC ID: 6204924962 Enrollment ID: I20120518000182 |
| Provider Name | Keneilwe Tlaang-setilo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851698757 PECOS PAC ID: 0941451488 Enrollment ID: I20121110000125 |
| Provider Name | Miguel Di Francisco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902091192 PECOS PAC ID: 6305921248 Enrollment ID: I20130206000451 |
| Provider Name | Preeti Satyanarayana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063641744 PECOS PAC ID: 2264674795 Enrollment ID: I20130813000988 |
| Provider Name | Sandesh Pandit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770781031 PECOS PAC ID: 1658558705 Enrollment ID: I20131004000296 |
| Provider Name | Christopher K Kwock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619103553 PECOS PAC ID: 2567627276 Enrollment ID: I20140721000407 |
| Provider Name | Samantha Mason |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639470529 PECOS PAC ID: 0446412589 Enrollment ID: I20140822000784 |
| Provider Name | Tanja Epley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336119635 PECOS PAC ID: 9436212230 Enrollment ID: I20140925000324 |
| Provider Name | Allen D Hack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750346482 PECOS PAC ID: 2062308158 Enrollment ID: I20150701002920 |
| Provider Name | Desmond Jy Wah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366673568 PECOS PAC ID: 5496901787 Enrollment ID: I20150826002351 |
| Provider Name | Hooman Hajian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952512329 PECOS PAC ID: 5294990974 Enrollment ID: I20151005002793 |
| Provider Name | Laurentiu Istrate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437416179 PECOS PAC ID: 5597990630 Enrollment ID: I20151006003088 |
| Provider Name | Amy Kalina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104025071 PECOS PAC ID: 7416080577 Enrollment ID: I20151208002660 |
| Provider Name | Robert E Moss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174567804 PECOS PAC ID: 5991796740 Enrollment ID: I20151215000910 |
| Provider Name | George J. Moussally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013261973 PECOS PAC ID: 6507010600 Enrollment ID: I20160909001883 |
| Provider Name | Neha L Jain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316387582 PECOS PAC ID: 6901117654 Enrollment ID: I20160912000652 |
| Provider Name | Ernest O Kanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437261179 PECOS PAC ID: 2264411479 Enrollment ID: I20160913000776 |
| Provider Name | Ovais Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366871493 PECOS PAC ID: 8921396045 Enrollment ID: I20161005001486 |
| Provider Name | Luis E Leyton-gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013911601 PECOS PAC ID: 8022047174 Enrollment ID: I20170310001373 |
| Provider Name | Monique Nicole Schwartz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952517682 PECOS PAC ID: 1658496369 Enrollment ID: I20170524002405 |
| Provider Name | Pushpinder Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457853103 PECOS PAC ID: 9032473624 Enrollment ID: I20180507002636 |
| Provider Name | Rishi Saigal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467831016 PECOS PAC ID: 9436407392 Enrollment ID: I20180808003822 |
| Provider Name | Jonathan Waller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801324264 PECOS PAC ID: 0840569133 Enrollment ID: I20200925000900 |
| Provider Name | Nathan James Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730685678 PECOS PAC ID: 5294086922 Enrollment ID: I20210824002002 |
| Provider Name | Brooks Ashworth Smallwood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841842184 PECOS PAC ID: 2860875598 Enrollment ID: I20220812002773 |
| Provider Name | Megan Sturdy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033590997 PECOS PAC ID: 3173882958 Enrollment ID: I20230608001700 |
A.k. Gombart M.d.p.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 W Umpqua St, Roseburg, OR 97470 Phone: 541-673-0133 | |
Roseburg Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2750 W Harvard Ave, Roseburg, OR 97471 Phone: 541-673-8988 Fax: 541-672-8103 | |
Douglas Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 W Harvard Ave, Suite 201, Roseburg, OR 97470 Phone: 541-440-6390 Fax: 541-440-6392 | |
Laurence M Sharp Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 W Harvard Ave, Suite 426, Roseburg, OR 97471 Phone: 541-459-1611 Fax: 541-459-5741 | |
Bestmed Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1740 Nw Goetz Street, Roseburg, OR 97471 Phone: 541-672-4885 Fax: 541-672-4782 | |
Cow Creek Health & Wellness Ctr Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2589 Nw Edenbower Blvd, Roseburg, OR 97471 Phone: 541-672-8533 Fax: 855-670-1791 | |
Gordon F. Rose, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 544 W Umpqua St Ste 104, Roseburg, OR 97470 Phone: 541-673-3334 Fax: 541-673-0814 |