| West Physician Services Llc | |
|
2614 Clover Street Klamath Falls OR 97601 | |
| (541) 884-6233 | |
| (541) 880-2840 |
| Full Name | West Physician Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2614 Clover Street, Klamath Falls, Oregon |
| Authorized Official Name and Position | Richard Rico (CFO) |
| Authorized Official Contact | 5418826311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Physician Services Llc 2865 Daggett Ave Klamath Falls OR 97601 Ph: (541) 882-6311 | West Physician Services Llc 2614 Clover Street Klamath Falls OR 97601 Ph: (541) 884-6233 |
| NPI Number | 1598783417 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 10/23/2015 |
| Medicare PECOS PAC ID | 6002710837 |
|---|---|
| Medicare Enrollment ID | O20031124000329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598783417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (Oregon) | Primary |
| Provider Name | J Eric Brunswick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902864275 PECOS PAC ID: 9739088840 Enrollment ID: I20040608000223 |
| Provider Name | Ralph M Kunkel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629027156 PECOS PAC ID: 5193625754 Enrollment ID: I20051017000337 |
| Provider Name | Rastislav Kucinsky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174787113 PECOS PAC ID: 4082789664 Enrollment ID: I20080815000412 |
| Provider Name | Mohamed Siyad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780862391 PECOS PAC ID: 1254525066 Enrollment ID: I20101104001356 |
| Provider Name | Mark R Gillis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154390177 PECOS PAC ID: 6608841325 Enrollment ID: I20161014001375 |
| Provider Name | Purushothaman Muthusamy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033473285 PECOS PAC ID: 8426287871 Enrollment ID: I20191015003067 |
| Provider Name | Stephen A Korte |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881615318 PECOS PAC ID: 4587557608 Enrollment ID: I20200618001118 |
| Provider Name | Samer Shuaib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720294440 PECOS PAC ID: 3971785965 Enrollment ID: I20201202001410 |
| Provider Name | Saif Ibrahim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457617250 PECOS PAC ID: 8820218365 Enrollment ID: I20210602001448 |
| Provider Name | Timothy M Gardner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336183508 PECOS PAC ID: 7810915246 Enrollment ID: I20211116001976 |
| Provider Name | Rama Kuchipudi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295700979 PECOS PAC ID: 0042287864 Enrollment ID: I20230807003217 |
| Provider Name | Clayton D Killpack |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528160769 PECOS PAC ID: 1850374133 Enrollment ID: I20230811002828 |
| Provider Name | Evan O'dea |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790210276 PECOS PAC ID: 4284982315 Enrollment ID: I20230829004104 |
Cofas Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2218 Shallock Ave, Klamath Falls, OR 97601 Phone: 541-882-3818 Fax: 541-882-9800 | |
Sky Lakes Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 Clover St, Klamath Falls, OR 97601 Phone: 541-274-6221 | |
Baby Catchers And Company, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Main St, Suite B, Klamath Falls, OR 97601 Phone: 541-887-8321 Fax: 541-887-8322 | |
Basin Immediate Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3737 Shasta Way Ste A, Klamath Falls, OR 97603 Phone: 541-883-2337 Fax: 541-883-2504 | |
Sky Lakes Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2617 Almond St, Klamath Falls, OR 97601 Phone: 541-274-6221 | |
Whole Person Care Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 Phone: 541-850-7697 Fax: 541-884-1580 | |
Aspen Family Medicine P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2631 Crosby Ave, Klamath Falls, OR 97603 Phone: 541-884-2900 Fax: 541-884-5204 |