Dr Derrick John Sorweide, DO | |
200 Mullins Dr, Lebanon, OR 97355-3983 | |
(514) 259-0216 | |
(541) 259-0680 |
Full Name | Dr Derrick John Sorweide |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 200 Mullins Dr, Lebanon, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497721625 | NPI | - | NPPES |
135288 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO20800 (Oregon) | Secondary |
208M00000X | Hospitalist | DO20800 (Oregon) | Primary |
Entity Name | Tuality Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275591984 PECOS PAC ID: 3678486107 Enrollment ID: O20040130000359 |
Entity Name | Galen Inpatient Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063833960 PECOS PAC ID: 3678464633 Enrollment ID: O20140702002722 |
Entity Name | Tuality Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073929782 PECOS PAC ID: 7416173414 Enrollment ID: O20140729000238 |
Mailing Address | Practice Location Address |
---|---|
Dr Derrick John Sorweide, DO 795 E 2nd St, Suite 5, Pomona, CA 91766-2007 Ph: (909) 865-2565 | Dr Derrick John Sorweide, DO 200 Mullins Dr, Lebanon, OR 97355-3983 Ph: (514) 259-0216 |
Cody Talbot, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 400 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-6413 | |
Lucas Cole Short, Hospitalist Medicare: Medicare Enrolled Practice Location: 200 Mullins Dr, Lebanon, OR 97355 Phone: 541-259-0235 | |
Joseph Tristan Napiza Oconer, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 525 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-258-2101 |