| Dr Ognjen Stevanovic, MD | |
|
1600 State St, Salem, OR 97301-4257 | |
| (503) 540-6300 | |
| (503) 540-6404 |
| Full Name | Dr Ognjen Stevanovic |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 1600 State St, Salem, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558802819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD225923 (Oregon) | Primary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | DR.0068153 (Colorado) | Secondary |
| Entity Name | Plymouth Bay Orthopedic Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548281488 PECOS PAC ID: 3375448335 Enrollment ID: O20060912000494 |
| Entity Name | Physicians Of Cape Cod Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679832364 PECOS PAC ID: 9638326671 Enrollment ID: O20120828000193 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ognjen Stevanovic, MD 251 E Huron St, Chicago, IL 60611-2908 Ph: (312) 926-2000 | Dr Ognjen Stevanovic, MD 1600 State St, Salem, OR 97301-4257 Ph: (503) 540-6300 |
Allison Roe Mitchell, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1600 State St, Salem, OR 97301 Phone: 503-540-6300 Fax: 503-540-6404 | |
Dr. William Joseph Gallagher, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3254 Tranquility Ct Se, Salem, OR 97301 Phone: 503-375-9505 Fax: 503-365-7371 | |
Andrew Joseph Hadeed, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1600 State St, Salem, OR 97301 Phone: 503-540-6300 Fax: 503-540-6404 | |
Dr. Raylene Lorraine Gordin, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1296 Commercial St. Se, Suite 103, Salem, OR 97302 Phone: 503-580-0761 Fax: 503-213-5948 | |
Dan G Sewell, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 State Street, Salem, OR 97301 Phone: 503-540-6300 | |
Sudeep Taksali, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 State St, Salem, OR 97301 Phone: 503-540-6300 | |
Robert S Fan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 State Street, Salem, OR 97301 Phone: 503-540-6300 |