| Timothy F Gladding Jr, MD | |
|
2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 | |
| (541) 677-4313 | |
| (541) 677-4533 |
| Full Name | Timothy F Gladding Jr |
|---|---|
| Gender | Male |
| Speciality | Pathology - Clinical Pathology/laboratory Medicine |
| Location | 2700 Nw Stewart Pkwy, Roseburg, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659342830 | NPI | - | NPPES |
| 288459 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | MD20362 (Oregon) | Primary |
| Entity Name | Centennial Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518103274 PECOS PAC ID: 6103982962 Enrollment ID: O20090303000063 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy F Gladding Jr, MD 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 Ph: (541) 677-4313 | Timothy F Gladding Jr, MD 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 Ph: (541) 677-4313 |
Claire Michelle Pollard, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97471 Phone: 520-609-8870 Fax: 541-677-2410 | |
John F Dauterman, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97470 Phone: 541-677-4313 Fax: 541-677-4533 | |
Yan Wang, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97470 Phone: 541-440-1000 |