| Saint Alphonsus Medical Center- Ontario Inc | |
|
1050 Sw 3rd Ave, Ste 3200, Ontario, OR 97914-2193 | |
| (541) 881-7370 | |
| Not Available |
| Full Name | Saint Alphonsus Medical Center- Ontario Inc |
|---|---|
| Type | Facility |
| Speciality | Internal Medicine |
| Location | 1050 Sw 3rd Ave, Ontario, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093034159 | NPI | - | NPPES |
| 003346600 | Medicaid | OR | |
| 807333800 | Medicaid | ID |
| Provider Name | Paul C Gering |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235198995 PECOS PAC ID: 4486647088 Enrollment ID: I20040713001558 |
| Provider Name | John Foote |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154310597 PECOS PAC ID: 0941269070 Enrollment ID: I20060307000199 |
| Provider Name | Steven C Reich |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538144225 PECOS PAC ID: 5890886998 Enrollment ID: I20070803000151 |
| Provider Name | Frank J Spokas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801892104 PECOS PAC ID: 8426197203 Enrollment ID: I20091222000366 |
| Provider Name | Dwaine A Tesnohlidek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437240009 PECOS PAC ID: 1355485061 Enrollment ID: I20100218000762 |
| Provider Name | Eric C Rysenga |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659319549 PECOS PAC ID: 9234261157 Enrollment ID: I20100713000162 |
| Provider Name | Pamela P Bruce |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508083635 PECOS PAC ID: 7214053370 Enrollment ID: I20100927000001 |
| Provider Name | Timothy W. Stewart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669455952 PECOS PAC ID: 7719170745 Enrollment ID: I20101021001130 |
| Provider Name | Andrew P Black |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548408669 PECOS PAC ID: 4486823275 Enrollment ID: I20110811000880 |
| Provider Name | Sherry C Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821397563 PECOS PAC ID: 4688845969 Enrollment ID: I20110916000236 |
| Provider Name | Denise I Fitzsimon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861525636 PECOS PAC ID: 1153412523 Enrollment ID: I20111222000304 |
| Provider Name | Mark D Christenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699883447 PECOS PAC ID: 0749297489 Enrollment ID: I20120302000119 |
| Provider Name | Jocele A Skinner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831133164 PECOS PAC ID: 5193785335 Enrollment ID: I20120302000164 |
| Provider Name | Lawrence J Sladich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477598258 PECOS PAC ID: 7719964279 Enrollment ID: I20130417000706 |
| Provider Name | Allan Neal Boruszak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477739852 PECOS PAC ID: 4183685944 Enrollment ID: I20151222001055 |
| Provider Name | Nitikul Srisirirojanakorn Solomon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508833047 PECOS PAC ID: 2264722610 Enrollment ID: I20160526001272 |
| Provider Name | Keith R Lutter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447487327 PECOS PAC ID: 2264676493 Enrollment ID: I20161007001564 |
| Provider Name | Christopher C Wyatt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649487430 PECOS PAC ID: 7416009345 Enrollment ID: I20170921001208 |
| Provider Name | Jason M Quinn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710978036 PECOS PAC ID: 9638129349 Enrollment ID: I20181218001400 |
| Provider Name | Kourtney Holder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447782529 PECOS PAC ID: 0244500684 Enrollment ID: I20190815001338 |
| Provider Name | Wendy Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649468471 PECOS PAC ID: 7517053549 Enrollment ID: I20201016002223 |
| Provider Name | Caleb Patee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780078857 PECOS PAC ID: 5193001790 Enrollment ID: I20210114001397 |
| Provider Name | Kristyn L Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982174199 PECOS PAC ID: 8325386980 Enrollment ID: I20210517001532 |
| Provider Name | Sheila Giffen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013957802 PECOS PAC ID: 7012966922 Enrollment ID: I20210528001878 |
| Provider Name | Brandon Denney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811383524 PECOS PAC ID: 1951705110 Enrollment ID: I20210922001352 |
| Provider Name | Elena Higuchi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316435019 PECOS PAC ID: 6305244963 Enrollment ID: I20211012002098 |
| Provider Name | Jenna Humphrey Hogan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275899379 PECOS PAC ID: 0749663136 Enrollment ID: I20220929000903 |
| Provider Name | Hugo Cesar Araujo Lino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760914345 PECOS PAC ID: 5597127712 Enrollment ID: I20230818002209 |
| Provider Name | Katherine Homer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790167757 PECOS PAC ID: 0547579716 Enrollment ID: I20240122002233 |
| Provider Name | Grethe June Mortenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205183415 PECOS PAC ID: 7315196920 Enrollment ID: I20240206001956 |
| Provider Name | Katherine Passafiume |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841890993 PECOS PAC ID: 0648683714 Enrollment ID: I20240409001153 |
| Provider Name | Beverly Frank |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124057617 PECOS PAC ID: 9234361106 Enrollment ID: I20240430003285 |
| Provider Name | Keren Genstler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396190153 PECOS PAC ID: 1557696861 Enrollment ID: I20240629000073 |
| Provider Name | Michael Wheaton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871588632 PECOS PAC ID: 0244457349 Enrollment ID: I20240718000671 |
| Provider Name | Ramona Mullinax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447694930 PECOS PAC ID: 2062650864 Enrollment ID: I20240802000557 |
| Provider Name | David Christensen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922041961 PECOS PAC ID: 1052370913 Enrollment ID: I20240918001550 |
| Provider Name | Karmin Maher-hasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346767563 PECOS PAC ID: 4789031808 Enrollment ID: I20241122000875 |
| Provider Name | Eli Harris |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1235472531 PECOS PAC ID: 5294954095 Enrollment ID: I20250306000549 |
| Provider Name | Suzanne Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750600466 PECOS PAC ID: 4981864428 Enrollment ID: I20250428002904 |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Alphonsus Medical Center- Ontario Inc Po Box 190930, Boise, ID 83719-0930 Ph: (208) 367-5170 | Saint Alphonsus Medical Center- Ontario Inc 1050 Sw 3rd Ave, Ste 3200, Ontario, OR 97914-2193 Ph: (541) 881-7370 |