| Emergency Medical Associates Of Mcminnville | |
|
2700 Se Stratus Ave Mcminnville OR 97128-6255 | |
| (503) 472-6131 | |
| Not Available |
| Full Name | Emergency Medical Associates Of Mcminnville |
|---|---|
| Speciality | Emergency Medicine |
| Location | 2700 Se Stratus Ave, Mcminnville, Oregon |
| Authorized Official Name and Position | Helge Berge (MANAGING PARTNER) |
| Authorized Official Contact | 5035381865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emergency Medical Associates Of Mcminnville Po Box 2065 Seattle WA 98111-2065 Ph: () - | Emergency Medical Associates Of Mcminnville 2700 Se Stratus Ave Mcminnville OR 97128-6255 Ph: (503) 472-6131 |
| NPI Number | 1629022876 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 10/09/2007 |
| Medicare PECOS PAC ID | 3870585920 |
|---|---|
| Medicare Enrollment ID | O20040331000355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629022876 | NPI | - | NPPES |
| 7063084 | Medicaid | WA | |
| 8933475 | Other | CRIME VICTIMS | |
| CG3709 | Other | RAILROAD MEDICARE | |
| 168132 | Medicaid | OR | |
| 56098 | Other | WASHINGTON L&I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
| Provider Name | Ricardo R Carlon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194759902 PECOS PAC ID: 4284626334 Enrollment ID: I20040331000390 |
| Provider Name | Audrey Trainer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124060306 PECOS PAC ID: 3375530330 Enrollment ID: I20040429001477 |
| Provider Name | Troy T Fallon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518068303 PECOS PAC ID: 3779474663 Enrollment ID: I20040615001821 |
| Provider Name | Brett Anders Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598842650 PECOS PAC ID: 5890758387 Enrollment ID: I20041105000427 |
| Provider Name | Janet Paquette |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639120934 PECOS PAC ID: 2860447265 Enrollment ID: I20050817000971 |
| Provider Name | Kyle J Shaver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639241763 PECOS PAC ID: 4284739996 Enrollment ID: I20070924000703 |
| Provider Name | Dean A Sasek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376554717 PECOS PAC ID: 6901821396 Enrollment ID: I20080613000616 |
| Provider Name | Timothy Brock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083880249 PECOS PAC ID: 5092985218 Enrollment ID: I20110825000789 |
| Provider Name | Nina Allan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184899221 PECOS PAC ID: 5698945459 Enrollment ID: I20110914000223 |
| Provider Name | Emily Weber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942462395 PECOS PAC ID: 5092986794 Enrollment ID: I20110928000579 |
| Provider Name | Alana Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447594965 PECOS PAC ID: 3971756594 Enrollment ID: I20130128000465 |
| Provider Name | Michael L Beadnell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972815108 PECOS PAC ID: 9335383801 Enrollment ID: I20130924000176 |
| Provider Name | Kimberly S Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578870069 PECOS PAC ID: 3476781055 Enrollment ID: I20140417002086 |
| Provider Name | Mckaila Allcorn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700197076 PECOS PAC ID: 5597994129 Enrollment ID: I20140924000430 |
| Provider Name | Teresa S Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932246055 PECOS PAC ID: 7416276464 Enrollment ID: I20150424002221 |
| Provider Name | Michael Jugo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609972066 PECOS PAC ID: 7911999537 Enrollment ID: I20150818003331 |
| Provider Name | Thomas M Cronin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467719757 PECOS PAC ID: 4082857222 Enrollment ID: I20150930002671 |
| Provider Name | Corey Todd Goldberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780983221 PECOS PAC ID: 5698905016 Enrollment ID: I20160425000734 |
| Provider Name | William Boylston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700172962 PECOS PAC ID: 1850544768 Enrollment ID: I20160630002193 |
| Provider Name | Amber Mcpherson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417395781 PECOS PAC ID: 5799055745 Enrollment ID: I20170724002988 |
| Provider Name | Anna Beth Acree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053836825 PECOS PAC ID: 7810262573 Enrollment ID: I20171005000478 |
| Provider Name | Megan Dell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275672297 PECOS PAC ID: 0244308237 Enrollment ID: I20200116001144 |
| Provider Name | Julia Coppi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437654845 PECOS PAC ID: 7113273525 Enrollment ID: I20210702002228 |
| Provider Name | Joshua D Gutierrez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821414913 PECOS PAC ID: 1759618564 Enrollment ID: I20230725002532 |
| Provider Name | Ashwath Gunasekar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437646197 PECOS PAC ID: 3072863703 Enrollment ID: I20240710003346 |
| Provider Name | Ryan R Derrah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083090625 PECOS PAC ID: 2062814197 Enrollment ID: I20240930001557 |
| Provider Name | James Christopher Perdue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073391553 PECOS PAC ID: 0547796286 Enrollment ID: I20250218003219 |
Kaiser Foundation Health Plan Of The Northwest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Se Stratus Ave Unit 405, Mcminnville, OR 97128 Phone: 800-813-2000 | |
Transitional Life Care Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15604 Sw Rock Of Ages Rd, Mcminnville, OR 97128 Phone: 971-261-6130 Fax: 971-241-6146 | |
Virginia Garcia Memorial Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 627 Ne Evans St, Mcminnville, OR 97128 Phone: 503-434-7523 | |
Praxis Health, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2163 Nw 2nd St, Mcminnville, OR 97128 Phone: 503-472-4197 | |
Juliette's House Child Abuse Assessment Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1075 Sw Cedarwood Ave, Mcminnville, OR 97128 Phone: 503-435-1550 Fax: 503-435-1435 | |
Yamhill County Hss Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Ne Kirby St, Mcminnville, OR 97128 Phone: 503-434-7525 Fax: 503-472-9731 | |
Lanning Family Chiropractic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2300 Sw 2nd St Ste C, Mcminnville, OR 97128 Phone: 503-474-0664 Fax: 503-474-3856 |