| Renew, Llc | |
|
10 Coburg Rd Ste 300 Eugene OR 97401-7481 | |
| (541) 681-8586 | |
| (541) 681-8587 |
| Full Name | Renew, Llc |
|---|---|
| Speciality | Radiology |
| Location | 10 Coburg Rd Ste 300, Eugene, Oregon |
| Authorized Official Name and Position | Dennis Chaltraw (ORGANIZER) |
| Authorized Official Contact | 5413027771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew, Llc 675 Oak St Ste 400 Eugene OR 97401-2673 Ph: (541) 302-5240 | Renew, Llc 10 Coburg Rd Ste 300 Eugene OR 97401-7481 Ph: (541) 681-8586 |
| NPI Number | 1760142095 |
|---|---|
| Provider Enumeration Date | 12/28/2021 |
| Last Update Date | 10/03/2022 |
| Medicare PECOS PAC ID | 7517344849 |
|---|---|
| Medicare Enrollment ID | O20220506000961 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760142095 | NPI | - | NPPES |
| Provider Name | Jon Ekstrom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407871163 PECOS PAC ID: 9133033046 Enrollment ID: I20031114000651 |
| Provider Name | Robert E Gunderman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497787485 PECOS PAC ID: 5890695043 Enrollment ID: I20040113000105 |
| Provider Name | Lloyd P Wilson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1851316517 PECOS PAC ID: 0446152706 Enrollment ID: I20040416001386 |
| Provider Name | Bernardo Isuani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881630861 PECOS PAC ID: 4880651827 Enrollment ID: I20041211000191 |
| Provider Name | Akshay Satyarthi Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326084377 PECOS PAC ID: 1456333152 Enrollment ID: I20050415000819 |
| Provider Name | David Tsai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265478499 PECOS PAC ID: 2567359185 Enrollment ID: I20050615000297 |
| Provider Name | Stephan Thiede |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346277399 PECOS PAC ID: 2062494438 Enrollment ID: I20050624000706 |
| Provider Name | Jonathan Sims |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124075122 PECOS PAC ID: 6103839535 Enrollment ID: I20070918000562 |
| Provider Name | Erik J Young |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1558484238 PECOS PAC ID: 2062511389 Enrollment ID: I20080614000060 |
| Provider Name | John Md Dohrman |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1508030909 PECOS PAC ID: 5597837609 Enrollment ID: I20080707000656 |
| Provider Name | Dariusz Z Zawierucha |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1700839107 PECOS PAC ID: 7911908868 Enrollment ID: I20101112000455 |
| Provider Name | Alexander Schabel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801978481 PECOS PAC ID: 5698921609 Enrollment ID: I20130808000149 |
| Provider Name | Jerrell Ingalls |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851517999 PECOS PAC ID: 8123176104 Enrollment ID: I20150713002033 |
| Provider Name | Marius Pakalniskis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083928683 PECOS PAC ID: 0446491955 Enrollment ID: I20160804001598 |
| Provider Name | Corey Orton |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1659683928 PECOS PAC ID: 5597990598 Enrollment ID: I20160822000477 |
| Provider Name | Donald Garbett |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1285878728 PECOS PAC ID: 9537472360 Enrollment ID: I20170105000509 |
| Provider Name | Ashley Buice |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730443201 PECOS PAC ID: 0749500064 Enrollment ID: I20180618001372 |
| Provider Name | Dmitriy Kazimirko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417397738 PECOS PAC ID: 9133449481 Enrollment ID: I20190703002880 |
| Provider Name | Jeffrey Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194848697 PECOS PAC ID: 0749371284 Enrollment ID: I20200414001495 |
| Provider Name | Ryan Tade |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306266515 PECOS PAC ID: 9133422868 Enrollment ID: I20200528002255 |
| Provider Name | Brandon Roller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083813844 PECOS PAC ID: 0244547164 Enrollment ID: I20200528002396 |
| Provider Name | Jonathan Jo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225418361 PECOS PAC ID: 9032516455 Enrollment ID: I20210927002693 |
| Provider Name | Justin C Styles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609481654 PECOS PAC ID: 5395131239 Enrollment ID: I20220608002691 |
| Provider Name | Jean Paul Colon Pons |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043654015 PECOS PAC ID: 8123251154 Enrollment ID: I20221209000562 |
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Chiropractic Pain & Prevention Center P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1902 Jefferson St, Ste 1, Eugene, OR 97405 Phone: 541-687-2772 Fax: 888-857-2772 | |
Columbiacare Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Centennial Loop Ste A, Eugene, OR 97401 Phone: 541-858-8170 Fax: 541-858-8167 | |
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