| 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 |
|---|---|
| Speciality | Internal Medicine |
| Location | 1050 Sw 3rd Ave, Ontario, Oregon |
| Authorized Official Name and Position | Brian Lannie Checketts (CFO) |
| Authorized Official Contact | 2083677347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Alphonsus Medical Center- Ontario Inc 3340 E Goldstone Way Meridian ID 83642-1026 Ph: (208) 367-5170 | Saint Alphonsus Medical Center- Ontario Inc 1050 Sw 3rd Ave Ste 3200 Ontario OR 97914-2193 Ph: (541) 881-7370 |
| NPI Number | 1093034159 |
|---|---|
| Provider Enumeration Date | 05/27/2010 |
| Last Update Date | 01/24/2023 |
| Medicare PECOS PAC ID | 1456488899 |
|---|---|
| Medicare Enrollment ID | O20100713000593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093034159 | NPI | - | NPPES |
| 003346600 | Medicaid | OR | |
| 807333800 | Medicaid | ID |
| Provider Name | Eric R Lamb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750379244 PECOS PAC ID: 5395657050 Enrollment ID: I20031205000083 |
| 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 H Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477567485 PECOS PAC ID: 4587615158 Enrollment ID: I20050201000948 |
| Provider Name | Deborah A Hampton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619184173 PECOS PAC ID: 2668407560 Enrollment ID: I20050929000264 |
| 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 | Andrew C Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093779365 PECOS PAC ID: 5597829499 Enrollment ID: I20090121000308 |
| Provider Name | Frank J Spokas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801892104 PECOS PAC ID: 8426197203 Enrollment ID: I20091222000366 |
| Provider Name | Ian R Donald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336283563 PECOS PAC ID: 8123184488 Enrollment ID: I20091230000461 |
| Provider Name | Morris H Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487611877 PECOS PAC ID: 1153309281 Enrollment ID: I20100428000629 |
| 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 | Mark Lee Yeske |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366400517 PECOS PAC ID: 0042382046 Enrollment ID: I20101020001291 |
| 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 | Donna F Messersmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952325458 PECOS PAC ID: 1456506237 Enrollment ID: I20130227000622 |
| Provider Name | Lawrence J Sladich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477598258 PECOS PAC ID: 7719964279 Enrollment ID: I20130417000706 |
| Provider Name | Barry L Acor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154633642 PECOS PAC ID: 5395933352 Enrollment ID: I20130507000609 |
| Provider Name | Valerie Lawrence |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013385426 PECOS PAC ID: 6305156456 Enrollment ID: I20151102002717 |
| 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 | Matthew R Nelson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376622985 PECOS PAC ID: 6204908023 Enrollment ID: I20170616001240 |
| Provider Name | E Patricia Jeanne Engel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932460870 PECOS PAC ID: 3678729035 Enrollment ID: I20170629001474 |
| 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 | Paola Andrea D'aleman Poveda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295206589 PECOS PAC ID: 4789926734 Enrollment ID: I20190423002857 |
| Provider Name | Eric J Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689080525 PECOS PAC ID: 6800105081 Enrollment ID: I20190726001991 |
| Provider Name | Kourtney Holder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447782529 PECOS PAC ID: 0244500684 Enrollment ID: I20190815001338 |
| Provider Name | Kevin Francis Wade |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629135926 PECOS PAC ID: 5698839827 Enrollment ID: I20200103001802 |
| Provider Name | Bethany J Ericson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710308804 PECOS PAC ID: 3072878727 Enrollment ID: I20200604000236 |
| Provider Name | Tamme Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023225885 PECOS PAC ID: 3173559705 Enrollment ID: I20201214002631 |
| 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 Katherine Higuchi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316435019 PECOS PAC ID: 6305244963 Enrollment ID: I20211012002098 |
| 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 |
Peavey Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1219 Sw 4th Ave Unit 2, Ontario, OR 97914 Phone: 541-889-2229 | |
Annette Louise Koski Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Se Goodfellow St, Ontario, OR 97914 Phone: 541-889-6288 | |
Valley Family Health Care Women And Children Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 840 Sw 4th Ave Ste 105, Ontario, OR 97914 Phone: 541-889-2668 Fax: 208-642-9598 | |
Vernon E Barton Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 Sw 3rd Ave, Ontario, OR 97914 Phone: 541-889-0771 Fax: 541-889-8788 | |
Treasure Valley Women And Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1219 Sw 4th Ave Unit 2, Ontario, OR 97914 Phone: 541-881-2800 Fax: 541-881-2825 | |
Clapperton Np-c Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 Sw 4th Ave, Ontario, OR 97914 Phone: 541-889-7781 |