| Salem Gastroenterology Consultants, Pc | |
|
875 Oak St Se Suite 3010 Salem OR 97301-3975 | |
| (503) 399-7520 | |
| (503) 362-7344 |
| Full Name | Salem Gastroenterology Consultants, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 875 Oak St Se, Salem, Oregon |
| Authorized Official Name and Position | Michael D Buck (PRESIDENT) |
| Authorized Official Contact | 5035614043 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salem Gastroenterology Consultants, Pc 875 Oak St Se Suite 3010 Salem OR 97301-3975 Ph: (503) 399-7520 | Salem Gastroenterology Consultants, Pc 875 Oak St Se Suite 3010 Salem OR 97301-3975 Ph: (503) 399-7520 |
| NPI Number | 1275634792 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 05/01/2008 |
| Medicare PECOS PAC ID | 4183611361 |
|---|---|
| Medicare Enrollment ID | O20040429000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275634792 | NPI | - | NPPES |
| 027980 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Oregon) | Primary |
| Provider Name | Makkalearn Em |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487632238 PECOS PAC ID: 8527094234 Enrollment ID: I20050714000183 |
| Provider Name | Katherine M Hoda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699862193 PECOS PAC ID: 0042219073 Enrollment ID: I20061220000270 |
| Provider Name | Patricia C Kao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063576437 PECOS PAC ID: 7315039286 Enrollment ID: I20070823000110 |
| Provider Name | Falguny Bhavan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033318357 PECOS PAC ID: 5698835544 Enrollment ID: I20081121000255 |
| Provider Name | Richard W Brandes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750420766 PECOS PAC ID: 7810042090 Enrollment ID: I20090911000647 |
| Provider Name | Robert J Ponec |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356329049 PECOS PAC ID: 3678596376 Enrollment ID: I20101214001286 |
| Provider Name | Nabil E Choueiri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124220660 PECOS PAC ID: 1850422148 Enrollment ID: I20150903002849 |
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