Salem Pediatric Clinic

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SALEM PEDIATRIC CLINIC

Practice address

2478 13TH St SE
Salem, OR 97302-2546

Phone

(503) 362-2481

Fax

(503) 371-7803

NPI assigned

Nov 29, 2006

Last updated

Mar 4, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Liz Casebeer

Title

Administrator

Phone

(503) 485-3707

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Jane Cotey, DO

  • Pediatrics Physician
  • Salem, OR
  • NPI 1841654522
  NPD (past)
• Matthew Hatler, M.D.

  • Pediatrics Physician
  • Salem, OR
  • NPI 1730440058
  NPD (past)
• Rachael Hiebert, M.D.

  • Pediatrics Physician
  • Salem, OR
  • NPI 1063773752
  NPD (past)
• Thu Bao Trung Vu, M.D.

  • Pediatrics Physician
  • Salem, OR
  • NPI 1386755270
  NPD (past)
• Karissa E Carstensen, M.D.

  • Pediatrics Physician
  • Albuquerque, NM
  • NPI 1538401948
  NPD (past)
• Ian Straehley, MD

  • Student in an Organized Health Care Education/Training Program
  • Orange, CA
  • NPI 1588291108
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1245307693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2478 13TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022546",
            "telephone_number": "503-362-2481",
            "fax_number": "503-371-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2478 13TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022546",
            "telephone_number": "503-362-2481",
            "fax_number": "503-371-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM PEDIATRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "CASEBEER",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-485-3707"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salem of Olympus, LLC
• Salem Or Ophthalmology ASC LLC (Salem Laser & Surgery Center)
• Salem Oregon Counseling LLC (New Hope Counseling)
• Salem Pain and Spine Specialists PC
• Salem Pastoral Counseling Center
• Salem Physical Therapy
• Salem Psychiatric Associates PC (Valley Mental Health)
• Salem Psychiatric Associates, P.C. (Valley Mental Health)
• Salem Psychiatry & Wellness LLC
• Salem Psychological Services LLC

• Pediatrics Physician in Salem, OR
• Providers in Salem, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.