Good Samaritan Hospital Corvallis

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

GOOD SAMARITAN HOSPITAL CORVALLIS

Doing business as

Samaritan Pediatrics - Circle Blvd.

Practice address

1112 NW Circle Blvd
Corvallis, OR 97330

Phone

(541) 768-1221

NPI assigned

Feb 28, 2008

Organization subpart

No

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

Authorized official

Name

Becky Pape

Title

Ceo

Phone

(541) 768-5009

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Samaritan Pediatrics - Circle Blvd. Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

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.

• Tamme J Davis, DO

  • Obstetrics & Gynecology Physician
  • Corvallis, OR
  • NPI 1023225885
  NPD

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1629247176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 NW CIRCLE BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973301462",
            "telephone_number": "541-768-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 NW CIRCLE BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "97330",
            "telephone_number": "541-768-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPITAL CORVALLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "PAPE",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-768-5009"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022528",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Pediatrics - Circle Blvd.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Good Samaritan Hospital Corvallis (Samaritan Pharmacy - Corvallis)
• Good Samaritan Hospital Corvallis (Samaritan Kidney Specialists - Corvallis)
• Good Samaritan Hospital Corvallis (Samaritan Family Medicine - Circle Blvd)
• Good Samaritan Hospital Corvallis (Samaritan Hand to Shoulder Therapy)
• Good Samaritan Hospital Corvallis (Samaritan Obstetrics, Gynecology & Midwifery - Circle Blvd)
• Good Samaritan Hospital Corvallis (Samaritan Specialty Pharmacy)
• Good Samaritan Hospital Corvallis (Samaritan Medical Group Hand to Shoulder Orthopedics - Corvallis)
• Good Samaritan Hospital Corvallis (Samaritan Sports Medicine-V)
• Good Samaritan Hospital Corvallis (Samaritan Pharmacy - 30th Street)
• Good Samaritan Hospital Corvallis (Samaritan Gynecologic Oncology - Corvallis)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.