Active NPI
Firstcare Medical Foundation
Doing business as Samaritan Medical Clinics
- Family Medicine Physician
- Albany, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FIRSTCARE MEDICAL FOUNDATION
- Doing business as
- Samaritan Medical Clinics
- Practice address
- 1700 Geary Street SE
Albany, OR 97322-6842 - Phone
- (541) 812-5655
- Fax
- (541) 812-5650
- NPI assigned
- Jun 24, 2006
- Last updated
- May 18, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin D. J. Ewanchyna, M.D.
- Title
- Medical Director
- Phone
- (541) 812-4450
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU | ||
| Certified Registered Nurse Anesthetist | 367500000X | NU | ||
| Psychologist | 103T00000X | NU | ||
| Social Worker | 104100000X | NU | ||
| Emergency Medicine Physician | 207P00000X | NU | ||
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Internal Medicine Physician | 207R00000X | NU | ||
| Neurological Surgery Physician | 207T00000X | NU | ||
| Obstetrics & Gynecology Physician | 207V00000X | NU | ||
| Orthopaedic Surgery Physician | 207X00000X | NU | ||
| Pediatrics Physician | 208000000X | NU | ||
| Neurology Physician | 2084N0400X | NU | ||
| Psychiatry Physician | 2084P0800X | NU | ||
| Surgery Physician | 208600000X | NU |
Addresses
Primary practice location
1700 Geary Street SE
Albany, OR 97322-6842
Mailing address
PO Box 369
Corvallis, OR 97339-0369
Phone (541) 812-5655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022528 | Medicaid | OR |
Other names 1
- Samaritan Medical Clinics
National Provider Directory
National Provider DirectoryLocations
2825 Willetta St SW
Ste B
Albany, OR 97321
Phone (541) 812-5150
3615 NW Samaritan Dr
Ste 203
Corvallis, OR 97330
Phone (541) 768-6930
425 N Santiam Hwy
Lebanon, OR 97355
Phone (541) 451-6960
1600 N Coast Hwy
#101
Newport, OR 97365
Phone (541) 574-6597
Practitioners & affiliated clinicians
Practitioners 484
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.
-
- Family Medicine Physician
- Corvallis, OR
- NPI 1669416673
-
- Family Medicine Physician
- Sweet Home, OR
- NPI 1508160524
-
- Family Medicine Physician
- Lebanon, OR
- NPI 1265429088
-
- Internal Medicine Physician
- Saint Helens, OR
- NPI 1144218454
-
- Infectious Disease Physician
- Corvallis, OR
- NPI 1598853822
-
- Family Medicine Physician
- Albany, OR
- NPI 1144258070
-
- Infectious Disease Physician
- Nampa, ID
- NPI 1518947233
-
- Surgery Physician
- Carmichael, CA
- NPI 1417145798
-
- Family Medicine Physician
- Springfield, OR
- NPI 1235191412
-
- Hand Physical Therapist
- Corvallis, OR
- NPI 1770525644
-
- Pediatrics Physician
- Albany, OR
- NPI 1114197787
-
- Hand Physical Therapist
- Salem, OR
- NPI 1558361170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274140800000",
"number": "1740216498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 369",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973390369",
"telephone_number": "541-812-5655",
"fax_number": "541-812-5650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 GEARY STREET SE",
"city": "ALBANY",
"state": "OR",
"postal_code": "973226842",
"telephone_number": "541-812-5655",
"fax_number": "541-812-5650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRSTCARE MEDICAL FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2010-05-18",
"status": "A",
"authorized_official_last_name": "EWANCHYNA",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "D. J.",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "541-812-4450",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022528",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Samaritan Medical Clinics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.