Umpqua Valley Womens Care PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

DO21702 Issued in OR

Legal business name

UMPQUA VALLEY WOMENS CARE PC

Doing business as

La Bella Vita Health & Wellness

Practice address

2423 NW Troost St
Roseburg, OR 97471-1706

Phone

(541) 464-0788

Fax

(541) 464-0789

NPI assigned

Apr 30, 2007

Last updated

Mar 13, 2009By 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

Mr. Steven Joel Vannucci

Title

Coo/ Cfo

Phone

(541) 464-0788

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• La Bella Vita Health & Wellness Doing business as

Locations

Practitioners 2

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.

• Gerald H Christensen, M.D.

  • Obstetrics & Gynecology Physician
  • Oro Valley, AZ
  • NPI 1528221371
  NPD (past)
• Susan Louise Vannucci, D.O.

  • Gynecology Physician
  • Scottsdale, AZ
  • NPI 1255346938
  NPD (past)

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1790905859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 NW TROOST STREET",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "97470",
            "telephone_number": "541-464-0788",
            "fax_number": "541-464-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 NW TROOST ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711706",
            "telephone_number": "541-464-0788",
            "fax_number": "541-464-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMPQUA VALLEY WOMENS CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "VANNUCCI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "COO/ CFO",
        "authorized_official_telephone_number": "541-464-0788",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OR",
            "license": "DO21702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139406",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "067743001",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Bella Vita Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Umpqua Valley Internists PC
• Umpqua Valley Nursing & Rehabilitation Center, LLC (Umpqua Valley Nursing & Rehabilitation Center)
• Umpqua Valley Surgery Center LLC
• Under Pressure Massage LLC (Under Pressure Massage Therapy)
• Ashlyn Taylor Underwood
• United Community Action Network (Douglas County WIC)
• United Community Action Network (UCAN Babies First)
• United Community Action Network

• Gynecology Physician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Gynecology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.