Croisan Ridge Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1557 Issued in OR

Legal business name

CROISAN RIDGE SURGERY CENTER, LLC

Practice address

4999 Skyline Rd S # 150
Salem, OR 97306-2009

Phone

(503) 315-4977

Fax

(503) 584-7856

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Craig D Anderson, M.D PRESIDENT.NPI 1629014824

Title

President

Phone

(503) 315-4977

Specialties & licenses 1

Addresses

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.

• Craig Douglas Anderson, MD

  • Pain Medicine (Anesthesiology) Physician
  • Salem, OR
  • NPI 1629014824
  NPD (past) Authorized official
• Eugene Lloyd Hiebert, MD

  • Pain Medicine (Anesthesiology) Physician
  • Portland, OR
  • NPI 1487686994
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1912045154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4999 SKYLINE RD S # 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973062009",
            "telephone_number": "503-315-4977",
            "fax_number": "503-584-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4999 SKYLINE RD S # 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973062009",
            "telephone_number": "503-315-4977",
            "fax_number": "503-584-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROISAN RIDGE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-315-4977",
        "authorized_official_credential": "M.D PRESIDENT."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": "1557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Crisman
• Christopher James Cristobal, CRM
• Shawn R Criswell, LPC
• Ronald M. Crockett, D.C.
• William R. Croco, RPH.
• Erik Cronrath, PT, DPT
• Janet Louise Crooks, RPH
• Erica-Renee Cropper, QMHA
• Chanelle Crosby, LAC
• Andrea Denise Croskey, BA

• Ambulatory Surgical Clinic/Center in Salem, OR
• Providers in Salem, OR by specialty
• Ambulatory Surgical Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.