Samaritan Pacific Health Services Inc
Organization Active NPI Orthopaedic Surgery Physician · Newport, OR
NPI 1992853972 · NPPES record last updated Mar 21, 2019
Key facts
- NPI
- 1992853972
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 141460 (OR)
- Legal business name
- SAMARITAN PACIFIC HEALTH SERVICES INC
- Practice address
- 930 SW Abbey St Ste B
Newport, OR 97365-4820 - Phone
- (541) 574-7235
- NPI assigned
- Jan 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Lesley J. Ogden, MD, FACEP
- Title
- Ceo
- Phone
- (541) 557-6411
Owners & managing parties with NPI records 1
-
Jerry Joel Robbins, M.D.
Other NPIs on the same Medicare enrollment 25
Related certifications (CCN) 7
Practitioners 38
-
Hannah Rasma Balduff, PA-C
-
Terra Bennett-Reeves, PSYD
-
Ryan Biegler, MD
-
Tashina Louise Blair, FNP-BC
-
Jason E Brown, PAC
-
Christine Seunga Chun, FNP-C
-
Daniel Ebert, DO
-
Peter Fox, DO
-
Sonia Hasbun, DO
-
Kristy Lane Jessop, M.D.
-
Swati S Kakodkar, M.D.
-
Andrea J. McCann, M.D.
-
Faullin Paletsky, M.D.
-
Dzhakhan Pecherskaya, M.D.
-
Abigail Pittard, MD
-
Sedrick A. Salisbury, M.D.
-
Angel Sidell, RN
-
Lauren Vrooman Skaggs, M.D.
Affiliated clinicians 434
-
Maxwell B Abbott, M.D.
-
Cherrie Abraham, MD
-
Mary Abraham, MD
-
Marian Cyrin Aledo, CRNA
-
Bryce Andrew Allio, M.D.
-
Scott Harrison Ambruster, M.D.
-
Tim Arakawa, MD, PHD
-
Lisa Rene Araneta, PA-C
-
Ivan Augusto Arenas, M.D.,PHD
-
Leslie Ann Arpin, M.D.
-
Abinet Ashine, M.D.
-
Adam Richard Bailey, PA-C
-
Hannah Rasma Balduff, PA-C
-
Shashank Bathula, DO
-
Kelli Spencer Baum, D.O.
-
Jessica Michelle Bell, PA-C
-
Leila Clark Bender, M.D.
-
Raed Benkhadra, MD
Medicare Care Compare: Hospital
- Listed as
- Samaritan Pacific Community Hospital
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR
Hospital certification: CCN 381314
- Legal name
- SAMARITAN PACIFIC HEALTH SERVICES INC
- Doing business as
- SAMARITAN PACIFIC COMMUNITIES HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Jul 1, 2003
- Last certification
- Mar 7, 2008
- Beds
- 48 (25 certified)
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Apr 8, 1948 in OR
- Enrollment address
- 930 SW Abbey St
Newport, OR 97365-4820
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Samaritan Health Services Inc. |
Operational/Managerial Control | Jan 1, 2002 | |
| Kelley Kaiser |
Corporate Officer |
Jan 1, 2020 | |
| Corporate Director |
Jan 1, 2020 | ||
| Jerry J Robbins |
Corporate Director |
Jan 1, 2012 | |
| Jayne L Romero |
Corporate Director |
Jan 1, 2022 | |
| Stephen M Burns |
Corporate Director |
Jan 1, 2003 | |
| Lesley J Ogden |
Corporate Officer |
Dec 15, 2015 | |
| Corporate Director |
Dec 15, 2015 | ||
| W-2 Managing Employee |
Dec 15, 2015 | ||
| Operational/Managerial Control |
Dec 23, 2016 | ||
| Ralph Breitenstein |
Corporate Officer |
Nov 21, 2013 | |
| Corporate Director |
Nov 21, 2013 | ||
| Alexandra Guevara |
Corporate Director |
Jan 1, 2022 | |
| Daniel Burton Smith |
Operational/Managerial Control | Jan 1, 2002 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040204000304 | OR | Part B Supplier - Clinic/Group Practice | 2466353529 |
Receives reassigned benefits from 384 practitioners 25 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Newport, OR; Depoe Bay, OR |
| O20061104000163 | OR | Part a Provider - Critical Access Hospital | 2466353529 |
Receives reassigned benefits from 366 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Newport, OR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | 141460 | OR | Yes |
Addresses
Primary practice location
930 SW Abbey St Ste B
Newport, OR 97365-4820
Mailing address
930 SW Abbey St Ste B
Newport, OR 97365-4820
Phone (541) 265-9266
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022914 | Medicaid | OR |
Other names
- Samaritan Orthopedics & Podiatry - Newport
Other providers in Newport, OR
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- Samaritan Pacific Health Services, Inc.
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All providers in Newport, OR · Orthopaedic Surgery Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.