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SAMARITAN MEDICAL GROUP - GERIATRIC MEDICINE
NPI 1043838519
Family Medicine - Geriatric Medicine in Lebanon, OR

Active since July 10, 2020
400 N SANTIAM HWY, LEBANON, OR 97355(541) 451-6413(541) 812-2041 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2024, Jul 10, 2020 (2 updates tracked since 2020).

About Samaritan Medical Group - Geriatric Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMARITAN MEDICAL GROUP - GERIATRIC MEDICINE (NPI 1043838519) is a healthcare organization registered as a geriatric medicine in Lebanon, Oregon and active in the NPI registry since July 2020. The organization lists Wendie Wunderwald, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043838519
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameMID-VALLEY HEALTHCARE, INC.
Location Address400 N SANTIAM HWYLebanon, OR 97355
Mailing Address100 Mullins Dr Ste C2Lebanon, OR 97355-2868 · (541) 451-6413 · Fax (541) 812-2041
Phone(541) 451-6413
Fax(541) 812-2041
Organization SubpartNo
Authorized OfficialWendie WunderwaldCeo · (541) 451-7195
Enumeration DateJuly 10, 2020
Last NPPES UpdateJuly 29, 20242 updates tracked since enumeration
NPPES CertifiedJuly 19, 2024
✔ NPI 1043838519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
400 N SANTIAM HWY, Lebanon, OR 97355
Open in Google Maps ↗

Other Names 1

Doing Business AsSamaritan Medical Group - Geriatric Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samaritan Medical Group - Geriatric Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

416

Medicare enrollment records show 416 clinicians reassign Medicare billing to Samaritan Medical Group - Geriatric Medicine, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 51 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 44

Internal Medicine73
Family Practice65
Emergency Medicine43
Nurse Practitioner32
Certified Registered Nurse Anesthetist (CRNA)28
Obstetrics/Gynecology24
General Surgery20
Pediatric Medicine17
36 other specialties114

Nearest to this location (20)

See all 416
Carly Ann Crider, DO
Internal Medicine
NPI 1487041687
400 N SANTIAM HWY
Lebanon, OR 97355
(541) 451-6413
✔ PECOS✔ Accepts MedicareSame address
Subeena Phull, MD
Internal Medicine
NPI 1386206332
400 N SANTIAM HWY
Lebanon, OR 97355
(541) 451-6413
✔ PECOS✔ Accepts MedicareSame address
Steven Anderson, MD
Family Practice
NPI 1568045870
425 N SANTIAM HWY
Lebanon, OR 97355
(541) 451-6960
✔ PECOS✔ Accepts MedicareSame address
Mary Lou Belozer, M.D.
Family Practice
NPI 1356380208
425 N SANTIAM HWY
Lebanon, OR 97355
(541) 451-7800
✔ PECOS✔ Accepts MedicareSame address
Heidi Blair, ARNP
Nurse Practitioner
NPI 1003225525
425 N SANTIAM HWY
Lebanon, OR 97355
(541) 451-6960
✔ PECOS✔ Accepts MedicareSame address
Danni Ewing, PSYD
Clinical Psychologist
NPI 1568000313
425 N SANTIAM HWY
Lebanon, OR 97355
(541) 451-6960
✔ PECOS✔ Accepts MedicareSame address
Jordan Gemelas
Family Practice
NPI 1730778614
425 N SANTIAM HWY
Lebanon, OR 97355
(541) 451-6960
✔ PECOS✔ Accepts MedicareSame address
Javad Mashkuri, M.D.
Emergency Medicine
NPI 1518168814
100 MULLINS DR STE C1
Lebanon, OR 97355
(541) 451-7450
✔ PECOS✔ Accepts Medicare0.1 mi
Raymond Simon, MD
Family Practice
NPI 1245693811
100 MULLINS DR STE C1
Lebanon, OR 97355
(541) 451-7450
✔ PECOS✔ Accepts Medicare0.1 mi
Raquel Gonzales
Clinical Psychologist
NPI 1063881571
100 MULLINS DR STE C1
Lebanon, OR 97355
(541) 451-7450
✔ PECOS✔ Accepts Medicare0.1 mi
Susmita Chowdhury
Family Practice
NPI 1023692480
35 MULLINS DR STE 2
Lebanon, OR 97355
(541) 451-7915
✔ PECOS✔ Accepts Medicare0.1 mi
Stefanie Coffey, DNP
Nurse Practitioner
NPI 1073569091
35 MULLINS DR STE 2
Lebanon, OR 97355
(541) 451-7915
✔ PECOS✔ Accepts Medicare0.1 mi
Anupam Arora, MD
Internal Medicine
NPI 1861620254
525 N SANTIAM HWY
Lebanon, OR 97355
(541) 258-2101
✔ PECOS✔ Accepts Medicare0.2 mi
Lawrence Buglino, D.O.
General Surgery
NPI 1508187733
675 N 5TH ST
Lebanon, OR 97355
(541) 451-6282
✔ PECOS✔ Accepts Medicare0.4 mi
Victoria Allsup, MD
Pediatric Medicine
NPI 1437786944
675 N 5TH ST
Lebanon, OR 97355
(541) 451-6282
✔ PECOS0.4 mi
Kristen Brusky, D.O.
Physical Medicine and Rehabilitation
NPI 1538401724
675 N 5TH ST
Lebanon, OR 97355
(541) 451-6282
✔ PECOS✔ Accepts Medicare0.4 mi
Blake Corcoran, M.D.
Sports Medicine
NPI 1235490038
675 N 5TH ST
Lebanon, OR 97355
(541) 451-6282
✔ PECOS✔ Accepts Medicare0.4 mi
Linda Deacon, M.D.
Obstetrics/Gynecology
NPI 1417967084
675 N 5TH ST
Lebanon, OR 97355
(541) 451-6282
✔ PECOS✔ Accepts Medicare0.4 mi
Abigail Demchak
Clinical Social Worker
NPI 1043791270
675 N 5TH ST
Lebanon, OR 97355
(541) 451-6282
✔ PECOS0.4 mi
Kara Mintier, D.O
Neuromusculoskeletal Medicine & Omm
NPI 1245586767
675 N 5TH ST
Lebanon, OR 97355
(541) 451-6282
✔ PECOS✔ Accepts Medicare0.4 mi
See all 416 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid-Valley Healthcare, Inc.'s NPI number?

The NPI number for Mid-Valley Healthcare, Inc. is 1043838519. It was assigned to this organization in the NPPES registry on July 10, 2020. The provider is doing business as Samaritan Medical Group - Geriatric Medicine.

Where is Mid-Valley Healthcare, Inc. located?

Mid-Valley Healthcare, Inc. is located at 400 N Santiam Hwy, Lebanon, OR 97355. The listed phone number is (541) 451-6413.

What is Mid-Valley Healthcare, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Mid-Valley Healthcare, Inc. enrolled in Medicare?

Yes. Mid-Valley Healthcare, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mid-Valley Healthcare, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 416 clinicians in 44 Medicare specialties reassign their Medicare billing to Mid-Valley Healthcare, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (73), Family Practice (65) and Emergency Medicine (43). Of these, 7 practice at this address and 51 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mid-Valley Healthcare, Inc. accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Mid-Valley Healthcare, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mid-Valley Healthcare, Inc. was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.