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CORVALLIS GASTROENTEROLOGY PC
NPI 1124075627
Specialist in Corvallis, OR

Active since May 28, 2006
3521 NW SAMARITAN DR, SUITE 101, CORVALLIS, OR 97330(541) 768-6119(541) 768-6120 Get Directions Write a Review

NPPES record last updated: October 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Corvallis Gastroenterology Pc NPPES

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

CORVALLIS GASTROENTEROLOGY PC (NPI 1124075627) is a healthcare organization registered as a specialist in Corvallis, Oregon and active in the NPI registry since May 2006. The organization lists Surinder Mohan Vasdev, President, as its authorized official.

NPPES Registry Identity

NPI1124075627
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCORVALLIS GASTROENTEROLOGY PC
Location Address3521 NW SAMARITAN DR, SUITE 101Corvallis, OR 97330-4744
Mailing Address3521 Nw Samaritan Dr, Suite 101Corvallis, OR 97330-4744 · (541) 768-6119 · Fax (541) 768-6120
Phone(541) 768-6119
Fax(541) 768-6120
Organization SubpartNo
Authorized OfficialSurinder Mohan VasdevPresident · (541) 768-6116
Enumeration DateMay 28, 2006
Last NPPES UpdateOctober 9, 2012
✔ NPI 1124075627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3521 NW SAMARITAN DR, Corvallis, OR 97330
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Other Identifiers 2

Medicare PIN112083OR
Medicaid240038OR

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STANLEY J. NUDELMAN M.D.
Internal Medicine
3521 NW SAMARITAN DR, SUITE 201
CORVALLIS, OR 97330
Benton County (541) 768-5140
MS. MARIA R. CLARK-HARMON ANP
Nurse Practitioner (Adult Health)
3521 NW SAMARITAN DR, SUITE 201
CORVALLIS, OR 97330
Benton County (541) 768-5140
MS. DEIDRE I GREENE ANP
Nurse Practitioner
3521 NW SAMARITAN DR, SUITE 201
CORVALLIS, OR 97330
Benton County (541) 768-5140
MR. DEAN CROWELL PA, ATC
Physician Assistant
3521 NW SAMARITAN DR, STE 101
CORVALLIS, OR 97330
Benton County (541) 768-6119
JOSHUA WONG
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3521 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-5185
MRS. DENA M. HULTING PA-C
Physician Assistant
3521 NW SAMARITAN DR, SUITE 101
CORVALLIS, OR 97330
Benton County (541) 768-6119
KRISTEN HENRY REEVE PA-C
Physician Assistant
3521 NW SAMARITAN DR, SUITE 101
CORVALLIS, OR 97330
Benton County (541) 768-6119
JENNA CHAMNESS PHARMD
Pharmacist
3521 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (503) 510-4088

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 Corvallis Gastroenterology PC's NPI number?

The NPI number for Corvallis Gastroenterology PC is 1124075627. It was assigned to this organization in the NPPES registry on May 28, 2006.

Where is Corvallis Gastroenterology PC located?

Corvallis Gastroenterology PC is located at 3521 NW Samaritan Dr Suite 101, Corvallis, OR 97330. The listed phone number is (541) 768-6119.

What is Corvallis Gastroenterology PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Corvallis Gastroenterology PC accept?

Health plans from Moda Health Plan, Inc. list Corvallis Gastroenterology PC 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 Corvallis Gastroenterology PC was last updated on October 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.