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SAMARITAN UROLOGY-MOORE, LEBANON
NPI 1174862304
Urology in Lebanon, OR

Active since February 07, 2013
100 MULLINS DR, SUITE D-3, LEBANON, OR 97355(541) 812-4388(541) 812-4393 Get Directions Write a Review

NPPES record last updated: February 7, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samaritan Urology-moore, Lebanon NPPES

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

SAMARITAN UROLOGY-MOORE, LEBANON (NPI 1174862304) is a healthcare organization registered as an urology in Lebanon, Oregon and active in the NPI registry since February 2013. The organization lists Becky Pape, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174862304
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameMID-VALLEY HEALTHCARE, INC.
Location Address100 MULLINS DR, SUITE D-3Lebanon, OR 97355-2868
Mailing Address100 Mullins Dr, Suite D-3Lebanon, OR 97355-2868 · (541) 812-4388 · Fax (541) 812-4393
Phone(541) 812-4388
Fax(541) 812-4393
Organization SubpartNo
Authorized OfficialBecky PapeCeo · (541) 451-7107
Enumeration DateFebruary 7, 2013
✔ NPI 1174862304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
100 MULLINS DR, Lebanon, OR 97355
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Other Names 1

Doing Business AsSamaritan Urology-moore, Lebanon

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Urology-moore, Lebanon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

444

Medicare enrollment records show 444 clinicians reassign Medicare billing to Samaritan Urology-Moore, Lebanon, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 53 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 45

Internal Medicine74
Family Practice68
Emergency Medicine48
Nurse Practitioner36
Certified Registered Nurse Anesthetist (CRNA)30
Obstetrics/Gynecology27
General Surgery22
Pediatric Medicine17
37 other specialties122

Nearest to this location (20)

See all 444
Javad Mashkuri, M.D.
Emergency Medicine
NPI 1518168814
100 MULLINS DR STE C1
Lebanon, OR 97355
(541) 451-7450
✔ PECOS✔ Accepts MedicareSame address
Raymond Simon, MD
Family Practice
NPI 1245693811
100 MULLINS DR STE C1
Lebanon, OR 97355
(541) 451-7450
✔ PECOS✔ Accepts MedicareSame address
Raquel Gonzales
Clinical Psychologist
NPI 1063881571
100 MULLINS DR STE C1
Lebanon, OR 97355
(541) 451-7450
✔ PECOS✔ Accepts MedicareSame address
Julia Koos, NP
Nurse Practitioner
NPI 1174227078
35 MULLINS DR STE 2
Lebanon, OR 97355
(541) 451-7915
✔ PECOS✔ Accepts MedicareSame address
Andrew Owenreay, DO
Family Practice
NPI 1982081089
35 MULLINS DR STE 2
Lebanon, OR 97355
(541) 451-7915
✔ PECOS✔ Accepts MedicareSame address
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
Carly Ann Crider, DO
Internal Medicine
NPI 1487041687
400 N SANTIAM HWY
Lebanon, OR 97355
(541) 451-6413
✔ PECOS✔ Accepts Medicare0.1 mi
Subeena Phull, MD
Internal Medicine
NPI 1386206332
400 N SANTIAM HWY
Lebanon, OR 97355
(541) 451-6413
✔ PECOS✔ Accepts Medicare0.1 mi
Steven Anderson, MD
Family Practice
NPI 1568045870
425 N SANTIAM HWY
Lebanon, OR 97355
(541) 451-6960
✔ PECOS✔ Accepts Medicare0.1 mi
Heidi Blair, ARNP
Nurse Practitioner
NPI 1003225525
425 N SANTIAM HWY
Lebanon, OR 97355
(541) 451-6960
✔ PECOS✔ Accepts Medicare0.1 mi
Danni Ewing, PSYD
Clinical Psychologist
NPI 1568000313
425 N SANTIAM HWY
Lebanon, OR 97355
(541) 451-6960
✔ PECOS✔ Accepts Medicare0.1 mi
Tasha Barkley, M. D. M.P.H.
Emergency Medicine
NPI 1154687168
525 N SANTIAM HWY
Lebanon, OR 97355
(541) 258-2101
✔ PECOS✔ Accepts Medicare0.1 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 444 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 1174862304. It was assigned to this organization in the NPPES registry on February 7, 2013. The provider is doing business as Samaritan Urology-Moore, Lebanon.

Where is Mid-Valley Healthcare, Inc. located?

Mid-Valley Healthcare, Inc. is located at 100 Mullins Dr Suite D-3, Lebanon, OR 97355. The listed phone number is (541) 812-4388.

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

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

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), 444 clinicians in 45 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 (74), Family Practice (68) and Emergency Medicine (48). Of these, 3 practice at this address and 53 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mid-Valley Healthcare, Inc. was last updated on February 7, 2013. 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.