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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAINT ALPHONSUS MEDICAL CENTER- ONTARIO INC
NPI 1366831885
Dietitian, Registered in Ontario, OR

Active since January 21, 2015
351 SW 9TH AVE, ONTARIO, OR 97914(541) 881-7480(541) 881-7147 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 8, 2026, Jan 24, 2023, Feb 12, 2022 and 2 more (5 updates tracked since 2018).

About Saint Alphonsus Medical Center- Ontario Inc NPPES

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

SAINT ALPHONSUS MEDICAL CENTER- ONTARIO INC (NPI 1366831885), doing business as Samg Glycemic Ontario, is a healthcare organization registered as a dietitian, registered in Ontario, Oregon and active in the NPI registry since January 2015. The organization lists Marcie Harper, Cfo, as its authorized official.

NPPES Registry Identity

NPI1366831885
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameSAINT ALPHONSUS MEDICAL CENTER- ONTARIO INC
Location Address351 SW 9TH AVEOntario, OR 97914-2639
Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170 · Fax (208) 367-5180
Phone(541) 881-7480
Fax(541) 881-7147
Organization SubpartNo
Authorized OfficialMarcie HarperCfo · (208) 367-7192
Enumeration DateJanuary 21, 2015
Last NPPES UpdateSeptember 8, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1366831885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X
351 SW 9TH AVE, Ontario, OR 97914
Open in Google Maps ↗

Other Names 1

Doing Business AsSamg Glycemic Ontario

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)

Saint Alphonsus Medical Center- Ontario Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

49

Medicare enrollment records show 49 clinicians reassign Medicare billing to Saint Alphonsus Medical Center- Ontario Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner11
Obstetrics/Gynecology9
General Surgery7
Pediatric Medicine6
Family Practice4
Orthopedic Surgery3
Emergency Medicine2
Podiatry2
5 other specialties5

Nearest to this location (20)

See all 49
Eric Rysenga, M.D.
Pathology
NPI 1659319549
351 SW 9TH ST
Ontario, OR 97914
(541) 881-5331
✔ PECOSSame address
Robert Mairs, DO
Obstetrics/Gynecology
NPI 1124001862
1050 SW 3RD AVE STE 3200
Ontario, OR 97914
(541) 881-2325
✔ PECOS✔ Accepts MedicareSame address
Steven Reich, MD
Otolaryngology
NPI 1538144225
1050 SW 3RD AVE STE 1200
Ontario, OR 97914
(541) 881-7451
✔ PECOS✔ Accepts MedicareSame address
Frank Spokas, MD
General Surgery
NPI 1801892104
1050 SW 3RD AVE STE 2600
Ontario, OR 97914
(541) 881-2330
✔ PECOS✔ Accepts MedicareSame address
Paul Gering, MD
Family Practice
NPI 1235198995
1077 SW 3RD AVE
Ontario, OR 97914
(541) 889-0771
✔ PECOS✔ Accepts Medicare0.1 mi
Dwaine Tesnohlidek, MD
General Surgery
NPI 1437240009
351 SW 9TH ST
Ontario, OR 97914
(541) 881-7184
✔ PECOS✔ Accepts Medicare0.1 mi
Brandye Wilson-Manigat, M.D.
Obstetrics/Gynecology
NPI 1639328412
351 SW 9TH ST
Ontario, OR 97914
(541) 881-7184
✔ PECOS✔ Accepts Medicare0.1 mi
David Brauer, MD
Family Practice
NPI 1295718096
1050 SW 3RD AVE STE 2600
Ontario, OR 97914
(208) 302-2080
✔ PECOS✔ Accepts Medicare0.1 mi
Pamela Bruce, MD
General Surgery
NPI 1508083635
1050 SW 3RD AVE STE 2600
Ontario, OR 97914
(541) 881-2330
✔ PECOS✔ Accepts Medicare0.1 mi
Laura Cotter, NP-C
Nurse Practitioner
NPI 1477015378
1050 SW 3RD AVE STE 2600
Ontario, OR 97914
(208) 302-2080
✔ PECOS✔ Accepts Medicare0.1 mi
Karmin Maher, NP
Nurse Practitioner
NPI 1346767563
1050 SW 3RD AVE STE 1800
Ontario, OR 97914
(208) 302-0000
✔ PECOS✔ Accepts Medicare0.1 mi
Stacy Whitaker, DO
Obstetrics/Gynecology
NPI 1316064512
1050 SW 3RD AVE STE 3200
Ontario, OR 97914
(541) 881-2325
✔ PECOS✔ Accepts Medicare0.1 mi
Judy Wong, MD, MPH, CPH
General Surgery
NPI 1831713924
1050 SW 3RD AVE STE 3201
Ontario, OR 97914
(541) 881-2330
✔ PECOS✔ Accepts Medicare0.1 mi
David Christensen, MD
Orthopedic Surgery
NPI 1922041961
910 NW 16TH ST STE 205
Fruitland, ID 83619
(208) 452-8100
✔ PECOS✔ Accepts Medicare2.6 mi
Brady Stewart, DPM
Podiatry
NPI 1508387028
910 NW 16TH ST STE 102
Fruitland, ID 83619
(208) 452-8150
✔ PECOS✔ Accepts Medicare2.6 mi
Mark Christenson, MD
Internal Medicine
NPI 1699883447
910 NW 16TH ST STE 102
Fruitland, ID 83619
(208) 452-8015
✔ PECOS✔ Accepts Medicare2.6 mi
Brandon Denney, M.D.
Orthopedic Surgery
NPI 1811383524
910 NW 16TH ST STE 205
Fruitland, ID 83619
(208) 452-8100
✔ PECOS✔ Accepts Medicare2.6 mi
John Foote, MD
Orthopedic Surgery
NPI 1154310597
910 NW 16TH STREET STE 205
Fruitland, ID 83619
(208) 452-3111
✔ PECOS✔ Accepts Medicare2.6 mi
Kristyn Martin, NP
Nurse Practitioner
NPI 1982174199
910 NW 16TH ST STE 101
Fruitland, ID 83619
(208) 452-8000
✔ PECOS✔ Accepts Medicare2.6 mi
Caleb Patee, D.O.
Family Practice
NPI 1780078857
910 NW 16TH SUITE 101
Fruitland, ID 83619
(208) 452-8000
✔ PECOS✔ Accepts Medicare2.6 mi
See all 49 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 Saint Alphonsus Medical Center- Ontario Inc's NPI number?

The NPI number for Saint Alphonsus Medical Center- Ontario Inc is 1366831885. It was assigned to this organization in the NPPES registry on January 21, 2015. The provider is doing business as SAMG Glycemic Ontario.

Where is Saint Alphonsus Medical Center- Ontario Inc located?

Saint Alphonsus Medical Center- Ontario Inc is located at 351 SW 9th Ave, Ontario, OR 97914. The listed phone number is (541) 881-7480.

What is Saint Alphonsus Medical Center- Ontario Inc's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Saint Alphonsus Medical Center- Ontario Inc enrolled in Medicare?

Yes. Saint Alphonsus Medical Center- Ontario Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Saint Alphonsus Medical Center- Ontario Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 49 clinicians in 13 Medicare specialties reassign their Medicare billing to Saint Alphonsus Medical Center- Ontario 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 Nurse Practitioner (11), Obstetrics/Gynecology (9) and General Surgery (7). Of these, 4 practice at this address and 20 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 Saint Alphonsus Medical Center- Ontario Inc was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.