Crystal Marie Rodriguez is a Physician Assistant practicing in Corvallis, Oregon. The National Provider Identifier (NPI) is #1780136242, which was assigned on November 1, 2016, and the registration record was last updated on March 17, 2023. The practitioner's main practice location is at 5234 Sw Philomath Blvd, Corvallis, OR 97333-1042; the contact telephone number is 5417684970. The primary taxonomy of Crystal Marie Rodriguez is Physician Assistant (363A00000X).
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NPI | 1780136242 |
Entity Type | Individual |
Provider Name | MRS. CRYSTAL MARIE RODRIGUEZ |
Other Name |
CRYSTAL MARIE GLEISNER (Former Name) |
Gender | Female |
Credential | PA-C |
Other Credential | PA-C |
Practice Address |
5234 Sw Philomath Blvd Corvallis OR 97333-1042 |
Practice Telephone | 5417684970 |
Mailing Address |
Po Box 1189 Corvallis OR 97339-1189 |
Certification Date | 2023-03-17 |
Enumeration Date | 2016-11-01 |
Last Update Date | 2023-03-17 |
Is Sole Proprietor | Y |
PAC ID |
4789965849 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
Full Name | CRYSTAL M RODRIGUEZ |
Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
Primary Specialty | PHYSICIAN ASSISTANT |
Organization Legal Name | GOOD SAMARITAN HOSPITAL CORVALLIS |
Address |
3600 Nw Samaritan Dr Suite 227 Corvallis OR 97330-3737 |
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant |
Address | Telephone | Fax |
---|---|---|
5050 NE Hoyt St, Suite 240, Portland, OR 972132991 | 5032156469 |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Crystal Marie Rodriguez | 2001 Santa Monica Blvd, 890-W, Santa Monica, CA 90404-2102 | Mental Health Counselor | 2008-07-03 |
Code | 363A00000X |
Taxonomy | Physician Assistant |
Classification | Physician Assistant |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Magnificus Corporation Government Services | 125a L Street, Se, Washington, DC 20003 | Physician Assistant | 2024-03-08 |
Amani Al-Halali | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | Physician Assistant | 2024-03-08 |
Sydnee Rae Koneczny | 1550 S Potomac St Ste 110, Aurora, CO 80012-5433 | Physician Assistant | 2024-03-08 |
Joanna George | 4262 Mccaslin St, Pittsburgh, PA 15217-2829 | Physician Assistant | 2024-03-08 |
Jhocelyn Mesias | 10 Plum St Fl 5, New Brunswick, NJ 08901-2066 | Physician Assistant | 2024-03-08 |
Kennedy Grovogel | 8433 Harcourt Rd Ste 310, Indianapolis, IN 46260-2198 | Physician Assistant | 2024-03-07 |
Megan Schlesinger | 1132 Cooper St, Woodbury, NJ 08096-3014 | Physician Assistant | 2024-03-07 |
Evan Michael Lins | 101 7th St Sw, Orange City, IA 51041-1996 | Physician Assistant | 2024-03-07 |
Alexa Childs | 1948 Three Farms Ave, Naperville, IL 60540-1105 | Physician Assistant | 2024-03-08 |
Sabrina Amato | 144 Curtis St, Delaware, OH 43015-2466 | Physician Assistant | 2024-03-08 |
Find all providers with the same taxonomy |
Street Address |
5234 SW PHILOMATH BLVD |
City | CORVALLIS |
State | OR |
Zip Code | 97333-1042 |
Country | US |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Robin William Page-Echols | 5234 Sw Philomath Blvd, Corvallis, OR 97333-1042 | Family Medicine Physician | 2010-06-22 |
Courtney A Strand | 5234 Sw Philomath Blvd, Corvallis, OR 97333 | Family Nurse Practitioner | 2006-11-01 |
Tashina Louise Blair · Tashina Louise Martin | 5234 Sw Philomath Blvd, Corvallis, OR 97333-1042 | Diabetes Educator Registered Nurse | 2021-09-02 |
Maximilian Schilling Kaiser | 5234 Sw Philomath Blvd, Corvallis, OR 97333-1042 | Family Medicine Physician | 2013-06-13 |
Nancy J. Vanasche | 5234 Sw Philomath Blvd, Corvallis, OR 97333-1042 | Registered Nurse | 2006-06-20 |
Mid-Valley Healthcare, Inc. · Samaritan Recovery Clinic Corvallis | 5234 Sw Philomath Blvd Ste C, Corvallis, OR 97333-1042 | Pain Medicine Physician | 2017-06-26 |
Shanlee Pierson | 5234 Sw Philomath Blvd Ste B, Corvallis, OR 97333-1042 | Family Nurse Practitioner | 2018-02-26 |
Timothy Ueng | 5234 Sw Philomath Blvd, Corvallis, OR 97333-1042 | Family Medicine Physician | 2006-03-18 |
Brent C. Wesenberg | 5234 Sw Philomath Blvd, Corvallis, OR 97333-1042 | Emergency Medicine Physician | 2006-05-27 |
Sandra Lynn Minta | 5234 Sw Philomath Blvd, Corvallis, OR 97333-1042 | Mental Health Counselor | 2007-04-16 |
Find all providers in the same location |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Kathryn Elizabeth Taylor | 5270 Sw Philomath Blvd, Corvallis, OR 97333-1042 | Pharmacist | 2011-12-11 |
Good Samaritan Hospital Corvallis · Samaritan Medical Group Orthopedics - Corvallis | 3620 Nw Samaritan Drive, Suite 202, Corvallis, OR 97333-1042 | Family Medicine Physician | 2012-04-02 |
Good Samaritan Hospital Corvallis · Samaritan Ucwi Clinic- Corvallis | 5234 Philomath Boulevard, Corvallis, OR 97333-1042 | Family Medicine Physician | 2012-03-20 |
Safeway Inc · Safeway Pharmacy #1765 | 5270 Sw Philomath Blvd, Corvallis, OR 97333-1042 | Durable Medical Equipment & Medical Supplies | 2006-07-02 |
Steven Mark Evans | 5270 Sw Philomath Blvd, Corvallis, OR 97333-1042 | Pharmacist | 2011-10-21 |
Sunset Dental | 5208 Sw Philomath Blvd, Corvallis, OR 97333-1042 | General Practice Dentistry | 2006-03-21 |
Charlotte P Gardner | 5234 Sw Philomath Boulevard, Corvallis, OR 97333-1042 | Physician Assistant | 2006-10-20 |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Linda S Lavallee Conniff | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | Clinical Social Worker | 2007-07-06 |
Michael S. Hanson | 518 Sw 3rd St., Corvallis, OR 97333 | Addiction (Substance Use Disorder) Counselor | 2010-04-28 |
Pamela M Swafford | 4515 Sw Country Club Drive, Corvallis, OR 97333 | Counselor | 2006-11-29 |
Robert R Conniff | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | Clinical Social Worker | 2007-07-03 |
Pavan Kumar K Gona | 3615 Nw Samaritan Drive, Suite 201, Corvallis, OR 97333 | Internal Medicine Physician | 2007-07-18 |
Adam Johnson | 518 Sw 3rd, Corvallis, OR 97333 | Addiction (Substance Use Disorder) Counselor | 2017-08-16 |
Corvallis Physical Therapy Inc | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | Physical Therapist | 2008-04-09 |
Susan Wilson Rosen | 530 Nw 27th St, Corvallis, OR 97333 | Physician Assistant | 2007-09-06 |
Deborah Elizabeth Anderson | 5060 Sw Philomath Blvd #336, Corvallis, OR 97333 | Naturopath | 2011-09-26 |
Raeann N Mcspadden · Raeann N Barnes | 1650 Sw 45th Pl, Corvallis, OR 97333 | Behavior Technician | 2017-06-08 |
Find all providers in the same zip code |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Crystal Marie Vegh · Crystal Marie Reynolds | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | Pediatric Nurse Practitioner | 2013-07-03 |
Crystal Marie Moss · Crystal Marie Thompson | 1101 S Main St, Kernersville, NC 27284-7478 | Family Nurse Practitioner | 2022-03-06 |
Crystal Marie Hayes · Crystal Marie Leatherman | 18 Petar Ln, Pittsburg, CA 94565-4872 | Registered Dietitian | 2020-03-21 |
Crystal Marie Jordan · Crystal Marie Cole | 901 Washington St, Portsmouth, OH 45662-3944 | Family Nurse Practitioner | 2013-06-20 |
Crystal Marie Brynildsen · Crystal Marie Nealis | 2409 Levante St, Carlsbad, CA 92009-8020 | Occupational Therapist | 2012-08-27 |
Crystal Marie Robbins · Crystal Marie Smith | 604 W Washington St, Ste B, Carson City, NV 89703-3828 | Physical Therapist | 2007-03-26 |
Crystal Marie Venturino · Crystal Marie Burgos | 14491 University Cove Pl, Tampa, FL 33613-3741 | Chiropractor | 2020-09-08 |
Crystal Marie Edison · Crystal Marie Insaurralde | 8700 Ne Vancouver Mall Dr Ste 232, Vancouver, WA 98662-6418 | Optometrist | 2010-10-06 |
Crystal Marie Monclova Rodriguez | 2016 Ave Borinquen, San Juan, PR 00915-3823 | Registered Dietitian | 2022-10-19 |
Crystal Marie Scott · Crystal Marie Brack | 325 Sw Frazier Ave, Topeka, KS 66606-1963 | Clinical Social Worker | 2007-08-31 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |