PHYSICIANS MEDICAL GROUP PC NPI 1265542401

NPI Information

NPI: 1265542401
Provider Name: PHYSICIANS MEDICAL GROUP, PC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
1619 NW HAWTHORNE AVE STE 201
GRANTS PASS, OR
ZIP 97526
Phone: (541) 474-1020
Get Directions

PHYSICIANS MEDICAL GROUP, PC is an endocrinology and diabetes and metabolism internal medicine in Grants Pass, OR. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. PHYSICIANS MEDICAL GROUP, PC NPI is 1265542401. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1619 NW HAWTHORNE AVE STE 201
GRANTS PASS, OR
ZIP 97526-009
Phone: (541) 474-1020

The provider's authorized official is Vickie Stephens .
The authorized official title is Office Manager and has the following contact phone number (541) 474-1020.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 1/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease			No
2	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	133683	MEDICARE ID-TYPE UNSPECIFIED	OREGON
2	286799	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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