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OREGON SURGICAL SPECIALISTS PC NPI 1427139732


NPI Information

NPI: 1427139732
Provider Name: OREGON SURGICAL SPECIALISTS PC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
520 MEDICAL CENTER DR
STE 300
MEDFORD, OR
ZIP 97504
Phone: (541) 930-8907
Get Directions

OREGON SURGICAL SPECIALISTS PC is a vascular surgery surgery in Medford, OR. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. OREGON SURGICAL SPECIALISTS PC NPI is 1427139732. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

520 MEDICAL CENTER DR
STE 300
MEDFORD, OR
ZIP 97504-316
Phone: (541) 930-8907
Fax: (541) 282-6710

The provider's authorized official is David L Street .
The authorized official title is President Of Corporation and has the following contact phone number (541) 930-8907.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 7/12/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryNo
22086S0129XSurgeryVascular SurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1R0000WCGFLMEDICARE PINOREGON
2004898000OTHEROREGONBLUE CROSS
3081653MEDICAIDOREGON

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

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