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SOUTHERN OREGON ORTHOPEDICS INC NPI 1518093376


NPI Information

NPI: 1518093376
Provider Name: SOUTHERN OREGON ORTHOPEDICS INC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
2780 E BARNETT RD
SUITE 200
MEDFORD, OR
ZIP 97504
Phone: (541) 779-6250
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SOUTHERN OREGON ORTHOPEDICS INC is an orthopaedic surgery in Medford, OR. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. SOUTHERN OREGON ORTHOPEDICS INC NPI is 1518093376. The provider is registered as an organization entity type.

The provider's business location address is:

2780 E BARNETT RD
SUITE 200
MEDFORD, OR
ZIP 97504
Phone: (541) 779-6250
Fax: (541) 608-2535

The provider's authorized official is Patrick J Denard .
The authorized official title is Owner / Md and has the following contact phone number (541) 779-6250.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 8/29/2019.


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
1261QR0400XClinic/CenterRehabilitationNo
2332BD1200XDurable Medical Equipment & Medical SuppliesDialysis Equipment & SuppliesNo
3363A00000XPhysician AssistantOREGONNo
4363LA2100XNurse PractitionerAcute CareOREGONNo
5225X00000XOccupational TherapistNo
6225100000XPhysical TherapistNo
7207X00000XOrthopaedic SurgeryOREGONYes

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
1126417MEDICAIDOREGON

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: 11/14/2023

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