PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1285185942
Pathology - Clinical Pathology in Medford, OR

NPI Status: Active since October 18, 2016

Contact Information

1111 CRATER LAKE AVE
MEDFORD, OR
ZIP 97504
Phone: (541) 732-5000

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  • Organization
  • Pathology
  • Clinical Pathology
  • Accepts Insurance

About PROVIDENCE HEALTH & SERVICES - OREGON

This page provides the complete NPI Profile along with additional information for Providence Health & Services - Oregon, a provider established in Medford, Oregon operating as a Pathology, focusing in clinical pathology . The healthcare provider is registered in the NPI registry with number 1285185942 assigned on October 2016. The practitioner's primary taxonomy code is 207ZC0006X. The provider is registered as an organization and their NPI record was last updated May 2025. Providence Health & Services - Oregon operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's . The authorized official of this NPI record is Donald W Anderson Jr. (Assistant Secretary Enrollments)

NPI
1285185942
Provider Legal Name
PROVIDENCE HEALTH & SERVICES - OREGON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1111 CRATER LAKE AVE MEDFORD, OR 97504
Location Phone
(541) 732-5000
Mailing Address
PO BOX 31001-4199 PASADENA, CA 91110
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-18-2016
Last Update Date
05-27-2025
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According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is non-profit and was certified on 01-01-1984 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Clinical Pathology

Taxonomy Code
207ZC0006X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

 
2207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

 
3207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
4207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
52085B0100XAllopathic & Osteopathic Physicians

Radiology
Body Imaging

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONALD W ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY ENROLLMENTS
Authorized Official Phone
(425) 358-9786

Inpatient Rehabilitation Information

The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.

  • PROVIDENCE HEALTH & SERVICES - OREGON has an ownership type of Non-profit
  • The facility received it's medicare certification date on 01-01-1984
Rehabilitation facility number of episodes of treated medical conditions.
Medical Condition Times Conditions Treated
All other conditions16
Brain disease or condition (non-traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Brain injury (traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Hip or femur fractureLess than 11 - The number of cases/patient stays is too small to report.
Hip or knee replacement, amputation or other bone or joint condition24
Nervous system disorder (excluding stroke)Less than 11 - The number of cases/patient stays is too small to report.
Spinal cord disease or condition (non-traumatic)11
Spinal cord injury (traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Stroke40

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285185942
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165281098
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 2 + 8 + 1 + 0 + 9 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1285185942 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558361378 CRAIG S. THALACKER M.D.
Individual
Emergency Medicine1111 CRATER LAKE AVE
MEDFORD, OR 97504
(514) 732-6440
1982605689 CHRISTEL A. STEFFEN D.O.
Individual
Emergency Medicine1111 CRATER LAKE AVE PROVIDENCE MEDFORD MEDICAL CENTER- EMERGENCY DEPARTMENT
MEDFORD, OR 97504
(541) 732-5000
1164481321DR. ERIC MULLEN M.D.
Individual
Radiology (Radiation Oncology)1111 CRATER LAKE AVE
MEDFORD, OR 97504
(541) 732-7000
1710946959DR. KENNETH HAUGEN M.D.
Individual
Radiology (Radiation Oncology)1111 CRATER LAKE AVE
MEDFORD, OR 97504
(541) 732-7000
1457312852 WILLIAM SAGER MD
Individual
Internal Medicine1111 CRATER LAKE AVE
MEDFORD, OR 97504
(541) 732-5545
1619938412 PETER THOMPSON MD
Individual
Internal Medicine1111 CRATER LAKE AVE
MEDFORD, OR 97504
(541) 732-5545
1063462232PROVIDENCE HOSPITALISTS & INTENSIVISTS
Organization
Internal Medicine (Critical Care Medicine)1111 CRATER LAKE AVE
MEDFORD, OR 97504
(541) 494-2035
1972557163 CORNELIA MEI BYERS M.D.
Individual
Physical Medicine & Rehabilitation1111 CRATER LAKE AVE
MEDFORD, OR 97504
(541) 734-0497
1881612885DR. ALAN MCCLUNG JONES M.D.
Individual
Family Medicine1111 CRATER LAKE AVE EMERGENCY DEPARTMENT, PROVIDENCE MEDFORD MEDICAL CENTER
MEDFORD, OR 97504
(541) 773-0849
1508924473 MARY E. RESLER CRNFA
Individual
Clinical Nurse Specialist (Perioperative)1111 CRATER LAKE AVE
MEDFORD, OR 97504
(541) 732-5088
1780808915MS. PAMELA ANNE SHRADER PA-C
Individual
Physician Assistant1111 CRATER LAKE AVE
MEDFORD, OR 97504
(541) 732-5059
1457570178DR. KENNETH AARON BROWN M.D.
Individual
Emergency Medicine1111 CRATER LAKE AVE ATTENTION ED
MEDFORD, OR 97504
(541) 732-6914
1467674689DR. TAMARA STEWART MD
Individual
Emergency Medicine1111 CRATER LAKE AVE
MEDFORD, OR 97504
(503) 215-4323
1982826137DR. CORY BERGEY DO
Individual
Emergency Medicine1111 CRATER LAKE AVE
MEDFORD, OR 97504
(503) 215-4323
1912129180DR. CHRISTOPHER GARRARD MD
Individual
Emergency Medicine1111 CRATER LAKE AVE
MEDFORD, OR 97504
(503) 215-4323
1407078629DR. MARTIN TICE MD
Individual
Emergency Medicine1111 CRATER LAKE AVE
MEDFORD, OR 97504
(503) 215-4323
1851503080DR. BARRY TROWBRIDGE MD
Individual
Emergency Medicine1111 CRATER LAKE AVE
MEDFORD, OR 97504
(503) 215-4323
1942403597MR. MICHAEL H INSCORE R.PH.
Individual
Pharmacist1111 CRATER LAKE AVE
MEDFORD, OR 97504
(541) 732-6748
1588845945CORNELIA M BYERS MD PC
Organization
Physical Medicine & Rehabilitation1111 CRATER LAKE AVE
MEDFORD, OR 97504
(541) 732-0687
1770750275 DAVID LEVIN DO
Individual
Emergency Medicine1111 CRATER LAKE AVE
MEDFORD, OR 97504
(541) 732-5000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285185942, enumerated in the NPI registry as an "organization" on October 18, 2016

The provider is located at 1111 Crater Lake Ave Medford, Or 97504 and the phone number is (541) 732-5000

This medical organization specializes in Pathology with taxonomy code 207ZC0006X with a focus in Clinical Pathology

The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 18, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.