PROVIDENCE HEALTH & SERVICES OREGON
NPI 1568547503
Family Medicine in Medford, OR
NPI Status: Active since October 26, 2006
Contact Information
965 ELLENDALE DR
MEDFORD, OR
ZIP 97504
Phone: (541) 732-6000
Fax: (541) 732-6005
- Organization
- Family Medicine
- Accepts Insurance
About PROVIDENCE HEALTH & SERVICES OREGON
This page provides the complete NPI Profile along with additional information for Providence Health & Services Oregon, a primary care provider established in Medford, Oregon operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1568547503 assigned on October 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated May 2025. The provider's
- NPI
- 1568547503
- Provider Legal Name
- PROVIDENCE HEALTH & SERVICES OREGON
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 965 ELLENDALE DR MEDFORD, OR 97504
- Location Phone
- (541) 732-6000
- Location Fax
- (541) 732-6005
- Mailing Address
- PO BOX 3158 PORTLAND, OR 97208
- Mailing Phone
- (503) 215-6494
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-26-2006
- Last Update Date
- 05-12-2025
- Code Navigator
A primary care provider (PCP) like Providence Health & Services Oregon sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 3 | 2084P0805X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 4 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 5 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center |
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
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 288515 | MEDICAID (05) | OR | |
| CG6801 | OTHER (01) | OR | RAILROAD MEDICARE |
Reviews for PROVIDENCE HEALTH & SERVICES OREGON
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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. | |||||||||
| 1 | 5 | 6 | 8 | 5 | 4 | 7 | 5 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 10 | 4 | 14 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 1 + 0 + 4 + 1 + 4 + 5 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1568547503 is valid because the calculated check digit 3 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 |
|---|---|---|---|
| 1023050275 | DR. ALAN J. WEBB M.D. Individual | Orthopaedic Surgery | 965 ELLENDALE DR MEDFORD, OR 97504 (541) 734-3430 |
| 1093850919 | TERRACE R MUCHA M.D. Individual | Family Medicine | 965 ELLENDALE DR MEDFORD, OR 97504 (541) 734-3430 |
| 1619089679 | DR. JUDY A HARDAGE M.D. Individual | Family Medicine | 965 ELLENDALE DR MEDFORD, OR 97504 (541) 734-3434 |
| 1427190594 | DIANA L BOWMAN PA-C Individual | Physician Assistant | 965 ELLENDALE DR MEDFORD, OR 97504 (541) 734-3434 |
| 1992890164 | GEORGE W MOLZEN MD Individual | Family Medicine | 965 ELLENDALE DR MEDFORD, OR 97504 (541) 734-3434 |
| 1578064416 | GARETT S CLAYTON PT Individual | Physical Therapist | 965 ELLENDALE DR MEDFORD, OR 97504 (541) 732-6000 |
| 1275035164 | TANYA M HAIGHT OT Individual | Occupational Therapist | 965 ELLENDALE DR MEDFORD, OR 97504 (541) 734-3450 |
| 1629466800 | BRUCE K LAWRENCE D.P.T Individual | Physical Therapist | 965 ELLENDALE DR MEDFORD, OR 97504 (541) 734-3450 |
| 1548818180 | LINDSEY A PATTERSON RD Individual | Dietitian, Registered | 965 ELLENDALE DR MEDFORD, OR 97504 (541) 732-6000 |
| 1659310704 | THOMAS CRAIG DETWEILER M.D. Individual | Internal Medicine | 965 ELLENDALE DR MEDFORD, OR 97504 (541) 732-6000 |
| 1730432378 | ERIC LYNN WICKARD DPT Individual | Physical Therapist | 965 ELLENDALE DR MEDFORD, OR 97504 (541) 734-3530 |
| 1952514143 | DR. LAURIE DUTKIEWICZ D.O Individual | Internal Medicine | 965 ELLENDALE DR MEDFORD, OR 97504 (541) 734-3430 |
| 1184621559 | DR. TODD A. WINTER MD Individual | Internal Medicine | 965 ELLENDALE DR MEDFORD, OR 97504 (541) 734-3430 |
| 1356437230 | DR. TRAVIS A MCNEAL M.D. Individual | Internal Medicine | 965 ELLENDALE DR MEDFORD, OR 97504 (541) 734-3430 |
| 1083792345 | EVELYN L HENRY MD Individual | Internal Medicine | 965 ELLENDALE DR MEDFORD, OR 97504 (541) 732-6000 |
| 1245595206 | SUBHECHCHHA SHAH MD Individual | Family Medicine | 965 ELLENDALE DR MEDFORD, OR 97504 (541) 732-6000 |
| 1245598416 | DR. JAYRUS FRANCIS SIMBULAN SOLIMAN M.D. Individual | Internal Medicine | 965 ELLENDALE DR MEDFORD, OR 97504 (541) 732-6000 |
| 1255427290 | DANIEL R BRANDENBURG MD Individual | Internal Medicine | 965 ELLENDALE DR MEDFORD, OR 97504 (541) 732-6000 |
| 1376639245 | ANDREW D KIM MD Individual | Internal Medicine | 965 ELLENDALE DR MEDFORD, OR 97504 (541) 732-6000 |
| 1720496375 | JEREMY WADE ROSS PA Individual | Physician Assistant | 965 ELLENDALE DR MEDFORD, OR 97504 (541) 732-6000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568547503, enumerated in the NPI registry as an "organization" on October 26, 2006
The provider is located at 965 Ellendale Dr Medford, Or 97504 and the phone number is (541) 732-6000
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Moda Health Plan, Inc., Medicare, Medicaid and. 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 26, 2006. 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.