Oregon Surgical Specialists Pc in Medford - Vascular Surgery

Oregon Surgical Specialists Pc - NPI 1427139732

Oregon Surgical Specialists Pc is a Vascular Surgery in Medford, Oregon. Oregon Surgical Specialists Pc practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Oregon Surgical Specialists Pc is 1427139732. The last update date is 2016-07-12.

Oregon Surgical Specialists Pc's current location address is 520 Medical Center Dr, Medford, Oregon. You can contact this provider via phone number 5419308907 and fax number 5412826710. The mailing address for Oregon Surgical Specialists Pc is 520 Medical Center Dr, Medford, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Oregon Surgical Specialists Pc
Address 520 Medical Center Dr, Medford, Oregon
Phone Number 5419308907
Fax Number 5412826710
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Street L David
Credentials M.D.
Telephone Number 5419308907

NPI Number Detail

NPI Number 1427139732
Provider Enumeration Date 2006-10-17
Last Updated Date 2016-07-12

Provider Mailing Address Detail

Address 520 Medical Center Dr
City Medford
State Oregon (OR)
Post Code 975044316
Phone Number 5419308907
Fax Number 5412826710

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
Taxonomy 2086S0129X
Definition:
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4898000 OR BLUE CROSS
81653 OR --

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FAQs about Oregon Surgical Specialists Pc

What is the unique identifier code issued to Oregon Surgical Specialists Pc by the Centers for Medicare & Medicaid Services (CMS)?

The Oregon Surgical Specialists Pc has been assigned the NPI (National Provider Identifier) 1427139732. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Oregon Surgical Specialists Pc is geographically located?

The Oregon Surgical Specialists Pc is physically situated at the following location: 520 Medical Center Dr, Medford, OR, 975044316.

What is Oregon Surgical Specialists Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Oregon Surgical Specialists Pc's specialized field of practice is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0129X.

On what date did Oregon Surgical Specialists Pc receive its 1427139732 assignment from the Centers for Medicare & Medicaid Services?

The Oregon Surgical Specialists Pc was assigned its 1427139732 on 2006-10-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Oregon Surgical Specialists Pc most recently updated or revised?

The details related to Oregon Surgical Specialists Pc, including its address, specialty, and other relevant information, were last updated or revised on 2016-07-12.

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