UROLOGY ASSOCIATES OF SOUTHERN OREGON, LLP


Address: 2900 Doctors Park Dr, Suite 100, Medford, OR 97504-8198
Phone: 5417726600

UROLOGY ASSOCIATES OF SOUTHERN OREGON, LLP (NPI# 1104922749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104922749
Entity Type Organization
Organization Name UROLOGY ASSOCIATES OF SOUTHERN OREGON, LLP
Practice Address 2900 Doctors Park Dr
Suite 100
Medford
OR 97504-8198
Mailing Address 2900 Doctors Park Drive
Suite 100
Medford
OR 97504-6111
Practice Telephone 5417726600
Practice Fax Number 5417791266
Mailing Telephone 5417726600
Mailing Fax Number 5417791266
Enumeration Date 2006-09-14
Last Update Date 2009-12-09
Authorized Official Name MS. NANCY JEAN FADLING (OFFICE MANAGER)
Authorized Official Telephone 5417726600
Authorized Official Credential MBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center ========= OR Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OR BLUE CROSS BLUE SHIELD ID 001930000 01
OR 292844 05

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names UROLOGY ASSOCIATES OF SOUTHERN OREGON, LLP 2900 Doctors Park Dr Ste 100, Medford, OR 97504

Office Location

Street Address 2900 DOCTORS PARK DR
SUITE 100
City MEDFORD
State OR
Zip Code 97504-8198

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699761932 Rogue Valley Physicians Nurse Practitioner 2900 Doctors Park Dr, Medford, OR 97504-8127 2005-09-22
1275767055 Eric Martin, Md P.c Clinic/Center 2900 Doctors Park Dr, Suite 100, Medford, OR 97504-8198 2009-05-08
1164656948 Timothy R. Driver, Md P.C. Clinic/Center 2900 Doctors Park Dr, Suite 100, Medford, OR 97504-8198 2009-05-08
1952535734 James Loos, Md P.C. Clinic/Center 2900 Doctors Park Dr, Suite 100, Medford, OR 97504-8198 2009-05-08
1104082577 Cancer Care of Southern Oregon Radiology 2900 Doctors Park Dr, Medford, OR 97504-8198 2008-08-05
1710169099 Patrick Ryan Hungerford Internal Medicine 2900 Doctors Park Dr, Suite 200, Medford, OR 97504-8198 2007-11-29
1285851071 Rogue Valley Physicians Clinic/Center 2900 Doctors Park Dr, Medford, OR 97504-8127 2007-04-20
1730202433 Southern Oregon Internal Medicine Clinic/Center 2900 Doctors Park Dr, Medford, OR 97504-8127 2007-04-09
1760587372 Eric Martin Urology 2900 Doctors Park Dr, Suite 100, Medford, OR 97504-8198 2006-09-14
1669577268 Timothy Robert Driver Specialist 2900 Doctors Park Dr, Suite 100, Medford, OR 97504-8198 2006-09-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225673833 Lydia D Sneed Behavioral Analyst 3707 Citation Way, Suite 102, Medford, OR 97504 2019-11-07
1114577368 Heather Ashley Fronek Nurse Practitioner 2825 E. Barnett Rd., Medford, OR 97504 2019-09-18
1255809109 Justin Blasdel Technician, Health Information 3250 Lone Pine Rd, Medford, OR 97504 2018-11-08
1396220133 Aimee K Michel Massage Therapist 3550 National Dr., Medford, OR 97504 2018-09-27
1437646908 Zola Dental Medford LLC Dentist 922 E Main, Medford, OR 97504 2018-04-19
1376068015 Megan Leggett Counselor 777 Murphy Road, Medford, OR 97504 2017-08-03
1023547536 Joshua Morgan Rice Dentist 1117 E Main St Ste 1, Medford, OR 97504 2017-06-08
1427580232 Paul James Dean Counselor 1175 Main St Ste 1c, Medford, OR 97504 2017-03-30
1811443542 Taya Adams Doula 1201 Progress Dr #90, Medford, OR 97504 2016-09-01
1174076228 Avalon Health Care - Hearthstone, LLC Skilled Nursing Facility 2091 E. Barnett Road, Medford, OR 97504 2016-07-25
Find all providers in zip 97504

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275157000 Provident Health Partners Inc. Clinic/Center 1529 N Ocean Ave Ste A, Medford, NY 11763-3587 2020-06-08
1427680057 Ortc, LLC Clinic/Center 750 Biddle Rd Ste 102, Medford, OR 97504-6178 2020-02-11
1528543949 Planned Parenthood of Southwestern Oregon Clinic/Center 125 S Central Ave Ste 201, Medford, OR 97501-7222 2018-10-02
1417438359 Ideal Option, Pllc Clinic/Center 216 E Main St Ste 201, Medford, OR 97501-6029 2018-08-28
1750828778 Regis College Clinic/Center 50 Dexter St, 1, Medford, MA 02155-6668 2017-01-28
1629428248 Southern Oregon Denture & Dental Clinic/Center 41 Hawthorne St, Medford, OR 97504-7113 2016-06-14
1881021715 Oregon Health Sciences University Clinic/Center 3192 Arnold Palmer Way, Medford, OR 97504-7773 2013-10-10
1023372067 Riverside Chiropractic Wellness Centers, Inc Clinic/Center 65 Riverside Ave Ste C, Medford, MA 02155-4653 2012-06-25
1497051320 Northwest Diagnostic Services Clinic/Center 2728 W Main St, Suite 121, Medford, OR 97501-2499 2011-02-10
1265745541 Oregon Internal Medicine, LLC. Clinic/Center 2380 W Main St, Suite, A, Medford, OR 97501-2390 2010-07-15
Find all providers in MEDFORD

Competitor

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City MEDFORD
Zip Code 97504

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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