Umpqua Medical PC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

UMPQUA MEDICAL PC

Practice address

2880 NW Stewart Pkwy
Suite 200
Roseburg, OR 97471-1201

Phone

(541) 673-0496

Fax

(541) 673-5794

NPI assigned

Nov 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edward J Ottenheimer III, MDNPI 1881787547

Title

President

Phone

(541) 673-0496

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EHJBCD

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward J Ottenheimer III, MD

  • Hematology & Oncology Physician
  • Roseburg, OR
  • NPI 1881787547
  Medicare reassignment NPD Authorized official
• Michelle Yvonne Lopera-Ottenheimer, PA-C

  • Medical Physician Assistant
  • Roseburg, OR
  • NPI 1740444033
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1003982281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 NW STEWART PKWY",
            "address_2": "SUITE 200",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711201",
            "telephone_number": "541-673-0496",
            "fax_number": "541-673-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 NW STEWART PKWY",
            "address_2": "SUITE 200",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711201",
            "telephone_number": "541-673-0496",
            "fax_number": "541-673-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMPQUA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "OTTENHEIMER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-673-0496",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Umpqua Health - Harvard, LLC
• Umpqua Health Newton Creek, LLC
• Umpqua Health Transitional Care, LLC
• Umpqua Internal Medicine,P.C.
• Umpqua Medical Group, LLC
• Umpqua Neurology PC
• Umpqua Orthopedics
• Umpqua Orthopedics PC
• Umpqua River Nursing & Rehab LLC
• Umpqua Valley Ambulance Service Inc.

• Hematology & Oncology Physician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Hematology & Oncology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.