Organization Active NPI

Steelhead Specialty Group, PC

  • Hematology & Oncology Physician
  • Roseburg, OR
National Provider Identifier
1013326362
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
STEELHEAD SPECIALTY GROUP, PC
Practice address
2880 NW Stewart Pkwy Ste 300
Roseburg, OR 97471-1205
Phone
(541) 229-4070
Fax
(541) 229-4074
NPI assigned
Aug 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Mr. Stephen A Williams, MDNPI 1437370947
Title
Physician
Phone
(541) 229-4070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

2880 NW Stewart Pkwy Ste 300
Roseburg, OR 97471-1205

Mailing address

2880 NW Stewart Pkwy Ste 300
Roseburg, OR 97471-1205
Phone (541) 229-4070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141216001703 OR Part B Supplier - Clinic/Group Practice 1951624303 Receives reassigned benefits from 5 practitioners
Practice locations: Roseburg, OR
O20181210001239 OR DME Supplier - Physician - Hematology/Oncology 1951624303 Practice locations: Roseburg, OR

National Provider Directory

National Provider Directory

Locations

2880 NW Stewart Pkwy
Ste 300A
Roseburg, OR 97471
Phone (541) 229-4070

2880 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 229-4070

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1013326362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 NW STEWART PKWY STE 300",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711205",
            "telephone_number": "541-229-4070",
            "fax_number": "541-229-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 NW STEWART PKWY STE 300",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711205",
            "telephone_number": "541-229-4070",
            "fax_number": "541-229-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEELHEAD SPECIALTY GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "541-229-4070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.