Organization Active NPI

Salem Cardiology Arrhythmia Division, P.C.

  • Clinical Cardiac Electrophysiology Physician
  • Salem, OR
National Provider Identifier
1013959493
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
17813 Issued in OR
Legal business name
SALEM CARDIOLOGY ARRHYTHMIA DIVISION, P.C.
Practice address
875 Oak St SE
Suite #5040
Salem, OR 97301-3975
Phone
(503) 561-8550
Fax
(503) 561-8560
NPI assigned
Jun 12, 2006
Last updated
Jun 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Dr. Wallace Lai, M.D.NPI 1578503249
Title
Owner
Phone
(503) 561-8550

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
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0001X 17813 OR Primary

Addresses

Primary practice location

875 Oak St SE
Suite #5040
Salem, OR 97301-3975

Mailing address

PO Box 665
Beaverton, OR 97075-0665
Phone (503) 561-8550

National Provider Directory

National Provider Directory

Locations

730 SE Oak St
Ste 1
Hillsboro, OR 97123
Phone (503) 843-0406

875 Oak St SE
Ste 3090
Salem, OR 97301
Phone (503) 561-8550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1013959493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 665",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970750665",
            "telephone_number": "503-561-8550",
            "fax_number": "503-561-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE",
            "address_2": "SUITE #5040",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013975",
            "telephone_number": "503-561-8550",
            "fax_number": "503-561-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM CARDIOLOGY ARRHYTHMIA DIVISION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-561-8550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OR",
            "license": "17813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.