Active NPI
Paul J Fieber, P.A.
- Physician Assistant
- Roseburg, OR
National Provider Identifier
1043371305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00806
- Practice address
- 2570 NW Edenbower Blvd
Suite 100
Roseburg, OR 97471-6214 - Phone
- (541) 677-7200
- Fax
- (541) 229-3362
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00806 | OR | Primary |
Addresses
Primary practice location
2570 NW Edenbower Blvd
Suite 100
Roseburg, OR 97471-6214
Mailing address
2570 NW Edenbower Blvd
Suite 100
Roseburg, OR 97471-6214
Phone (541) 677-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00806 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas Medical Group, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Roseburg, OR
- NPI 1346578861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283299200000",
"number": "1043371305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2570 NW EDENBOWER BLVD",
"address_2": "SUITE 100",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974716214",
"telephone_number": "541-677-7200",
"fax_number": "541-229-3362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2570 NW EDENBOWER BLVD",
"address_2": "SUITE 100",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974716214",
"telephone_number": "541-677-7200",
"fax_number": "541-229-3362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIEBER",
"first_name": "PAUL",
"middle_name": "J",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2010-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA00806",
"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 Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.