Active NPI
Umpqua Internal Medicine,P.C.
- Medical Specialty Clinic/Center
- Roseburg, OR
National Provider Identifier
1053576868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- MD24774
- Legal business name
- UMPQUA INTERNAL MEDICINE,P.C.
- Practice address
- 2510 NW Edenbower Blvd
Suite 176
Roseburg, OR 97471-8899 - Phone
- (541) 673-2254
- NPI assigned
- Jul 21, 2008
- Last updated
- May 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rodica Totoian
- Title
- Manager
- Phone
- (541) 378-8461
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | MD24774 | OR | Primary |
Addresses
Primary practice location
2510 NW Edenbower Blvd
Suite 176
Roseburg, OR 97471-8899
Mailing address
2510 NW Edenbower Blvd
Suite 176
Roseburg, OR 97471-8899
Phone (541) 673-2254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2510 NW Edenbower Blvd
Ste 17
Roseburg, OR 97471
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ADEJBD
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.
-
- Internal Medicine Physician
- Roseburg, OR
- NPI 1457444119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367452800000",
"number": "1053576868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 NW EDENBOWER BLVD",
"address_2": "SUITE 176",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974718899",
"telephone_number": "541-673-2254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 NW EDENBOWER BLVD",
"address_2": "SUITE 176",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974718899",
"telephone_number": "541-673-2254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UMPQUA INTERNAL MEDICINE,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-21",
"last_updated": "2013-05-02",
"status": "A",
"authorized_official_last_name": "TOTOIAN",
"authorized_official_first_name": "RODICA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "541-378-8461"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "OR",
"license": "MD24774",
"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 May 2, 2013; 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.