NPIMap

Organization Active NPI

Mountainview Family Practice PC

  • Family Medicine Physician
  • Grants Pass, OR
National Provider Identifier
1063611093
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MOUNTAINVIEW FAMILY PRACTICE PC
Practice address
741 NE 6TH St
Grants Pass, OR 97526-1556
Phone
(541) 471-2701
Fax
(541) 471-1166
NPI assigned
Jul 11, 2007
Last updated
Nov 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Authorized official

Name
Dr. David J Abdun-Nur, MDNPI 1396737847
Title
Physician
Phone
(541) 471-2701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

741 NE 6TH St
Grants Pass, OR 97526-1556

Mailing address

741 NE 6TH St
Grants Pass, OR 97526-1556
Phone (541) 471-2701

Other identifiers 1

IdentifierTypeStateIssuer
247591MedicaidOR

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: barryhamann@mvfp.allscriptsdirect.net
  • Direct secure messaging: carolthomas@mvfp.allscriptsdirect.net
  • Direct secure messaging: chelseaburchette@mvfp.allscriptsdirect.net
  • Direct secure messaging: davidabdun-nur@mvfp.allscriptsdirect.net
  • Direct secure messaging: jasonpilcher@mvfp.allscriptsdirect.net
  • Direct secure messaging: melissasnell@mvfp.allscriptsdirect.net
  • Direct secure messaging: richardwilliams@mvfp.allscriptsdirect.net
  • Direct secure messaging: sennieanderson@mvfp.allscriptsdirect.net

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": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1063611093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 NE 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261556",
            "telephone_number": "541-471-2701",
            "fax_number": "541-471-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 NE 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261556",
            "telephone_number": "541-471-2701",
            "fax_number": "541-471-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINVIEW FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "ABDUN-NUR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "541-471-2701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247591",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.