Individual provider Active NPI

Kimberly A. Zaslow, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Ashland, OR
National Provider Identifier
1073510459
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
DO24587 Issued in OR
Practice address
540 Catalina Dr
Ashland, OR 97520-1605
Phone
(172) 789-7254
Fax
(833) 638-0201
NPI assigned
Jun 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X DO24587 OR Primary

Addresses

Primary practice location

540 Catalina Dr
Ashland, OR 97520-1605

Mailing address

540 Catalina Dr
Ashland, OR 97520-1605
Phone (541) 727-8972

Other identifiers 1

IdentifierTypeStateIssuer
274988MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129000936 OR Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 6901709674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
College of Osteo Med of the Pacific at Pomona, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunstone Primary Care PCGroup PAC ID 6901213073, 4 clinicians

Practice addresses (Care Compare)

1910 E Barnett Rd
Suite 102
Medford, OR 97504-8672
Phone (541) 727-8972

Hospital & facility affiliations

  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Sunstone Primary Care PC CurrentSince Jan 4, 2023 Accepting new patients
Medford Medical Clinic, LLP Family Medicine Past Accepting new patients

Locations

540 Catalina Dr
Ashland, OR 97520
Phone (541) 482-3327

1910 E Barnett Rd
Ste 102
Medford, OR 97504
Phone (541) 500-4747

Interoperability endpoints

  • Direct secure messaging: kimberly.zaslow.1@23449.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23449/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1073510459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 CATALINA DR",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201605",
            "telephone_number": "541-727-8972",
            "fax_number": "833-638-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 CATALINA DR",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201605",
            "telephone_number": "172-789-7254",
            "fax_number": "833-638-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZASLOW",
        "first_name": "KIMBERLY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OR",
            "license": "DO24587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274988",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.