NPIMap

Individual provider Active NPI

Zachary Parnell Giesen, DO

  • Cardiovascular Disease Physician
  • Medford, OR
National Provider Identifier
1083077408
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
DO209735 Issued in OR
Practice address
520 Medical Center Dr Ste 200
Medford, OR 97504-4314
Phone
(541) 930-7222
Fax
(541) 930-7220
NPI assigned
Apr 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X DO209735 OR Primary

Addresses

Primary practice location

520 Medical Center Dr Ste 200
Medford, OR 97504-4314

Mailing address

520 Medical Center Dr Ste 200
Medford, OR 97504-4314
Phone (541) 930-7260

Other identifiers 1

IdentifierTypeStateIssuer
500806325MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220513000454 OR Practitioner - Cardiovascular Disease (Cardiology) 2567752991 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
AsanteGroup PAC ID 0547177321, 141 clinicians
Asante Three Rivers Medical Center LLCGroup PAC ID 9931197993, 98 clinicians
Southern Oregon Cardiology LLCGroup PAC ID 2264572510, 28 clinicians

Practice addresses (Care Compare)

2825 E Barnett Rd
Medford, OR 97504-8332
Phone (541) 789-7000

500 SW Ramsey Ave
Grants Pass, OR 97527-5554
Phone (541) 472-7000

520 SW Ramsey Ave
Suite 204
Grants Pass, OR 97527-5535
Phone (541) 930-7223

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Oregon Cardiology LLC Cardiovascular Disease CurrentSince Jul 1, 2022 Accepting new patients
Asante Ashland Community Hospital, LLC CurrentSince Sep 1, 2022 Accepting new patients
Asante CurrentSince Sep 1, 2022 Accepting new patients
Asante Three Rivers Medical Center, LLC CurrentSince Sep 1, 2022 Accepting new patients
Asante CurrentSince Sep 1, 2022 Accepting new patients

Locations

280 Maple St
Ashland, OR 97520
Phone (541) 201-4000

520 SW Ramsey Ave
Ste 204
Grants Pass, OR 97527
Phone (541) 479-8308

520 Medical Center Dr
Ste 200
Medford, OR 97504
Phone (541) 282-6600

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

Organizations & group practices 5

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 7

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": "1459555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1083077408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MEDICAL CENTER DR STE 200",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044314",
            "telephone_number": "541-930-7260",
            "fax_number": "541-930-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MEDICAL CENTER DR STE 200",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044314",
            "telephone_number": "541-930-7222",
            "fax_number": "541-930-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIESEN",
        "first_name": "ZACHARY",
        "middle_name": "PARNELL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-02",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "DO209735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500806325",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.