Active NPI
Karl R Knudsen MD PC
- Orthopaedic Surgery Physician
- Klamath Falls, OR
National Provider Identifier
1083885040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD227448
- Legal business name
- KARL R KNUDSEN MD PC
- Practice address
- 2200 Bryant Williams Dr
Suite 1
Klamath Falls, OR 97601-1120 - Phone
- (541) 884-7746
- Fax
- (541) 884-0848
- NPI assigned
- Mar 18, 2008
- 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
- Jeannette Gansberg
- Title
- Executive Director
- Phone
- (541) 274-2902
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD227448 | OR | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | MD27448 | OR |
Addresses
Primary practice location
2200 Bryant Williams Dr
Suite 1
Klamath Falls, OR 97601-1120
Mailing address
2200 Bryant Williams Dr
Suite 1
Klamath Falls, OR 97601-1120
Phone (541) 884-7746
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DH2111 | Other | OR | RAIL ROAD MEDICARE |
| 297233 | Medicaid | OR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Klamath Falls, OR
- NPI 1659393759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510617600000",
"number": "1083885040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 BRYANT WILLIAMS DR",
"address_2": "SUITE 1",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976011120",
"telephone_number": "541-884-7746",
"fax_number": "541-884-0848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 BRYANT WILLIAMS DR",
"address_2": "SUITE 1",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976011120",
"telephone_number": "541-884-7746",
"fax_number": "541-884-0848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KARL R KNUDSEN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-18",
"last_updated": "2017-11-14",
"status": "A",
"authorized_official_last_name": "GANSBERG",
"authorized_official_first_name": "JEANNETTE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "541-274-2902"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "OR",
"license": "MD227448",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "OR",
"license": "MD27448",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "DH2111",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "297233",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.