Active NPI
Housecall Medical Services, Inc
- Health Service Clinic/Center
- Lake Oswego, OR
National Provider Identifier
1093053431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 200650008NP
- Legal business name
- HOUSECALL MEDICAL SERVICES, INC
- Practice address
- 49 Ladd St
Lake Oswego, OR 97034-3853 - Phone
- (503) 358-7908
- Fax
- (503) 345-9867
- NPI assigned
- Jan 18, 2013
- Last updated
- May 23, 2015
- 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
- Monica Ferguson, NP
- Title
- Owner
- Phone
- (503) 358-7908
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 200650008NP | OR | Primary |
| Family Nurse Practitioner | 363LF0000X | 200650008NP | OR |
Addresses
Primary practice location
49 Ladd St
Lake Oswego, OR 97034-3853
Mailing address
49 Ladd St
Lake Oswego, OR 97034-3853
Phone (503) 358-7908
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 243056 | Medicaid | OR | |
| 500678021 | Medicaid | OR | |
| 1093053431 | Other | OR | NPI |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Housecall Medical Services Inc
- Primary Care Clinic/Center
- Oregon City, OR
- NPI 1336596113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432339200000",
"number": "1093053431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 LADD ST",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970343853",
"telephone_number": "503-358-7908",
"fax_number": "503-345-9867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 LADD ST",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970343853",
"telephone_number": "503-358-7908",
"fax_number": "503-345-9867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOUSECALL MEDICAL SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-18",
"last_updated": "2015-05-23",
"status": "A",
"authorized_official_last_name": "FERGUSON",
"authorized_official_first_name": "MONICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-358-7908",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "OR",
"license": "200650008NP",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "200650008NP",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "243056",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500678021",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1093053431",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.