Organization Active NPI

Housecall Medical Services, Inc

  • Health Service Clinic/Center
  • Lake Oswego, OR
National Provider Identifier
1093053431
Registry record updated May 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
200650008NP Issued in OR
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
243056MedicaidOR
500678021MedicaidOR
1093053431OtherORNPI

National Provider Directory

National Provider Directory

Ownership & 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.

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.

Verify at the official NPI Registry.