Active NPI
Ralph Clyde Oler, M.D.
- Obstetrics & Gynecology Physician
- La Grande, OR
National Provider Identifier
1104867852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD 08714
- Practice address
- 709 Aquarius Way
La Grande, OR 97850-3207 - Phone
- (541) 962-8420
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD 08714 | OR | Primary |
Addresses
Primary practice location
709 Aquarius Way
La Grande, OR 97850-3207
Mailing address
709 Aquarius Way
La Grande, OR 97850-3207
Phone (541) 962-8420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 234146 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 08714 | OR | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104867852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 AQUARIUS WAY",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978503207",
"telephone_number": "541-962-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 AQUARIUS WAY",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978503207",
"telephone_number": "541-962-8420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLER",
"first_name": "RALPH",
"middle_name": "CLYDE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "MD 08714",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "234146",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Grande, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.