Active NPI
Lung Clinic Center for Sleep Medicine
- Pulmonary Disease Physician
- Grants Pass, OR
National Provider Identifier
1114019494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD16808
- Legal business name
- LUNG CLINIC CENTER FOR SLEEP MEDICINE
- Practice address
- 874 NE 7TH St
Grants Pass, OR 97526-1635 - Phone
- (541) 471-6026
- Fax
- (541) 471-7051
- NPI assigned
- Sep 28, 2006
- 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
- Debra A Stringfield
- Title
- Office Billing Manager
- Phone
- (541) 471-6026
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD16808 | OR | |
| Pulmonary Disease Physician | 207RP1001X | MD16808 | OR | Primary |
| Registered Respiratory Therapist | 227900000X | RTP000581 | OR | |
| Physician Assistant | 363A00000X | PA00609 | OR |
Addresses
Primary practice location
874 NE 7TH St
Grants Pass, OR 97526-1635
Mailing address
874 NE 7TH St
Grants Pass, OR 97526-1635
Phone (541) 471-6026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009576 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
874 NE 7th St
Grants Pass, OR 97526
Phone (541) 471-6026
Interoperability endpoints
- carlosmarchini@lccsm.allscriptsdirect.net
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10359860
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Grants Pass, OR
- NPI 1720088677
-
- Family Nurse Practitioner
- Medford, OR
- NPI 1144250432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355184000000",
"number": "1114019494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "874 NE 7TH ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261635",
"telephone_number": "541-471-6026",
"fax_number": "541-471-7051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "874 NE 7TH ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261635",
"telephone_number": "541-471-6026",
"fax_number": "541-471-7051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUNG CLINIC CENTER FOR SLEEP MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2012-12-11",
"status": "A",
"authorized_official_last_name": "STRINGFIELD",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE BILLING MANAGER",
"authorized_official_telephone_number": "541-471-6026"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "OR",
"license": "MD16808",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OR",
"license": "MD16808",
"primary": true
},
{
"code": "227900000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Registered",
"state": "OR",
"license": "RTP000581",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA00609",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009576",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.