Individual provider Active NPI

Devon Jean Webster, MD

  • Medical Oncology Physician
  • Corvallis, OR
National Provider Identifier
1124034681
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
MD23582 Issued in OR
Practice address
501 NW Elks Dr
Suite 100
Corvallis, OR 97330-3757
Phone
(541) 768-4950
Fax
(541) 768-4951
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD23582 OR
Medical Oncology Physician 207RX0202X MD23582 OR Primary

Addresses

Primary practice location

501 NW Elks Dr
Suite 100
Corvallis, OR 97330-3757

Mailing address

501 NW Elks Dr
Suite 100
Corvallis, OR 97330-3757
Phone (541) 768-4950

Other identifiers 2

IdentifierTypeStateIssuer
1032645MedicaidWA
286495MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200831002635 IA Practitioner - Hematology/Oncology 4385749282 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
67.97 of 100Reported as apm
Quality
34.29
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Clarinda Regional Health Center Current Accepting new patients
Clarinda Regional Health Center Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Clarinda Regional Health Center Current Accepting new patients
Northwest Cancer Specialists PC PastSince Jul 23, 2023 Accepting new patients
Good Samaritan Hospital Corvallis Internal Medicine Past Accepting new patients

Locations

303 Pearl St
Bedford, IA 50833
Phone (712) 523-1146

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1124034681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NW ELKS DR",
            "address_2": "SUITE 100",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303757",
            "telephone_number": "541-768-4950",
            "fax_number": "541-768-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NW ELKS DR",
            "address_2": "SUITE 100",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303757",
            "telephone_number": "541-768-4950",
            "fax_number": "541-768-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "DEVON",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD23582",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "OR",
            "license": "MD23582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032645",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286495",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.