Active NPI
Eastern Oregon Medical Associates,LLC
- Family Medicine Physician
- Baker City, OR
National Provider Identifier
1124069620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- EASTERN OREGON MEDICAL ASSOCIATES,LLC
- Practice address
- 3950 17TH St
Suite a
Baker City, OR 97814-1300 - Phone
- (541) 523-1001
- Fax
- (541) 523-1152
- NPI assigned
- Jun 8, 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
- Dr. Jon D. Schott, M.D.
- Title
- Managing Partner
- Phone
- (541) 523-1001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3950 17TH St
Suite a
Baker City, OR 97814-1300
Mailing address
3950 17TH St
Suite a
Baker City, OR 97814-1300
Phone (541) 523-1001
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276275 | Medicaid | OR | |
| 838159000 | Other | OR | BLUE CROSS # |
| DA6341 | Other | OR | RAILROAD |
Other names 1
- EOMA, LLC
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D1018245 | St Luke'S Clinic - Eastern Oregon Med Assoc | Provider-performed microscopy | Oct 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
3325 Pocahontas Rd
Ste A
Baker City, OR 97814
Phone (541) 523-1001
3950 17th St
Ste A
Baker City, OR 97814
Phone (541) 523-1001
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Baker City, OR
- NPI 1750379244
-
- Family Medicine Physician
- Baker City, OR
- NPI 1710975024
-
- Family Medicine Physician
- Helena, MT
- NPI 1295723682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204156800000",
"number": "1124069620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3950 17TH ST",
"address_2": "SUITE A",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978141300",
"telephone_number": "541-523-1001",
"fax_number": "541-523-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 17TH ST",
"address_2": "SUITE A",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978141300",
"telephone_number": "541-523-1001",
"fax_number": "541-523-1152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN OREGON MEDICAL ASSOCIATES,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2008-02-28",
"status": "A",
"authorized_official_last_name": "SCHOTT",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "541-523-1001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276275",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS #",
"identifier": "838159000",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "DA6341",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EOMA, LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Baker City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.