Active NPI
Oded Zion Shulsinger, MD
- Internal Medicine Physician
- Coos Bay, OR
National Provider Identifier
1144206558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD10657
- Practice address
- 1900 Woodland Dr
Coos Bay, OR 97420-0000 - Phone
- (541) 267-5151
- Fax
- (541) 266-4542
- NPI assigned
- Dec 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD10657 | OR | Primary |
Addresses
Primary practice location
1900 Woodland Dr
Coos Bay, OR 97420-0000
Mailing address
1900 Woodland Dr
Coos Bay, OR 97420-0000
Phone (541) 267-5151
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203612 | Medicaid | OR | |
| 1407812365 | Other | OR | NBMC GROUP NPI NUMBER |
| R0000WFBTV | Other | OR | MEDICARE GROUP PIN NUMBER |
| CB3544 | Other | OR | RR MEDICARE GROUP NUMBER |
| P00086145 | Other | OR | RR MEDICARE PTAN NUMBER |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Bend Medical Center Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Medical Laboratory
- Coos Bay, OR
- NPI 1760404396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269302400000",
"number": "1144206558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 WOODLAND DR",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974200000",
"telephone_number": "541-267-5151",
"fax_number": "541-266-4542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 WOODLAND DR",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974200000",
"telephone_number": "541-267-5151",
"fax_number": "541-266-4542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULSINGER",
"first_name": "ODED",
"middle_name": "ZION",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2010-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD10657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203612",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBMC GROUP NPI NUMBER",
"identifier": "1407812365",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN NUMBER",
"identifier": "R0000WFBTV",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP NUMBER",
"identifier": "CB3544",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PTAN NUMBER",
"identifier": "P00086145",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.