Active NPI
Gene McColgin, M.D.
- Emergency Medicine Physician
- Tillamook, OR
National Provider Identifier
1144244062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD20783
- Practice address
- 1000 3Rd St
Tillamook, OR 97141-3430 - Phone
- (503) 842-4444
- Fax
- (503) 815-2305
- NPI assigned
- Jul 26, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD20783 | OR | Primary |
Addresses
Primary practice location
1000 3Rd St
Tillamook, OR 97141-3430
Mailing address
1605 Black Sands Way
Tillamook, OR 97141-8386
Phone (503) 842-8502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 999999 | 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 |
|---|---|---|---|
| MD20783 | OR | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1144244062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 BLACK SANDS WAY",
"city": "TILLAMOOK",
"state": "OR",
"postal_code": "971418386",
"telephone_number": "503-842-8502",
"fax_number": "503-842-8504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 3RD ST",
"city": "TILLAMOOK",
"state": "OR",
"postal_code": "971413430",
"telephone_number": "503-842-4444",
"fax_number": "503-815-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOLGIN",
"first_name": "GENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD20783",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "999999",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tillamook, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.