NPIMap

Organization Active NPI

Jaffer H Bashey MD PC

  • Specialist
  • Corvallis, OR
National Provider Identifier
1174665384
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD18399 Issued in OR
Legal business name
JAFFER H BASHEY MD PC
Practice address
3640 NW Samaritan Dr
Suite 210
Corvallis, OR 97330-3784
Phone
(541) 752-7721
Fax
(541) 757-8072
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Jaffer H Bashey, MDNPI 1801820139
Title
Owner
Phone
(541) 752-7721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD18399 OR Primary

Addresses

Primary practice location

3640 NW Samaritan Dr
Suite 210
Corvallis, OR 97330-3784

Mailing address

3640 NW Samaritan Dr
Suite 210
Corvallis, OR 97330-3784
Phone (541) 752-7721

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1174665384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 NW SAMARITAN DR",
            "address_2": "SUITE 210",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303784",
            "telephone_number": "541-752-7721",
            "fax_number": "541-757-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 NW SAMARITAN DR",
            "address_2": "SUITE 210",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303784",
            "telephone_number": "541-752-7721",
            "fax_number": "541-757-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAFFER H BASHEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "BASHEY",
        "authorized_official_first_name": "JAFFER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-752-7721",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD18399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.