NPIMap

Individual provider Active NPI

Angela L. Jones, MD

  • Internal Medicine Physician
  • Roseburg, OR
National Provider Identifier
1174759997
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD153963 Issued in OR
Practice address
1813 W Harvard Ave Ste 423
Roseburg, OR 97471-8712
Phone
(541) 440-6322
NPI assigned
Jun 8, 2009
Last updated
Sep 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD153963 OR Primary

Addresses

Primary practice location

1813 W Harvard Ave Ste 423
Roseburg, OR 97471-8712

Mailing address

1813 W Harvard Ave Ste 423
Roseburg, OR 97471-8712
Phone (541) 440-6322

Other identifiers 1

IdentifierTypeStateIssuer
500649480MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121107000404 OR Practitioner - Internal Medicine 9931350519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Oregon Health Sciences University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2527 W Harvard Ave
Roseburg, OR 97471-2582
Phone (541) 440-6322

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD153963ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Jones, MD, PC Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Umpqua Valley Internists PC Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Janice Reid Center PastSince Oct 1, 2020 Accepting new patients

Locations

1813 W Harvard Ave
Roseburg, OR 97471
Phone (541) 440-6390

1813 W Harvard Ave
Ste 140
Roseburg, OR 97471
Phone (541) 229-7275

1813 W Harvard Ave
Ste 423
Roseburg, OR 97471
Phone (541) 440-6322

1813 W Harvard Ave
Ste 427
Roseburg, OR 97471
Phone (541) 440-6322

2525 W Harvard Ave
Ste 3
Roseburg, OR 97471

2527 W Harvard Ave
Roseburg, OR 97471
Phone (541) 440-6322

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHJBCD/Endpoint/HHJBCD

Organizations & group practices 3

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1174759997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE STE 423",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718712",
            "telephone_number": "541-440-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE STE 423",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718712",
            "telephone_number": "541-440-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANGELA",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD153963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500649480",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.