Individual provider Active NPI

Joan Murray Rote, MD

  • Gynecology Physician
  • Medford, OR
National Provider Identifier
1184759169
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD15974 Issued in OR
Practice address
3190 State St
Suite 101
Medford, OR 97504-8497
Phone
(541) 734-7733
Fax
(541) 734-7744
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MD15974 OR Primary

Addresses

Primary practice location

3190 State St
Suite 101
Medford, OR 97504-8497

Mailing address

3190 State St
Suite 101
Medford, OR 97504-8497
Phone (541) 734-7733

Other identifiers 1

IdentifierTypeStateIssuer
072165MedicaidOR

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

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1184759169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 STATE ST",
            "address_2": "SUITE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048497",
            "telephone_number": "541-734-7733",
            "fax_number": "541-734-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 STATE ST",
            "address_2": "SUITE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048497",
            "telephone_number": "541-734-7733",
            "fax_number": "541-734-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTE",
        "first_name": "JOAN",
        "middle_name": "MURRAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OR",
            "license": "MD15974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072165",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.

Verify at the official NPI Registry.