Eastern Oregon Regional Surgery

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

394721 Issued in OR

Legal business name

EASTERN OREGON REGIONAL SURGERY

Practice address

1070 W Elm Ave Ste B
Hermiston, OR 97838-2711

Phone

(541) 289-8900

Fax

(458) 219-2640

NPI assigned

Dec 4, 2006

Reactivated

Aug 28, 2023

Last updated

Aug 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Alan Warner, MDNPI 1265458293

Title

Medical Director

Phone

(541) 567-6330

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Alan Warner, M.D

  • Ophthalmology Physician
  • Lake Mary, FL
  • NPI 1265458293
  NPD Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1184782203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 W ELM AVE STE B",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978382711",
            "telephone_number": "541-289-8900",
            "fax_number": "458-219-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 W ELM AVE STE B",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978382711",
            "telephone_number": "541-289-8900",
            "fax_number": "458-219-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN OREGON REGIONAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-08-28",
        "certification_date": "2023-06-29",
        "deactivation_date": "2023-06-29",
        "reactivation_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "541-567-6330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": "394721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232855",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00053720",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICSOURCE",
            "identifier": "P256501",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Dyer
• Sarah Dynes
• Eagle Summit Orthopedic & Sports Medicine, LLC
• Derek Ted Earl, D.O.
• Eastern Oregon Physical Therapy Hermiston LLC
• Christopher James Eden
• Diana L Edenfield, MD
• Elite Interventional Radiology Consultants of Oregon PC
• Elite Robotic Surgical Consultants of Oregon PC
• Elizabeth Umana Elizabeth Umana

• Ambulatory Surgical Clinic/Center in Hermiston, OR
• Providers in Hermiston, OR by specialty
• Ambulatory Surgical Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.