Active NPI
Sylvia K Gosline, M.D.
- Radiation Oncology Physician
- Roseburg, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD12191
- Practice address
- 148 N River Dr
Roseburg, OR 97470-8010 - Phone
- (541) 672-5542
- Fax
- (541) 672-7798
- NPI assigned
- Nov 3, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD12191 | OR | Primary |
Addresses
Primary practice location
148 N River Dr
Roseburg, OR 97470-8010
Mailing address
148 N River Dr
Roseburg, OR 97470-8010
Phone (541) 672-5542
Other practice location 1
1775 Thompson Rd
Coos Bay, OR 97420-2198
Phone (541) 269-8111
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4300924-01 | Other | OR | PREFERRED CHOICE 65 |
| 081414 | Medicaid | OR | |
| 016146000 | Other | OR | BCBS OF OREGON |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.45 of 100
- Quality
- 69.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.59
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD12191 | OR | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Hospital District | Current | Accepting new patients | |
| Bay Area Hospital District | Current | Accepting new patients | |
| Northern Rockies Radiation Oncology Center LLC | Past | Accepting new patients |
Locations
Dept LA 25339
Pasadena, CA 91185
2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411
1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090
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.
-
dba Bay Area Hospital
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
- Home Health Agency
- North Bend, OR
- NPI 1215018197
-
- Radiation Oncology Clinic/Center
- Billings, MT
- NPI 1902871544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1194716456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 N RIVER DR",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974708010",
"telephone_number": "541-672-5542",
"fax_number": "541-672-7798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 N RIVER DR",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974708010",
"telephone_number": "541-672-5542",
"fax_number": "541-672-7798"
}
],
"practiceLocations": [
{
"address_1": "1775 Thompson Rd",
"address_purpose": "LOCATION",
"city": "Coos Bay",
"state": "OR",
"postal_code": "974202198",
"country_code": "US",
"telephone_number": "541-269-8111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOSLINE",
"first_name": "SYLVIA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-03",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "OR",
"license": "MD12191",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CHOICE 65",
"identifier": "4300924-01",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "081414",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF OREGON",
"identifier": "016146000",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.