Individual provider Active NPI

Sylvia K Gosline, M.D.

  • Radiation Oncology Physician
  • Roseburg, OR
National Provider Identifier
1194716456
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD12191 Issued in OR
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

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4300924-01OtherORPREFERRED CHOICE 65
081414MedicaidOR
016146000OtherORBCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091006000384 OR Practitioner - Radiation Oncology 1456308014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.45 of 100Reported as group
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

LicenseStateTypeSpecialty
MD12191ORMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Hospital District CurrentSince Oct 1, 2020 Accepting new patients
Bay Area Hospital District CurrentSince Oct 1, 2020 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.

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

Verify at the official NPI Registry.