Active NPI
Eastern Oregon Orthopaedic Surgery & Fracture Clinic, Inc
- Orthopaedic Surgery Physician
- Pendleton, OR
National Provider Identifier
1194769299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- EASTERN OREGON ORTHOPAEDIC SURGERY & FRACTURE CLINIC, INC
- Practice address
- 3207 SW Perkins Ave
Pendleton, OR 97801-3215 - Phone
- (541) 276-4642
- Fax
- (541) 276-4975
- NPI assigned
- Jun 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Whitney Marie Jones
- Title
- Office Manager
- Phone
- (541) 276-4642
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 157239-92 | OR | |
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
3207 SW Perkins Ave
Pendleton, OR 97801-3215
Mailing address
3207 SW Perkins Ave
Pendleton, OR 97801-4465
Phone (541) 276-4642
Other names 1
- Eastern Oregon Orthopaedic Surgery & Sports Medicine, LLP
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | whitney@eo-ortho.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070410000224 | OR | Part B Supplier - Clinic/Group Practice | 0941305544 |
Receives reassigned benefits from 2 practitioners Practice locations: Pendleton, OR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Pendleton, OR
- NPI 1487647962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668470400000",
"number": "1194769299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3207 SW PERKINS AVE",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978014465",
"telephone_number": "541-276-4642",
"fax_number": "541-276-4975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3207 SW PERKINS AVE",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978013215",
"telephone_number": "541-276-4642",
"fax_number": "541-276-4975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN OREGON ORTHOPAEDIC SURGERY & FRACTURE CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-16",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "WHITNEY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "541-276-4642"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "OR",
"license": "157239-92",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "whitney@eo-ortho.com",
"affiliation": "N",
"endpointDescription": "Business Email",
"address_1": "3207 SW Perkins Ave",
"city": "Pendleton",
"state": "OR",
"country_code": "US",
"postal_code": "978013215",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Eastern Oregon Orthopaedic Surgery & Sports Medicine, LLP",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Eastern Oregon Orthopaedic Surgery & Sports Medicine, LLP",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Pendleton, OR
- East Oregon Surgery Center, LLC
- Eastern Or Dermatology
- Eastern Oregon Alcoholism Foundation
- Eastern Oregon Family Eyecare
- Eastern Oregon Orthopaedic Surgery & Fracture Clinic, Inc
- Eastern Oregon Physical Therapy
- Eastern Oregon Trauma Center, LLC
- Travis Eastwood
- John A Eaton, RPH
- Daniel Edgar, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.