Organization Active NPI

Eastern Oregon Orthopaedic Surgery & Fracture Clinic, Inc

  • Orthopaedic Surgery Physician
  • Pendleton, OR
National Provider Identifier
1194769299
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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

Updated by the provider on Nov 15, 2022

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 157239-92 OR
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address whitney@eo-ortho.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070410000224 OR Part B Supplier - Clinic/Group Practice 0941305544 Receives reassigned benefits from 2 practitioners
Practice locations: Pendleton, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.