Samuel Aden Hirtle, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO171203 Issued in OR

Practice address

870 S Front St
Ste 200
Central Point, OR 97502-2779

Phone

(541) 664-3346

Fax

(541) 664-6051

NPI assigned

Jan 28, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

AsanteGroup PAC ID 0547177321, 141 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of Rogue Valley, LLC Home health agency, Medford, OR, CCN 387098
• Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
• Providence Medford Medical Center Hospital, Medford, OR, CCN 380075
• Asante Ashland Community Hospital Hospital, Ashland, OR, CCN 380005

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shirtle532558@oc.providencedirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Asante

  • General Acute Care Hospital
  • Medford, OR
  • NPI 1770587107
  Medicare reassignment Care Compare group NPD
• Asante

  • Specialty Pharmacy
  • Medford, OR
  • NPI 1699426684
  NPD
• Asante Ashland Community Hospital, LLC

  • General Acute Care Hospital
  • Ashland, OR
  • NPI 1730628827
  NPD
• Jeffery W. Baker D.C. P.C.

  • Chiropractor
  • Keizer, OR
  • NPI 1619142429
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Accentcare Home Health of Rogue Valley, LLC

  • Home Health Agency
  • Medford, OR
  • NPI 1912228727
  Care Compare affiliation
• Asante

  • General Acute Care Hospital
  • Medford, OR
  • NPI 1770587107
  Care Compare affiliation
• Asante Ashland Community Hospital, LLC

  • General Acute Care Hospital
  • Ashland, OR
  • NPI 1730628827
  Care Compare affiliation
• Providence Health & Services - Oregon

  • General Acute Care Hospital
  • Medford, OR
  • NPI 1689755670
  Care Compare affiliation

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1194902502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "541-664-3346",
            "fax_number": "541-664-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 S FRONT ST",
            "address_2": "STE 200",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022779",
            "telephone_number": "541-664-3346",
            "fax_number": "541-664-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRTLE",
        "first_name": "SAMUEL",
        "middle_name": "ADEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60409596",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OL60286768",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO171203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shirtle532558@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "870 S Front St",
            "address_2": "Ste 200",
            "city": "Central Point",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975022779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan Louise Hicks
• Anne Marie Higby, MSW
• Michael Peter Higginbotham II
• Raquel Hightower
• Julia Hilton
• Jesse A Hodson, FNP
• Hillary Rihane Hoff
• Deedee Hogan
• Wayne Hohweiler, RPH
• Tenielle Rhae Holste, PA-C

• Family Medicine Physician in Central Point, OR
• Providers in Central Point, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.