Active NPI
Southern Oregon Pediatrics, LLP
- Pediatric Hospice and Palliative Medicine Physician
- Medford, OR
National Provider Identifier
1194932814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hospice and Palliative Medicine Physician
- License
- 07-00020431
- Legal business name
- SOUTHERN OREGON PEDIATRICS, LLP
- Practice address
- 750 Murphy Rd
Medford, OR 97504-8426 - Phone
- (541) 789-4096
- Fax
- (541) 789-4073
- NPI assigned
- May 16, 2007
- Last updated
- Mar 5, 2019
- 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
- Brenda L Sankey
- Title
- Office Manager
- Phone
- (541) 789-5879
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hospice and Palliative Medicine Physician | 2080H0002X | 07-00020431 | OR | Primary |
Addresses
Primary practice location
750 Murphy Rd
Medford, OR 97504-8426
Mailing address
750 Murphy Rd
Medford, OR 97504-8426
Phone (541) 789-4096
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D0627640 | Southern Oregon Pediatrics | Certificate of waiver | Mar 14, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Pediatrics Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551744000000",
"number": "1194932814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 MURPHY RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048426",
"telephone_number": "541-789-4096",
"fax_number": "541-789-4073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 MURPHY RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048426",
"telephone_number": "541-789-4096",
"fax_number": "541-789-4073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN OREGON PEDIATRICS, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-16",
"last_updated": "2019-03-05",
"status": "A",
"authorized_official_last_name": "SANKEY",
"authorized_official_first_name": "BRENDA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "541-789-5879"
},
"taxonomies": [
{
"code": "2080H0002X",
"taxonomy_group": "",
"desc": "Pediatrics, Hospice and Palliative Medicine",
"state": "OR",
"license": "07-00020431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
- Southern Oregon Neuropsychological Clinic LLC
- Southern Oregon Neurosurgical & Spine Associates, PC
- Southern Oregon Nutrition & Diabetes Training Center
- Southern Oregon Oral and Maxillofacial Surgeons
- Southern Oregon Orthopedics Inc
- Southern Oregon Periodontics, PC
- Southern Oregon Physical Therapy Associates Inc.
- Southern Oregon Professional Care Services, Inc. (Visiting Angels)
- Southern Oregon Psychiatry, LLC
- Southern Oregon Sleep Diagnostics (Mountain Sleep Lab)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.