Organization Active NPI

Klamath Pain Clinic PC

  • Surgery Physician
  • Klamath Falls, OR
National Provider Identifier
1205933819
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DO15593 Issued in OR
Legal business name
KLAMATH PAIN CLINIC PC
Practice address
2301 Mountain View Blvd
Ste B
Klamath Falls, OR 97601
Phone
(541) 882-2023
Fax
(541) 884-5681
NPI assigned
Sep 19, 2006
Last updated
Sep 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Dr. Barbara E Gilbertson, DONPI 1225217409
Title
Medical Director
Phone
(541) 882-2023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X DO15593 OR Primary

Addresses

Primary practice location

2301 Mountain View Blvd
Ste B
Klamath Falls, OR 97601

Mailing address

2301 Mountain View Blvd
Ste B
Klamath Falls, OR 97601
Phone (541) 882-2023

Other identifiers 2

IdentifierTypeStateIssuer
R116706MedicaidOR
205807OtherOROMAP

Other names 1

  • Dr. Barbara Gilbertson DO Other name

National Provider Directory

National Provider Directory

Locations

2301 Mountain View Blvd
Ste B
Klamath Falls, OR 97601
Phone (541) 850-7697

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1205933819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 MOUNTAIN VIEW BLVD",
            "address_2": "STE B",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "97601",
            "telephone_number": "541-882-2023",
            "fax_number": "541-884-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 MOUNTAIN VIEW BLVD",
            "address_2": "STE B",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "97601",
            "telephone_number": "541-882-2023",
            "fax_number": "541-884-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAMATH PAIN CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "GILBERTSON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "541-882-2023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "DO15593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R116706",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "205807",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Barbara Gilbertson DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.