Active NPI
Oregon Urgent Care
- Urgent Care Clinic/Center
- Oregon, OH
National Provider Identifier
1215022298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 35053850S
- Legal business name
- OREGON URGENT CARE
- Practice address
- 3232 Navarre
Oregon, OH 41616-7074 - Phone
- (419) 691-0636
- Fax
- (419) 693-1412
- NPI assigned
- Oct 4, 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
- Dr. Jack G Siebenaler II, M.D.
- Title
- Owner
- Phone
- (419) 691-0636
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 35053850S | OH | Primary |
Addresses
Primary practice location
3232 Navarre
Oregon, OH 41616-7074
Mailing address
3232 Navarre
Oregon, OH 41616-7074
Phone (419) 691-0636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0636539 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Jack Siebenaler II MD Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Oregon, OH
- NPI 1255514873
Locations
3232 Navarre Ave
Oregon, OH 43616
Phone (419) 691-0636
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Oregon, OH
- NPI 1982670212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215022298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3232 NAVARRE",
"city": "OREGON",
"state": "OH",
"postal_code": "416167074",
"telephone_number": "419-691-0636",
"fax_number": "419-693-1412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3232 NAVARRE",
"city": "OREGON",
"state": "OH",
"postal_code": "416167074",
"telephone_number": "419-691-0636",
"fax_number": "419-693-1412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OREGON URGENT CARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SIEBENALER",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "419-691-0636",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "OH",
"license": "35053850S",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0636539",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oregon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.