Salem Rheumatology, LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

MD153975 Issued in OR

Legal business name

SALEM RHEUMATOLOGY, LLC

Practice address

960 Liberty St SE Ste 200
Salem, OR 97302-4195

Phone

(503) 399-0652

Fax

(503) 373-3852

NPI assigned

Aug 29, 2011

Last updated

Dec 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca R Callis, MD

Title

Owner/Physician

Phone

(503) 399-0652

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Kimberly E Kintz, ANP

  • Internal Medicine Physician
  • Gresham, OR
  • NPI 1598879892
  NPD (past)
• Raymond Charles Hausch, MD

  • Rheumatology Physician
  • La Crosse, WI
  • NPI 1639114358
  NPD (past)

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1215218789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 LIBERTY ST SE STE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024195",
            "telephone_number": "503-399-0652",
            "fax_number": "503-373-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 LIBERTY ST SE STE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024195",
            "telephone_number": "503-399-0652",
            "fax_number": "503-373-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM RHEUMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "CALLIS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "503-399-0652",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OR",
            "license": "MD153975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500635080",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salem Psychological Services LLC
• Salem Pulmonary Associates P.C.
• Salem Radiology Consultants PC
• Salem Rehabilitation Associates, Inc.
• Salem Rheumatology & Infusions LLC
• Salem Sleep Medicine, PC
• Salem Surgery Center, LLC
• Salem Travel Clinic, LLC (Salem Travel Clinic)
• Salem Vascular Consultants, LLP
• Salem Vascular, PC (Salem Vein & Aesthetics Center)

• Rheumatology Physician in Salem, OR
• Providers in Salem, OR by specialty
• Rheumatology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.